Mobile Wash Pre-wash inspection

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Date and Time audit began

  Date

Required information

VEHICLE DESCRIPTION

• Photograph of Vehicle Being Inspected

  Media

• Year

  Select 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018 2019 2020

  • 2000
  • 2001
  • 2002
  • 2003
  • 2004
  • 2005
  • 2006
  • 2007
  • 2008
  • 2009
  • 2010
  • 2011
  • 2012
  • 2013
  • 2014
  • 2015
  • 2016
  • 2017
  • 2018
  • 2019
  • 2020

• Make

• Model

• VIN (Vehicle Inspection Number)

• License Number

• License State

  Western Australia

• Odometer Reading at Inspection

EXTERIOR BODY AND GLASS (Take Photos of any noted damage)

• Awnings free from damage like cracks or missing pieces?

  Yes

  No

  N/A

• Windshield Free of Cracks and Chips

  Media

• Front Hood, Grill and Bumper free of Damage

  Yes

  No

  N/A

• Left Mirrors adjustable and Free of Damage

  Yes

  No

  N/A

• Left Fender Free of Damage

  Yes

  No

  N/A

• Left Door Free of Damage

  Yes

  No

  N/A

• Left Side Free of Damage

  Yes

  No

  N/A

• Left Side Windows Free of Cracks and Chips

  Yes

  No

  N/A

• Rear WIndow Free of Cracks and Chips

  Yes

  No

  N/A

• Rear of Vehicle and Bumper Free of Damage (Tailgate if included)

  Yes

  No

  N/A

• Right Side Free of Damage

  Yes

  No

  N/A

• Right Side Windows Free of Cracks and Chips

  Yes

  No

  N/A

• Right Door Free of Damage

  Yes

  No

  N/A

• Right Front Fender Free of Damage

  Yes

  No

  N/A

• Right Mirror Adjustable and Free of Damage

  Yes

  No

  N/A

• Vehicle is Clean and Free of Road Grime and Dirt

  Yes

  No

  N/A

• Roof air conditioning units vents and skylights free from damage?

  Yes

  No

  N/A

INTERIOR

• Driver Seat in good operation?

  Safe

  At Risk

  N/A

• Windshield Wipers Functioning Appropriately

  Yes

  No

  N/A

• Heater and Defroster Operational

  Yes

  No

  N/A

• Air Conditioning Operational

  Yes

  No

  N/A

• Dashboard Lights Operational

  Yes

  No

  N/A

• All Gauges are Operating and Show within Appropriate Ranges

  Yes

  No

  N/A

• Interior Compartment Lights Operational

  Yes

  No

  N/A

• Under Storage Lights Operational

  Yes

  No

  N/A

• Passenger Seat Operational

  Safe

  At Risk

  N/A

SIGNATURES

• Signature of Auditor

  Sign