LSC Quarterly Camp Vehicle Inspection

• Site conducted

  Select

• Inspection Date

  Date

• Inspector's Name

• Vehicle #

• License Plate #

• KM reading

• Is this Vehicle due or overdue for a service

  Yes

  No
• Location
  Address

• Picture of Vehicle

  Media

Tires/Rims/Nuts

• Tire tread

  OK

  Needs Repair

  Needs Immediate Action

  N/A

• Rims

  OK

  Needs Repair

  Needs Immediate Action

  N/A

• Wheel nuts

  OK

  Needs Repair

  Needs Immediate Action

  N/A

• Tire pressure

  OK

  Needs Repair

  Needs Immediate Action

  N/A

• Tire rotation

  OK

  Needs Repair

  Needs Immediate Action

  N/A

• Spare tire

  OK

  Needs Repair

  Needs Immediate Action

  N/A

• REFERENCE: Spare tire in good working condition
  

  

Appearance and condition

• Is the Exterior clean and presentable

  OK

  Needs Repair

  Needs Immediate Action

  N/A

• Is the Interior clean, organized, and presentable

  OK

  Needs Repair

  Needs Immediate Action

  N/A

• Does the vehicle contain all necessary safety equipment

  OK

  Needs Repair

  Needs Immediate Action

  N/A

Lights/Signals

• Turn signals (Front & Back, Left & Right)

  OK

  Needs Repair

  Needs Immediate Action

  N/A

• Tail lights

  OK

  Needs Repair

  Needs Immediate Action

  N/A

• Brake lights

  OK

  Needs Repair

  Needs Immediate Action

  N/A

• Head lights

  OK

  Needs Repair

  Needs Immediate Action

  N/A

• Hazard lights

  OK

  Needs Repair

  Needs Immediate Action

  N/A

• Clearance/Marker lights

  OK

  Needs Repair

  Needs Immediate Action

  N/A

• Reversing lights

  OK

  Needs Repair

  Needs Immediate Action

  N/A

Horns

• Audible horns

  OK

  Needs Repair

  Needs Immediate Action

  N/A

Brakes

• Parking brakes

  OK

  Needs Repair

  Needs Immediate Action

  N/A

• Brake Pads and Rotors (noisy, smooth, equal, shudder, etc.)

  OK

  Needs Repair

  Needs Immediate Action

  N/A

• Brake Feel (Firm, squishy, excessive play, pulling, etc.)

  OK

  Needs Repair

  Needs Immediate Action

  N/A

Engine

• Oil level

  OK

  Needs Repair

  Needs Immediate Action

  N/A

• Brake fluid

  OK

  Needs Repair

  Needs Immediate Action

  N/A

• Battery

  OK

  Needs Repair

  Needs Immediate Action

  N/A

• Power steering fluid

  OK

  Needs Repair

  Needs Immediate Action

  N/A

• Transmission fluid

  OK

  Needs Repair

  Needs Immediate Action

  N/A

• Washer fluid

  OK

  Needs Repair

  Needs Immediate Action

  N/A

• Hoses

  OK

  Needs Repair

  Needs Immediate Action

  N/A

• Wires

  OK

  Needs Repair

  Needs Immediate Action

  N/A

• Exhaust system

  OK

  Needs Repair

  Needs Immediate Action

  N/A

Fuel Tank

• Fuel tank Lid/Cap

  OK

  Needs Repair

  Needs Immediate Action

  N/A

• Gasoline level (min of 10 liters)

  OK

  Needs Repair

  Needs Immediate Action

  N/A

Cabin

• Doors (equipped w/ locks and working window glass)

  OK

  Needs Repair

  Needs Immediate Action

  N/A

• Windshield

  OK

  Needs Repair

  Needs Immediate Action

  N/A

• Wiper and Washer

  OK

  Needs Repair

  Needs Immediate Action

  N/A

• Working 3-point sash/retractable seatbelt (Driver & Passenger Seats)

  OK

  Needs Repair

  Needs Immediate Action

  N/A

Tools and Equipment

• Jack

  OK

  Needs Repair

  Needs Immediate Action

  N/A

• Tire Wrench

  OK

  Needs Repair

  Needs Immediate Action

  N/A

• Lug nut socket (if required)

  OK

  Needs Repair

  Needs Immediate Action

  N/A

Completion

• Did you answer either "Needs Repair or Needs Immediate Action" to any question? If so please provide Action and Evidence.

  Yes

  No

• Recommendations

• Overall Inspection Result

  Excellent

  Average

  High Risk