Vehicle Checklist and Sign-out / Rev.New

• Audit Title

• Document No.

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

• Enter Inspection and Sign-out Date

  Date

• Picture of the vehicle being driven.

  Media

VEHICLE DESCRIPTION

• Driver

• Vechicle

• No./Plate No.

• 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 break lights are operational.

  Yes

  No

  N/A

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

  Yes

  No

  N/A

• The front and back license plate lights are operational.

  Yes

  No

  N/A

• The beacon / lightbar are in good condition and operational.

  Yes

  No

  N/A

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

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

  Yes

  No

  N/A

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

  Yes

  No

  N/A

• The right mirror is adjustable and free of damage.

  Yes

  No

  N/A

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

  Yes

  No

  N/A

• The right front fender is free of damage.

  Yes

  No

  N/A

• The right door is free of damage.

  Yes

  No

  N/A

• The right side is free of damage.

  Yes

  No

  N/A

• The right rear fender is free of damage.

  Yes

  No

  N/A

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

  Yes

  No

  N/A

• The rear window is free of cracks and chips.

  Yes

  No

  N/A

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

  Yes

  No

  N/A

• The left rear fender 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 left mirrors are adjustable and free of damage.

  Yes

  No

  N/A

• The left door is free of damage.

  Yes

  No

  N/A

• The left front fender is free of damage.

  Yes

  No

  N/A

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

  Yes

  No

  N/A

TIRES

• The front driver 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 rear passenger 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 spare tire 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 seat belts are in a good condition and operational.

  Yes

  No

  N/A

• The seats are in a good and clean 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

• Fire extinguisher and first aid kit (current and not expired).

  Yes

  No

  N/A

REQUIRED DOCUMENTATION

• Registration and proof of insurance (current and not expired).

  Yes

  No

  N/A

• Gas card (current and not expired).

  Yes

  No

  N/A

• 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 driver / responsible person

  Sign

SUMMARY

• Final comments / conclusion