Information

  • Audit Title

  • Document No.

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

  • Date and Time audit began

VEHICLE DESCRIPTION

  • Photograph of Vehicle Being Inspected

  • Personnel,Van

  • Mileage Reading at Inspection

EXTERIOR LIGHTING

  • Front-Lights

  • Blaze Bar/ Beacon working

  • 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

  • License Plate Light Operational

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

  • Windsrceen Free of Cracks and Chips

  • Front Of Vehicles ,Bumper free of Damage

  • Mirrors adjustable and Free of Damage

  • Left Hand Side of Vehicles Free of Damage

  • Left Door Free of Damage

  • Left Side Free of Damage

  • Rear WIndow Free of Cracks and Chips

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

  • Right Side Free of Damage

  • Right Door Free of Damage

  • Vehicle is Clean and Free of Road Grime and Dirt

  • Road Tax

  • MOT

TYRES

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

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

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

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

  • Adequate Spare Tyres is Available if Necessary in Good Repair with No Visible Signs of Wear or Cracking in Sidewall

INTERIOR

  • Driver Seat in Good Repair

  • Driver Seat Belt Operational

  • Windshield Wipers Functioning Appropriately

  • Heater and Defroster Operational

  • Air Conditioning Operational

  • Dashboard Lights Operational

  • All Gauges are Operating and Show within Appropriate Ranges

  • Interior lights Operational

  • Under Storage Lights Operational

  • Interior is Clean and Free of Loose Objects

  • Passenger Seat Belts Operational

  • Passenger Seats in Good Repair

SAFETY EQUIPMENT

  • Securely mounted First Aid Kit (Ensure Completely Stocked)

  • Fire Extinguisher Charged and Inspected Monthly?

  • spill kit located in van

REQUIRED DOCUMENTATION

  • Valid Vehicle Registration is located in Vehicle (Note where kept)

  • Valid Vehicle Insurance Certificate is Located in Vehicle (Note where kept)

  • Is Vehicle Serviced According to the Manufacturers Schedule?

  • Date of Last Service (List Details of Last Service, i.e. New Tires, Oil Change, ect...)

  • Are Adequate Preventative Maintenance and Service Repair Records Kept

SIGNATURES

  • Signature of Auditor

  • Signature of Community Representative

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.