P & C Construction, Inc.

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

Vehicle Description

• Photo of Vehicle Being Inspected

  Media

• Year

  Select 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013

  • 2000
  • 2001
  • 2002
  • 2003
  • 2004
  • 2005
  • 2006
  • 2007
  • 2008
  • 2009
  • 2010
  • 2011
  • 2012
  • 2013

• Type

  Car

  SUV

  Truck

  Trailer

• Make

• Model

• Vin (Vehicle Inspection Number)

• Odometer Reading at Inspection

Exterior Lighting

• High and Low Beams Operational

  Yes

  No

  N/A

• Clearance, Marker Lights Operational

  Yes

  No

  N/A

• Left and Right Tail Lights Operational

  Yes

  No

  N/A

• Left and Right Front Turn Signals Operational

  Yes

  No

  N/A

• Left and Right Rear turn Signals Operational

  Yes

  No

  N/A

• Left and Right Break Lights Operational

  Yes

  No

  N/A

• Left and Right Back-Up Lights Operational

  Yes

  No

  N/A

• License Plate Light Operational

  Yes

  No

  N/A

Exterior Body and Glass (Take Photos of any noted damage)

• Windshield Free of Crocks and Chips

  Yes

  No

  N/A

• Front Hood, Grill and Bumper free of Damage

  Yes

  No

  N/A

• Left Mirrors Adjustable and Free of Damage

  Yes

  No

  N/A

• Left Front Fender Free of Damage

  Yes

  No

  N/A

• Left Rear Fender Free of Damage

  Yes

  No

  N/A

• Left Front Door Free of Damage

  Yes

  No

  N/A

• Left Rear 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 Crocks and chips

  Yes

  No

  N/A

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

  Yes

  No

  N/A

• License Plate/Tag is Current / Note expiration date and verify to registration

  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 Front Door Free of Damage

  Yes

  No

  N/A

• Right Rear Door Free of Damage

  Yes

  No

  N/A

• Right Front Fender Free of Damage

  Yes

  No

  N/A

• Right Rear 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

Tires

• Front Driver Tire in Good Repair with no Visible Signs of Wear or Cracking in Sidewall

  Safe

  At Risk

  N/A

• Rear Driver Tire in Good Repair with no Visible Signs of Wear or Cracking in Sidewall

  Safe

  At Risk

  N/A

• Rear Passenger Tire in Good Repair with no Visible Signs of Wear or Cracking in Sidewall

  Safe

  At Risk

  N/A

• Front Passenger Tire in Good Repair with no Visible Signs of Wear or Cracking in Sidewall

  Safe

  At Risk

  N/A

• Adequate Spare Tire is Available if Necessary in Good Repair with No Visible Signs of Wear or Cracking in Sidewall

  Safe

  At Risk

  N/A

Interior

• Driver Seat in Good Repair

  Yes

  No

  N/A

• Driver Seat Belt Operational

  Yes

  No

  N/A

• Windshield Wipers Functioning Appropriately

  Yes

  No

  N/A

• Windshield Washer Fluid Functioning and Appropriately Wetting Windshield to Clean

  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 Guages 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

• Interior is Clean and Vacuumed

  Yes

  No

  N/A

• Passenger Seat Belts Operational

  Yes

  No

  N/A

• Passenger Seats in Good Repair

  Yes

  No

  N/A

Safety Equipment

• First Aid Kit Fully Stock

  Yes

  No

  N/A

• Fire Extinguisher Charged and Inspected

  Yes

  No

  N/A

Required Documentation

• Valid Vehicle Registration is located in Vehicle (Note where kept)

  Yes

  No

  N/A

• Valid Vehicle Insurance Certificate is Located in Vehicle (Note where kept)

  Yes

  No

  N/A

• Is Vehicle Service According to the Manufactures Schedule?

  Yes

  No

  N/A

• Date of Last Service (List Details of Last Service, i.e. New Tires, Oil Change, etc…)

  Date

Engine

• Oil Level

  Safe

  At Risk

  N/A

• Transmission Fluid Level

  Safe

  At Risk

  N/A

• Are Hoses in Good Repair with no Visible Signs of Wear or Cracking

  Safe

  At Risk

  N/A

• Driver

  Sign

• Auditor

  Sign