Information
-
Document No.
-
Audit Title
-
Client / Site
-
Conducted on
-
Prepared by
-
Location
-
Personnel
-
Date and Time audit began
VEHICLE DESCRIPTION
-
Photograph of Vehicle Being Inspected
-
Check for Drivers Alert Sticker on Rear of Unit
-
vehicle ID number
-
USDOT Identification Number is visible
-
check for current DOT inspection Sticker
-
Odometer reading at Inspection
Vital Vehicle Fluid Levels and Condition
-
Change Engine Oil & Filter
-
Transmission Fluid Condition
-
Power Steering Fluid
-
Engine Coolant
-
Brake Fluid
-
Differential Fluid
-
Transfer Case Level
-
Window Washer Fluid
EXTERIOR LIGHTING
-
High and Low Beams Operational
-
Clearance, Marker Lights Operational
-
Left and Right Tail Lights Operational
-
Left and Right Front Turn Signals Operational
-
Left and Right Rear Turn Signals Operational
-
Left and Right Break Lights Operational
-
Left and Right Back-Up Lights Operational
-
License Plate Light Operational
-
Audible Back-up Alarm Operational
EXTERIOR BODY AND GLASS (Take Photos of any noted damage)
-
Add media
-
Windshield Free of Cracks and Chips
-
Front Hood, Grill and Bumper free of Damage
-
Left Mirrors adjustable and Free of Damage
-
Left Fender Free of Damage
-
Left Door Free of Damage
-
Left Side Free of Damage
-
Left Side Windows Free of Cracks and Chips
-
Check fuel tank and straps
-
Rear WIndow Free of Cracks and Chips
-
Rear of Vehicle and Bumper Free of Damage (Tailgate if included)
-
Right Side Free of Damage
-
Right Side Windows Free of Cracks and Chips
-
Right Door Free of Damage
-
Right Front Fender Free of Damage
-
Right Mirror Adjustable and Free of Damage
-
Vehicle is Clean and Free of Road Grime and Dirt
TIRES
-
Front Driver Tire in Good Repair with no Visible Signs of Wear or Cracking in Sidewall
-
Rear Driver Tire in Good Repair with no Visible Signs of Wear or Cracking in Sidewall
-
Rear Driver (INSIDE) Tire in Good Repair with no Visible Signs of Wear or Cracking in Sidewall (If Dual Tire Vehicle)
-
Rear Passenger Tire in Good Repair with no Visible Signs of Wear or Cracking in Sidewall
-
Rear Passenger (INSIDE) Driver Tire in Good Repair with no Visible Signs of Wear or Cracking in Sidewall (If Dual Tire Vehicle)
-
Front Passenger Tire in Good Repair with no Visible Signs of Wear or Cracking in Sidewall
-
Front Driver and Passenger Wheel/Tire Trim Rings in Place
-
Rear Driver and Passenger Wheel/Tire Trim Rings in Place
BRAKES
-
Check And Adjust All Brakes
-
Front Axle Brakes
- 100 percent
- 75 percent
- 50 percent
- 25 percent
- 10 percent
- needs brakes immediately
-
Rear axle Brakes
- 100 percent
- 75 percent
- 50 percent
- 25 percent
- 10 percent
- needs brakes immediately
INTERIOR
-
Driver Seat air ride suspension & upholstery
-
Driver Seat Belt Operational with Shoulder Harness
-
Windshield Wipers Functioning Appropriately
-
Check low air warning buzzer and light
-
Windshield Washer Fluid Functioning and Appropriately Wetting Windshield to Clean
-
Heater and Defroster Operational
-
Air Conditioning Operational
-
Dashboard Lights Operational
-
All Gauges are Operating and Show within Appropriate Ranges
-
Check Bin Heaters for proper operation
-
Check horns, electric & air
-
Interior Compartment Lights Operational
-
Check batteries- visual inspection of cables and connectors, fill fluid level as necessary
-
Under Storage Lights Operational
-
Entry Grab Bar/Rail Secure
-
Interior is Clean and Free of Loose Objects
-
Passenger Seat Belts Operational
-
Check A/C & Heating in Cab
-
Passenger Seats in Good Repair
Under Carriage Inspection
-
Check Driveline & U Joints
-
Check Ball Joints
-
Check Exhaust System and Hardware
-
Check springs, hangers, shocks
-
Grease Complete Chassis
SAFETY EQUIPMENT
-
Securely mounted First Aid kit
-
Highway safety triangles available
-
Fire Extinguisher
REQUIRED DOCUMENTATION
-
Valid Vehicle Registration is located in Vehicle (Note where kept)
-
Valid Vehicle Insurance Certificate is Located in Vehicle (Note where kept)
SIGNATURES
-
Comments?
-
Repairs Completed?
-
All repairs not completed (please list)
-
Signature of Mechanic Performing Service