UNITED SECURITY - MONTHLY VEHICLE INSPECTION

• Patrol Run: (Call Sign)

• Document No. US20130307

• Registration#

• Audit Started at:

  Date

• Prepared by

• Location
  Address

• Select date

  Date

• Take a picture of the vehicle being inspected.

  Media

VEHICLE DESCRIPTION

• Make of vehicle

• Odometer reading

EXTERIOR LIGTING (Take photo's of any damage)

• The high and low beams are operational.

  Yes

  No

  N/A

• The left and right tail lights are operational.

  Yes

  No

  N/A

• The left and right front turn signals are operational.

  Yes

  No

  N/A

• The left and right rear turn signals are operational.

  Yes

  No

  N/A

• The left and right brake lights are operational.

  Yes

  No

  N/A

• The left and right back-up lights are operational.

  Yes

  No

  N/A

• The rear license plate light is operational.

  Yes

  No

  N/A

EXTERIOR BODY AND GLASS (Take photo's of any noted damage)

• The windshield is free of cracks and chips larger than a 10c piece.

  Yes

  No

  N/A

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

  Yes

  No

  N/A

• The left mirrors are adjustable and free of damage.

  Yes

  No

  N/A

• The left panel is free of damage.

  Yes

  No

  N/A

• The left door is free of damage.

  Yes

  No

  N/A

• The left side is free of damage.

  Yes

  No

  N/A

• The left side windows are free of cracks and chips.

  Yes

  No

  N/A

• The rear window is free of cracks and chips.

  Yes

  No

  N/A

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

  Yes

  No

  N/A

• The right side is free of damage.

  Yes

  No

  N/A

• The registration is current and not expired (note the expiry date).

  Yes

  No

  N/A

• The right side windows are free of cracks and chips.

  Yes

  No

  N/A

• The right door is free of damage.

  Yes

  No

  N/A

• The right front panel is free of damage.

  Yes

  No

  N/A

• The right mirror is adjustable and free of damage.

  Yes

  No

  N/A

• The vehicle is clean and free of road grime and dirt.

  Yes

  No

  N/A

TYRES

• The front driver tire is in a good condition with no visible signs of damage.

  Yes

  No

  N/A

• The rear driver tire is in a good condition with no visible signs of damage.

  Yes

  No

  N/A

• The rear passenger tire is in a good condition with no visible signs of damage.

  Yes

  No

  N/A

• The front passenger tire is in a 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 wheels/mags are free of damage.

  Yes

  No

  N/A

INTERIOR

• The driver seat belt is in a good condition.

  Yes

  No

  N/A

• The windshield wipers are functioning and in a good condition.

  Yes

  No

  N/A

• The windshield washer fluid level is acceptable and the washer is operational.

  Yes

  No

  N/A

• The heater and defroster are operational.

  Yes

  No

  N/A

• The airconditioning is operational.

  Yes

  No

  N/A

• The dashboard lights are operational.

  Yes

  No

  N/A

• All the gages 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 and free of loose objects.

  Yes

  No

  N/A

• The passenger seat belts are operational.

  Yes

  No

  N/A

• The passenger seats are in a good and clean condition.

  Yes

  No

  N/A

REQUIRED DOCUMENTATION

• The vehicle is serviced according to the manufacturers schedule.

  Yes

  No

  N/A

• Note the date of the last service.

  Date

• Note the odometer reading at the last service.

SIGNATURES

• Signature of United Employee Inspecting Vehicle

  Sign

• Signature of United Fleet Officer

  Sign

SUMMARY

• Final comments / conclusion

• Inspection rating

• Overall quality of vehicle. (1=Bad / 10=Good)