Monthly Vehicle Safety Inspection Checklist

• Severn Insulation Site vehicles Check / audit

• Document No.

• Vehicle Registration Number:

• Conducted on

  Date

• Prepared by

• Site / Location
  Address

• Personnel/Driver

• Select date

  Date

• Driver Signature

  Sign

• Spare Wheel

  Yes

  No

  N/A

• Tools for changing wheel

  Yes

  No

  N/A

• No smoking signs displayed

  Yes

  No

  N/A

• Horn working

  Yes

  No

  N/A

• Next Service due?

• Person conducting check:

• Office or site Location

• Vehicle make:

• Registration number plate

• Current mileage

Front end of vehicle

• Headlights (high/low beam) operational

  Yes

  No

  N/A

• Hazard Lights operational

  Yes

  No

  N/A

• Turning signals (left & right) operational

  Yes

  No

  N/A

• Wiper Blades operational

  Yes

  No

  N/A

Rear end of vehicle

• Tail lights operational

  Yes

  No

  N/A

• Brake lights operational

  Yes

  No

  N/A

• Turning signals (left & right) operational

  Yes

  No

  N/A

• Reversing lights operational

  Yes

  No

  N/A

• Number plate light operational

  Yes

  No

  N/A

Maintenance check

• Engine oil level

  Safe

  At Risk

  N/A

• Engine coolant (check reservoir)

  Safe

  At Risk

  N/A

• Brake fluid level

  Safe

  At Risk

  N/A

• Windscreen washer fluid level

  Safe

  At Risk

  N/A

• Battery terminal condition

  Safe

  At Risk

  N/A

• Handbrake

  Safe

  At Risk

  N/A

Tyre pressure (visual check)

• Do the tyres appear to have correct air pressure?

  Yes

  No

  N/A

Vehicle Interior Condition

• Cleanliness

  Safe

  At Risk

  N/A

• Interior lighting functional

  Yes

  No

  N/A

• Heater/Air conditioner functional

  Yes

  No

  N/A

Exterior Condition

• Cleanliness

  Safe

  At Risk

  N/A

• Is paint scratched?

  Yes

  No

  N/A

• Are there any dents or damage?

  Yes

  No

  N/A

Tyre Tread

• Does the tyre appear damaged or worn?

  Safe

  At Risk

  N/A