Pick-Up Inspection

• Vehicle Identification

• Conducted on

  Date

• Driver

• Department

• Prepared by

Vehicle Information

• Vehicle Model

• Vehicle Make

• VIN Number

• Odometer / Milage Reading

Vehicle Inspection

• Note: All Failed Responses Will Result in Immediate Red Tag of the Vehicle and All No Responses will result in Opportunities for Improvement.

• Do you wish to check the exterior of this vehicle in this inspection?

  Yes

  No

  N/A

External Check

• Windshield free from damage that obstructs the operators view?

  Pass

  Fail

  N/A

• Front Lights working and free from damage?

  Pass

  Fail

  N/A

• Front Bumpers and bodywork / paintwork in good condition?

  Yes

  No

  N/A

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

  Pass

  Fail

  N/A

• Drivers Side bodywork / paintwork in good condition from front to rear?

  Yes

  No

  N/A

• Rear Lights working and free from damage?

  Pass

  Fail

  N/A

• Rear Doors, Bumpers bodywork/paintwork in good condition?

  Yes

  No

  N/A

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

  Pass

  Fail

  N/A

• Passenger Side bodywork / paintwork in good condition from front to rear?

  Yes

  No

  N/A

• Is the exterior of the vehicle clean?

  Yes

  No

  N/A

• Do you wish to check the interior of this vehicle in this inspection?

  Yes

  No

  N/A

Internal Check

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

  Yes

  No

  N/A

• Is there a Fire Extinguisher on board?

  Yes

  No

  N/A

• Are all seat belts in good working order?

  Pass

  Fail

  N/A

• Are any warning lights illuminated on dash?

  Yes

  No

  N/A

• Are all vehicle front lights working?

  Pass

  Fail

  N/A

• Are all vehicle indicators working?

  Yes

  No

  N/A

• Are all vehicle stop/brake lights working?

  Pass

  Fail

  N/A

Maintenance Check

• Do you wish to conduct a maintenance check of this vehicle in this inspection?

  Yes

  No

  N/A

• Are windshield washers in working order, with water filled?

  Yes

  No

  N/A

• Are engine oil levels within acceptable ranges?

  Pass

  Fail

  N/A

• Are coolant levels within acceptable ranges?

  Pass

  Fail

  N/A

• Are brake fluid levels within acceptable ranges?

  Pass

  Fail

  N/A

• Are transmission fluid levels within acceptable ranges?

  Pass

  Fail

  N/A

• Any fluids leaking from the vehicle

  Pass

  Fail

  N/A

• Is battery working and the vehicle starts?

  Pass

  Fail

  N/A

• Does the car horn function correctly?

  Pass

  Fail

  N/A

• Are all doors and door locks operational?

  Yes

  No

  N/A

• Is the air conditioning operational?

  Yes

  No

  N/A

• Are the emergency and/or hand brakes operational and in good condition?

  Pass

  Fail

  N/A

• Are the vehicle power brakes operational and in good condition?

  Pass

  Fail

  N/A

General Comments

• Note: All Failed Responses Will Result in Immediate Red Tag of the Vehicle and All No Responses will result in Opportunities for Improvement.

• Any further comments or recommendations arising from this inspection?

• Add any additional relevant photos

  Media

Sign Off

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

• Inspector Name and Signature

  Sign