Vehicle Inspection Sheet

Customer/Vehicle Details

• Customer

• Reg No.

• Job No.

• Model Type

• Chassis No.

• Mileage

• Conducted on

  Date

• Conducted by

• Location
  Address

• Personnel

• Schedule code: Y = Satisfactory, N = Safety Item Defect, N/A = Not Applicable, R = Renew/Repair
  Prior to undertaking Safety & Maintenance Inspection the Vehicle should be Steam cleaned (if necessary)

A: Inside Cab

• Windscreen wipers and washers

  Yes

  No

  N/A

  Renew/Repair

• Electrical wiring and equipment

  Yes

  No

  N/A

  Renew/Repair

• Audible warning (horn)

  Yes

  No

  N/A

  Renew/Repair

• Driving seat

  Yes

  No

  N/A

  Renew/Repair

• Seat belts

  Yes

  No

  N/A

  Renew/Repair

• Mirrors

  Yes

  No

  N/A

  Renew/Repair

• Speedometer/taco graph

  Yes

  No

  N/A

  Renew/Repair

• Driving controls

  Yes

  No

  N/A

  Renew/Repair

• Pressure/vacuum (warning and build-up)

  Yes

  No

  N/A

  Renew/Repair

• Mechanic brake hand levers

  Yes

  No

  N/A

  Renew/Repair

• Service brake pedal

  Yes

  No

  N/A

  Renew/Repair

• Service brake operation

  Yes

  No

  N/A

  Renew/Repair

• Hand operated brake, control valve

  Yes

  No

  N/A

  Renew/Repair

• Glass and view of the road

  Yes

  No

  N/A

  Renew/Repair

• Steering control

  Yes

  No

  N/A

  Renew/Repair

• Cab floor and steps

  Yes

  No

  N/A

  Renew/Repair

B: Ground level and under vehicle

• Exhaust emissions

  Yes

  No

  N/A

  Renew/Repair

• Cab doors

  Yes

  No

  N/A

  Renew/Repair

• Cab security

  Yes

  No

  N/A

  Renew/Repair

• Road speed limiter

  Yes

  No

  N/A

  Renew/Repair

• Side guards, rear under-run, bumpers

  Yes

  No

  N/A

  Renew/Repair

• Tyres (size, type)

  Yes

  No

  N/A

  Renew/Repair

• Security of body

  Yes

  No

  N/A

  Renew/Repair

• Condition of body

  Yes

  No

  N/A

  Renew/Repair

• Road wheels, hubs and wheel fixings. Retorque

  Yes

  No

  N/A

  Renew/Repair

• Tyres (size, type)

  Yes

  No

  N/A

  Renew/Repair

• Tyres (condition, wear)

  Yes

  No

  N/A

  Renew/Repair

• Spray suppression, wings and wheels arches

  Yes

  No

  N/A

  Renew/Repair

• Spare wheel carrier

  Yes

  No

  N/A

  Renew/Repair

• Tractor to trailer coupling

  Yes

  No

  N/A

  Renew/Repair

• Condition of chassis

  Yes

  No

  N/A

  Renew/Repair

• Fuel tank and system

  Yes

  No

  N/A

  Renew/Repair

• Oil leaks

  Yes

  No

  N/A

  Renew/Repair

• Engine and transmission mountings

  Yes

  No

  N/A

  Renew/Repair

• Exhaust system

  Yes

  No

  N/A

  Renew/Repair

• Electrical wiring and equipment

  Yes

  No

  N/A

  Renew/Repair

• Suspension

  Yes

  No

  N/A

  Renew/Repair

• Axles/stub axles/wheel bearings

  Yes

  No

  N/A

  Renew/Repair

• Steering mechanism

  Yes

  No

  N/A

  Renew/Repair

• Transmission

  Yes

  No

  N/A

  Renew/Repair

• Brake system and components

  Yes

  No

  N/A

  Renew/Repair

• Rear markings and reflectors

  Yes

  No

  N/A

  Renew/Repair

• Lamps

  Yes

  No

  N/A

  Renew/Repair

• Direction indicators and hazard warning lamps

  Yes

  No

  N/A

  Renew/Repair

• Aim of headlamps

  Yes

  No

  N/A

  Renew/Repair

• Other dangerous defects

  Yes

  No

  N/A

  Renew/Repair

C: Braking Performance (roller brake/decelerometer test) for roller test - attached test print out sheet

• Service brake performance %

• Secondary brake performance %

• Parking brake performance %

Tachograph 2 Year Check

• Refer to Tachograph head sticker for the tacho calibration date

• Next Due Calibration Date

  Date

• Seals in place

  Yes

  No

  N/A

Tachograph 6 Year Check

• Next Due Calibration Date

  Date

• Seals in place

  Yes

  No

  N/A

Tyre tread depth/pressure/brake lining report

Declaration: I/WE DECLARE THAT THIS VEHICLE HAS BEEN INSPECTED IN ACCORDANCE WITH CURRENT INSTRUCTIONS AND D.O.T. TESTERS MANUAL AND ALL APPLICABLE ITEMS HAVE BEEN CHECKED AND FOUND SERVICEABLE EXCEPT AS NOTED:

• Technician 1 Print Name

• Technician 1 Signature

  Sign

• Date

  Date

• Company name

• Technician 2 Print Name

• Technician 2 Signature

  Sign

• Date

  Date

• Company name

Defects

• Rectified

  Yes

  No

• Add media

  Media

• Rectified

  Yes

  No

• Add media

  Media

• Rectified

  Yes

  No

• Add media

  Media

• Rectified

  Yes

  No

• Add media

  Media

• Rectified

  Yes

  No

• Add media

  Media

• Rectified

  Yes

  No

• Add media

  Media

• Rectified

  Yes

  No

• Add media

  Media

• Rectified

  Yes

  No

• Add media

  Media

• Rectified

  Yes

  No

• Add media

  Media

• Rectified

  Yes

  No

• Add media

  Media

• Rectified

  Yes

  No

• Add media

  Media

• Rectified

  Yes

  No

• Add media

  Media

• Rectified

  Yes

  No

• Add media

  Media

• Rectified

  Yes

  No

• Add media

  Media

• Rectified

  Yes

  No

• Add media

  Media

• Rectified

  Yes

  No

• Add media

  Media

• Rectified

  Yes

  No

• Add media

  Media

• Rectified

  Yes

  No

• Add media

  Media

• Rectified

  Yes

  No

• Add media

  Media

• Rectified

  Yes

  No

• Add media

  Media

• Rectified

  Yes

  No

• Add media

  Media

• Rectified

  Yes

  No

• Add media

  Media

• Rectified

  Yes

  No

• Add media

  Media

• Rectified

  Yes

  No

• Add media

  Media

• Rectified

  Yes

  No

• Add media

  Media

DECLARATION: I/WE DECLARE THAT THIS VEHICLE IS ROADWORTHY TO DEPARTMENT OF TRANSPORT STANDARDS:

• Technician 1 Print Name

• Technician 1 Signature

  Sign

• Date

  Date

• Company

• Technician 2 Print Name

• Technician 2 Signature

  Sign

• Date

  Date

• Company