OSHbox Pre-start Vehicle Inspection 2024

• Conducted on

  Date

• Name of person conducting the inspection

• Vehicle Registration

• Vehicle Make and Model

• WOF/COC status

  Current

  Current but due within a month

  Current but due urgently

  Overdue

  N/A

• Registration Status

  Current

  Current but due within a month

  Current but due urgently

  Overdue

  N/A

• Odometer reading

• Service due

  Current

  Current but due within a month

  Current but due urgently

  Overdue

  N/A

• Wheel Alignment due

  Current

  Current but due within a month

  Current but due urgently

  Overdue

  N/A

Vehicle Inspection

• Windscreen free from damage and clean?

  Yes

  No

  N/A

• What action is required

• Front Lights free from damage?

  Yes

  No

  N/A

• Rear Lights are free from damage?

  Yes

  No

  N/A

• Mirrors not damaged?

  Yes

  No

  N/A

• Drivers Side - Tyres both front and rear in good condition and roadworthy with acceptable pressure and tread?

  Yes

  No

  N/A

• Passenger Side - Tyres both front and rear in good condition and roadworthy with acceptable pressure and tread?

  Yes

  No

  N/A

• Windscreen blades in good condition?

  Yes

  No

  N/A

• Windscreen washer fluid topped up

  Yes

  No

  N/A

• Water level correct?

  Yes

  No

  N/A

• Oil level correct?

  Yes

  No

  N/A

• Is the exterior of the vehicle clean?

  Good

  Fair

  Poor

  N/A

• Is there a Fire Extinguisher on board

  Yes

  No

  N/A

• Has fire extinguisher expired?

  Yes

  No

  N/A

• Is there a First Aid Kit on board?

  Yes

  No

  N/A

• At a glance would you recommend that an Inventory Checklist is completed on the First Aid Kit?

  Yes

  No

  N/A

• Spare tyre & jack in car and in good working order?

  Yes

  No

  N/A

• Are any warning lights illuminated on dash?

  Yes

  No

• Please describe

• Are all vehicle stop/brake lights working?

  Yes

  No

  N/A

• Are all vehicle front lights working?

  Yes

  No

  N/A

• Are all seat belts in good working order?

  Yes

  No

  N/A

• Are all vehicle indicators working?

  Yes

  No

  N/A

• Is vehicle free of leaks?

  Yes

  No

  N/A

• Does engine sound like it is running without noticeable faults?

  Yes

  No

  N/A

• Is inside the vehicle in a clean and tidy condition?

  Select Good Fair Poor N/A

  • Good
  • Fair
  • Poor
  • N/A

Defects, Damage and Comments Log

• Please log all damages and defects noted on the vehicle. If the first aid kits need stocking, or have expired contents please note. If there are any faults to vehicle that may endanger your safety please notify supervisor immediately and do not operate the vehicle.

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• Attach any other photos if needed

  Media

• Any further comments or recommendations arising from this inspection?

• Have all required corrective actions been added as Actions to this inspection?

  Yes

  No

  N/A

• Give reason.

Sign Off

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

• Inspector Signature

  Sign