RICOH VEHICLE INSPECTION (Oct 2017)

• Audit Title

• Document No.

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

VEHICLE and DRIVER DETAILS

• Registration number

• Odometer reading

• Driver's Name

• Service Manager's Name (if applicable)

EXTERIOR LIGHTING (Take photos of any damage)

• The low, dip and high beams are operational.

  Yes

  No

  N/A

• The front turn signals are operational.

  Yes

  No

  N/A

• The tail lights are operational.

  Yes

  No

  N/A

• The rear turn signals are operational.

  Yes

  No

  N/A

• The reverse lights are operational.

  Yes

  No

  N/A

• The brake lights are operational.

  Yes

  No

  N/A

• The fog lights are operational.

  Yes

  No

  N/A

EXTERIOR BODY AND GLASS (Take photos of any damage)

• Decals are in good condition.

  Yes

  No

  N/A

• The bonnet, grill and front bumper are free of damage.

  Yes

  No

  N/A

• The left front wing is free of damage.

  Yes

  No

  N/A

• The left front door is free of damage.

  Yes

  No

  N/A

• The left rear door is free of damage.

  Yes

  No

  N/A

• The left rear wing is free of damage.

  Yes

  No

  N/A

• The rear of the vehicle and rear bumper are free of damage.

  Yes

  No

  N/A

• The right rear wing is free of damage.

  Yes

  No

  N/A

• The right rear door is free of damage.

  Yes

  No

  N/A

• The right front door is free of damage.

  Yes

  No

  N/A

• The right front wing is free of damage.

  Yes

  No

  N/A

• The roof panel is free of damage.

  Yes

  No

  N/A

• The aerial is in working order and free of damage.

  Yes

  No

  N/A

• The windscreen and all windows are free of cracks and chips.

  Yes

  No

  N/A

• The windscreen wipers (front & rear) are functioning and in good condition.

  Yes

  No

  N/A

• The mirrors are adjustable and free of damage.

  Yes

  No

  N/A

• The number plates and surrounds are free of damage.

  Yes

  No

  N/A

• The vehicle exterior is clean.

  Yes

  No

  N/A

TYRES/WHEELS (Take photos of any damage)

• The tyres in good condition with no visible signs of damage.

  Yes

  No

  N/A

• The spare tyre is in a good condition with no visible signs of damage.

  Yes

  No

  N/A

• All the wheel trims and/or wheels are free of damage.

  Yes

  No

  N/A

INTERIOR (Take photos of any damage)

• All seats and upholstery are free of damage.

  Yes

  No

  N/A

• All mats and carpet are free of damage.

  Yes

  No

  N/A

• The GPS unit is in place and is operational.

  Yes

  No

  N/A

• All the electric windows are operational.

  Yes

  No

  N/A

• The interior door handles are operational and all door cards are free of damage.

  Yes

  No

  N/A

• The seat belts are free of damage and the inertia mechanism is working.

  Yes

  No

  N/A

• The steering wheel is free of damage.

  Yes

  No

  N/A

• All controls (including radio) are operational.

  Yes

  No

  N/A

• All the gauges are operational and show within the acceptable ranges.

  Yes

  No

  N/A

• The interior compartment lights are operational.

  Yes

  No

  N/A

• The interior is clean.

  Yes

  No

  N/A

FIRST AID KIT

• The first aid kit is in the vehicle.

  Yes

  No

  N/A

• Does it contain the below items:

• Aeroplast Plastic Plasters

  Yes

  No

  N/A

• AIDS/Hepatitis Warning Label

  Yes

  No

  N/A

• Antiseptic Wipes (Alcohol Free)

  Yes

  No

  N/A

• Crepe Banadages

  Yes

  No

  N/A

• If yes, Expiry Date

  Date

• Island Dressing

  Yes

  No

  N/A

• Minigrip Bag

  Yes

  No

  N/A

• Nitrile Gloves (Disposable) - Pack of 2 pairs

  Yes

  No

  N/A

• Replacement Bag (Personal Kit)

  Yes

  No

  N/A

• Rescue/Thermal Blanket

  Yes

  No

  N/A

• Splinter Probes

  Yes

  No

  N/A

• St John First Aid Tips

  Yes

  No

  N/A

• Triangular Bandage (with 2 Safety Pins)

  Yes

  No

  N/A

• Wound Dressing with Bandage (Large #14)

  Yes

  No

  N/A

• If yes, Expiry Date

  Date

• If No or N/A, please provide a comment for this answer selection.

Personal Protection Equipment (PPE)

• Does your role require you to carry PPE?

  Yes

  No

  N/A

• Please confirm the presence (tick-box) and condition of the below PPE items:

• Hard Hat

• Click below to select condition

  Select Good Fair Worn

  • Good
  • Fair
  • Worn

• Safety Glasses

• Click below to select condition

  Select Yes No N/A

  • Yes
  • No
  • N/A

• Safety Boots

• Click below to select condition

  Yes

  No

  N/A

• Hi-Vis Vest

• Click below to select condition

  Yes

  No

  N/A

• By not ticking any of the above boxes, you have indicated that this item is missing. Please use the comment section below to provide a reason for this.

REQUIRED DOCUMENTATION

• Note the WOF expiry date.

  Date

• Note the registration expiry date.

  Date

• Next service is due at (kms)

• Vehicle tail lift service is up to date? (van only)

  Yes

  No

  N/A

• Vehicle information booklet is in the car.

  Yes

  No

  N/A

• Driving license has been sighted and is current and valid.

• Please add a photo of your license.

  Media

SUMMARY

• Final comments / conclusion