Information

  • Audit Title:

  • Conducted on:

  • Auditor:

  • Client / Site

Identification

Identification

  • Make:

  • Plate Number:

  • Odometer

General condition

  • Cleanliness- Inside<br>

  • Cleanliness- Outside

  • Cleanliness- Underside<br>

  • High Visibility Flag Fitted

  • Flashing Amber Light

  • 2-Way/Mine Radio

  • First Aid Kit and Sticker on Vehicle

  • Reverse Alarm

  • High Lights

  • Air Conditioner

  • Fire Extinguisher (Tagged and in Date)

  • Foot Brake

  • Park Brake

  • Indicators - Front

  • Indicators - Rear

  • Park Lights

  • Headlights (Low/High Beam)

  • Spotlights

  • Reversing Light

  • Tyre Condition (Front/Rear/Spare)

  • Seats & Seat Belts

  • Windows/Wipers/Washers

  • Batteries/Terminals

  • Site Compliance

  • Mud Flaps (Front/Rear)

  • Body Work Condition

  • Number Plate Light

  • Steering

  • Oil Leaks

  • Mirror - Internal

  • Mirrors - External

  • Accelerator/Brake/Clutch Pedal Rubbers

  • Tyre Changing Equipment

  • Prestart Book in Vehicle

  • Prestart Completed Each Shift

  • Wheel Chocks

  • Breakdown Triangles

  • Call up Signage

  • Windscreen

  • VHF/UHF Programmed For Required Site(s)

  • Wheel Nut Indicators

  • Isolator/Jump Start Receptacles

Signatures

  • I hereby certify that all information is accurate and that an actual inspection was conducted.

  • Auditor's Printed Name & Signature

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