My Vehicle Safety Checklist-Yara rev 2

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

• Last Maintenance Date

  Date

• PLATE NUMBER

• ODOMETER READING

• REGISTRATION EXPIRATION

Check the following items and make sure that the following are in good condition

GENERAL

• Horns are Working and Audible

  Safe

  At Risk

  N/A

• Windscreens are working and Effective

  Yes

  No

  N/A

• Brakes are Working and Fluids are within level

  Yes

  No

  N/A

• Engine Oils are clear and Within Level (checking before engine starts)

  Yes

  No

  N/A

• Radiator, coolant and washer fluids are within the required level

  Yes

  No

  N/A

• Battery Condition: (No flaking on battery terminals)

  Yes

  No

  N/A

LIGHTS: To check for lights while the car is not running, turn the keys to ON and check on the lights

• Head lights are working including High Beam

  Yes

  No

  N/A

• Tail Lights

  Yes

  No

  N/A

• Turning Signals

  Yes

  No

  N/A

• Brake Lights

  Yes

  No

  N/A

• Reverse Lights

  Yes

  No

  N/A

• Hazard Blinkers

  Yes

  No

  N/A

TYRE CONDITION : Tyres must be adapted to the driving conditions concurrent to the home base of the user.

• Tyres are in good condition: No visible deep punctures are noted

  Yes

  No

  N/A

• Tyre pressure is within the Manufacturer's recommendation

  Yes

  No

  N/A

Other Equipment

• Fire Extinguisher is in Good Condition

  Yes

  No

  N/A

• Tire Pumps

  Yes

  No

  N/A

• Hydraulic Jack in in good condition

  Yes

  No

  N/A

• Cross wrench for Tire Changing

  Yes

  No

  N/A

• Flashlight is Working

  Yes

  No

  N/A

• Towing Sling in Good Condition : (No Visible Cuts)

  Yes

  No

  N/A

• Jumper Cables

  Yes

  No

  N/A

• Early Warning Device (Reflective Triangle)

  Yes

  No

  N/A

• Safety Vest

  Yes

  No

  N/A

• Please sign here:

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