PES Weekly Vehicle Inspection

• Audit Title

• Document No.

• VEHICLE REGISTRATION

• Conducted on

  Date

• Photos can be added at any question. If No is selected media will be automatically shown. Tap and hold question to show media access.

VEHICLE DESCRIPTION

• Photograph of Vehicle Being Inspected

  Media

• Odometer Reading at Inspection

• Next Service Due at (kilometres)

VEHICLE FLUIDS

• FUEL LEVEL - 0 = Empty, 5 = Full

• BATTERY FLUID LEVEL - 0 = Empty, 5 = Full

• RADIATOR FLUID LEVEL - 0 = Empty, 5 = Full

• BRAKE FLUID LEVEL - 0 = Empty, 5 = Full

• POWER STEERING FLUID LEVEL - 0 = Empty, 5 = Full

EXTERIOR LIGHTS

• High and Low Beams 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 Break Lights Operational

  Yes

  No

  N/A

EXTERIOR BODY AND GLASS (Take Photos of any noted damage)

• Windshield Free of Cracks and Chips

  Yes

  No

  N/A

• Front Hood, Grill and Bumper free of Damage

  Yes

  No

  N/A

• Mirrors adjustable and Free of Damage

  Yes

  No

  N/A

• Left Fender Free of Damage

  Yes

  No

  N/A

• Left 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 Cracks and Chips

  Yes

  No

  N/A

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

  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 Door Free of Damage

  Yes

  No

  N/A

• Right Front Fender Free of Damage

  Yes

  No

  N/A

• Vehicle is Clean and Free of Road Grime and Dirt

  Yes

  No

  N/A

TIRES

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

  Safe

  At Risk

  N/A

• Rear Tyres 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

  Yes

  No

  N/A

INTERIOR

• Driver Seat in Good Repair

  Safe

  At Risk

  N/A

• Driver Seat Belt Operational with Shoulder Harness

  Safe

  At Risk

  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 Gauges are Operating and Show within Appropriate Ranges

  Yes

  No

  N/A

• Interior Compartment Lights Operational

  Yes

  No

  N/A

• Interior is Clean and Free of Loose Objects

  Yes

  No

  N/A

• Passenger Seats in Good Repair

  Safe

  At Risk

  N/A

SIGNATURES

• Signature of Auditor

  Sign