Pensar

• Audit Title

• Document No.

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

Vehicle details

• What is the make and model of the vehicle?

• What is the registration of the vehicle?

Vehicle condition check

• Is the registration current?

  Yes

  No

  N/A

• Odometer reading

• Next service due (km's)

• Do the headlight and driving lights work?

  Yes

  No

  N/A

• Do the brake lights work?

  Yes

  No

  N/A

• Does the number plate light work?

  Yes

  No

  N/A

• Do the front indicators work?

  Yes

  No

  N/A

• Do the rear indicators work?

  Yes

  No

  N/A

• Do the hazard lights work?

  Yes

  No

  N/A

• Does the horn work?

  Yes

  No

  N/A

• Are the front tyres in good condition?

  Yes

  No

  N/A

• Are the rear tyres in good condition?

  Yes

  No

  N/A

• Is the spare wheel in good condition?

  Yes

  No

  N/A

• Is the jack and wheel nut spanner present?

  Yes

  No

  N/A

• Are the brakes working safely (non technical test "do they work")?

  Yes

  No

  N/A

• Does the steering work safely (non technical test "does it work")?

  Yes

  No

  N/A

• Are there signs of any major oil leaks?

  Yes

  No

  N/A

• Are there any unusual noises or rattles?

  Yes

  No

  N/A

• Are the mirrors undamaged (internal and external)?

  Yes

  No

  N/A

• Is the windscreen free of damage?

  Yes

  No

  N/A

• Are the windscreen wipers working correctly?

  Yes

  No

  N/A

• Is the windscreen washer working correctly?

  Yes

  No

  N/A

• Are seat belts in safe working condition? (check for fraying and correct traction)

  Yes

  No

  N/A

• Is the vehicle clean and tidy?

  Yes

  No

  N/A

• Does the UHF radio and the antenna work?

  Yes

  No

  N/A

• If fitted, is the tow bar free of damage?

  Yes

  No

  N/A

• If fitted, are the bull bar and brush guards free of damage?

  Yes

  No

  N/A

• If fitted, is the toolbox secured to the tray and free of damage?

  Yes

  No

  N/A

• Is an orange flashing light fitted?

  Yes

  No

  N/A

• Does it work?

  Yes

  No

  N/A

• Is a first aid kit located in the vehicle?

  Yes

  No

  N/A

• Is a fire extinguisher fitted? If yes what was the date of the last test?

  Yes

  No

  N/A

Drivers details

• Is your drivers licence current?

  Yes

  No

  N/A

• Drivers licence number

• Have you been issued with a traffic infringement since the last report?

  Yes

  No

  N/A

• If yes, give details

• Number of demerit points left

Comments / actions required

• Date check completed?

• Checklist completed by

  Sign

• Report noted / actions approved by

  Sign