Vehicle Audit - November 2013

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

• Vehicle Picture

  Media

• Owner

  GWR

  Rental

  Personal

• Unit #

• License Plate

• Make and Model

• Mileage

• Next Service Due at

• Operator

Under the hood

• Cooling System

  Safe

  At Risk

  N/A

• Motor Oil

  Adequate

  Low

• Power Steering Fluid

  Adequate

  Low

• Battery

  Safe

  At Risk

  N/A

• Brake Fluid

  Adequate

  Low

• Windshield Washer Fluid

  Adequate

  Low

• Belts

  Safe

  At Risk

  N/A

• Notes

Driver's Compartment

• Glass Condition

  Safe

  At Risk

  N/A

• Windshield Wipers

  Safe

  At Risk

  N/A

• Seatbelts

  Safe

  At Risk

  N/A

• Heater/AC

  Working

  Out of Order

• Dash Lights

  Working

  Out of Order

• Speedometer

  Working

  Out of Order

• Horn

  Yes

  No

  N/A

• High Beam Indicator

  Working

  Out of Order

• Emergency Brake

  Working

  Out of Order

• 2 Way Radio

  Yes

  No

  N/A

Safety

• Fire Extinguisher. If YES what size and location?

  Yes

  No

  N/A

• First Aid Kit. If YES what type and location?

  Yes

  No

  N/A

• Tow Rope

  Yes

  No

  N/A

• Shovel

  Yes

  No

  N/A

• Blanket/Warm Clothes

  Yes

  No

  N/A

• Flares/Triangle Reflectors

  Yes

  No

  N/A

• Cell Phone and/or 2 Way Radio

  Yes

  No

  N/A

Body Exterior

• Head Lights

  Working

  Out of Order

• Tail Lights

  Working

  Out of Order

• Brake Lights

  Working

  Out of Order

• Signal Lights

  Working

  Out of Order

• Hazard Lights

  Working

  Out of Order

• Tire Pressure

  Adequate

  Low

• Tire Wear

  Safe

  At Risk

  N/A

• Spare Tire

  Yes

  No

  N/A

• Slip Tank and Hoses

  Yes

  No

  N/A

• Vehicle Body Condition

  Safe

  At Risk

  N/A

• Work required or deficiencies

• Operator

  Sign

• Auditor

  Sign