Seymour Transport

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

• Inspecting persons names

Vehicle description

• Photo of vehicle being inspected

  Media

• Call sign

• SMR number

• Vehicle make / model

• Odometer reading at inspection

EXTERIOR

• Is the vehicle clean

  Yes

  No

  N/A

• Damage to vehicle

  Yes

  No

  N/A

• Tow bar in good condition

  Yes

  No

  N/A

• Winch fully functional

  Yes

  No

  N/A

• Dog clutch fully functional <br>

  Yes

  No

  N/A

• Winch rope in good condition

  Yes

  No

  N/A

• Doors fully functional

  Yes

  No

  N/A

• Mud flaps in good condition

  Yes

  No

  N/A

ELECTRICAL SYSTEM

• Head lights working

  Yes

  No

  N/A

• Driving lights working

  Yes

  No

  N/A

• Hazard lights working

  Yes

  No

  N/A

• Map light fully functional

  Yes

  No

  N/A

• Mirror adjuster working

  Yes

  No

  N/A

• Park lights working

  Yes

  No

  N/A

• Brake lights working

  Yes

  No

  N/A

• Interior cabin lights working

  Yes

  No

  N/A

• Gauges fully functional

  Yes

  No

  N/A

• Reverse lights working

  Yes

  No

  N/A

• Indicators working

  Yes

  No

  N/A

• EVS lights working

  Yes

  No

  N/A

• Siren working

  Yes

  No

  N/A

• Man Horn working

  Yes

  No

  N/A

• Horn working

  Yes

  No

  N/A

• Panel lights and dimmer working

  Yes

  No

  N/A

INTERIOR

• Is the interior clean

  Yes

  No

  N/A

• Seat belts all functional

  Yes

  No

  N/A

• Hi / low range tested and functional

  Yes

  No

  N/A

• Driver seat in good condition

  Yes

  No

  N/A

• Passenger seat in good condition

  Yes

  No

  N/A

• Rear seat in good condition

  Yes

  No

  N/A

• Glove box functional and free of clutter

  Yes

  No

  N/A

• Windows fully functional

  Yes

  No

  N/A

• Sun visors in good condition

  Yes

  No

  N/A

• Trim okay

  Yes

  No

  N/A

• Door handles all fully functional

  Yes

  No

  N/A

• Floor mats in good condition

  Yes

  No

  N/A

• Park brake fully functional

  Yes

  No

  N/A

• Fire extinguisher checked and in date

  Yes

  No

  N/A

• Jack / wheel brace both present

  Yes

  No

  N/A

DOCUMENTATION & COMMUNICATION EQUIPMENT

• Drivers log up to date

  Yes

  No

  N/A

• Spacial visions map book present

  Yes

  No

  N/A

• IRS folder present

  Yes

  No

  N/A

• Fuel card present

  Yes

  No

  N/A

• SMR tested and functional - set to correct channel

  Yes

  No

  N/A

• UHF tested and functional

  Yes

  No

  N/A

SIGN OFF

• Signature of person inspecting

  Sign

• Signature of Deputy Ops

  Sign