Truck Safety Inspection - A Service

• Audit Title

• Document No.

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

• Inspection Date/Time

  Date

• Vehicle rego

  006RNZ

  936LMY

  258SBM

  672SLA

  143SBM

A service 5,000-7,000km

• Odometer recorded?

  Yes

  No

  N/A

• Checks for structural damage and correct signs, stickers and labels preformed?

  Yes

  No

  N/A

• Checks and adjustments to brakes preformed?

  Yes

  No

  N/A

• Checks & adjustments to all fluids, fuels And filters conducted ? All grease points adequately greased? (oil includes- engine, hydraulic, steering, water etc)

  Yes

  No

  N/A

• Checks & adjustments to all lights, reflectors, windscreen, mirrors preformed?

  Yes

  No

  N/A

• Checks & adjustments to Tyres and wheels, bearings, hub levels, air bags, suspension preformed?

  Yes

  No

  N/A

• Checks & adjustments preformed on all vehicle controls and functions such as wipers, washers, steering,horns and warning systems?

  Yes

  No

  N/A

• Checks and adjustments preformed on vehicle emissions?

  Yes

  No

  N/A

• On road vehicle reporting check preformed?

  Yes

  No

  N/A

• Faults found? If so record details of fault

  Yes

  No

  N/A

If Faults found

• Action taken?

  Fixed

  monitored

  deferred

• Has a time limit been or time frame been applied? Give details.

  Yes

  No

  N/A

• Has fault been repaired? If so by who? Give details.

  Yes

  No

  N/A

List any other action items that need to be corrected

• Enter/list issues here.

Sigatures

• By signing this form you are certifying that the vehicle is road worthy to the limits of the inspection, and all checks were carried out as per the inspection checklist.

  Sign