Information
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Audit Title
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Document No.
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Client / Site
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Conducted on
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Prepared by
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Location
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Driver
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Date and Time audit began
VEHICLE DESCRIPTION
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Photograph of Vehicle Being Inspected
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Registration Number
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Make
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Model
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Odometer Reading at Inspection
EXTERIOR LIGHTING
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High and Low Beams Operational
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Left and Right Rear Lights Operational
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Left and Right Front Turn Signals Operational
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Left and Right Rear Turn Signals Operational
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Left and Right Break Lights Operational
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Left and Right Back-Up Lights Operational
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License Plate Light Operational
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Audible Back-up Alarm Operational
EXTERIOR BODY AND GLASS (Take Photos of any noted damage)
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Windscreen Free of Cracks and Chips
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Current tax disk
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Bonnet, Front of vehicle free of Damage
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Right Side Free of Damage
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Right Mirror Adjustable and Free of Damage
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Right Side Windows Free of Cracks and Chips
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Rear WIndow Free of Cracks and Chips
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Rear of Vehicle and Bumper Free of Damage (Tailgate if included)
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Left Side Free of Damage
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Left Mirrors adjustable and Free of Damage
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Left Side Windows Free of Cracks and Chips
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Vehicle is Clean and Free of Road Grime and Dirt
TIRES
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Front Driver Tyre in Good Repair with no Visible Signs of Wear or Cracking in Sidewall
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Rear Driver Tyre in Good Repair with no Visible Signs of Wear or Cracking in Sidewall
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Rear Passenger Tyre in Good Repair with no Visible Signs of Wear or Cracking in Sidewall
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Front Passenger Tyre in Good Repair with no Visible Signs of Wear or Cracking in Sidewall
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Adequate Spare Tyre is Available if Necessary in Good Repair with No Visible Signs of Wear or Cracking in Sidewall
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Front Driver and Passenger Wheel/Tyre Trim Rings in Place
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Rear Driver and Passenger Wheel/Tyre Trim Rings in Place
Vehicle fluid levels
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Washer fluid OK?
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Engine oil OK?
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Power steering fluid OK?
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Radiator coolant OK?
INTERIOR
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Driver Seat in Good Repair
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Driver Seat Belt Operational with Shoulder Harness
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Windshield Wipers Functioning Appropriately
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Windshield Washer Fluid Functioning and Appropriately Wetting Windshield to Clean
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Heater and Defroster Operational
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Air Conditioning Operational
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Dashboard Lights Operational
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All Gauges are Operating and Show within Appropriate Ranges
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Interior Compartment Lights Operational
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Under Storage Lights Operational
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Entry Grab Bar/Rail Secure
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Interior is Clean and Free of Loose Objects
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Passenger Seat Belts Operational
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Passenger Seats in Good Repair
Hiab fitted vehicle
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Is driver trained and certified in use?
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Is certification present?
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Is all lifting equipment tested, certified and tagged with current inspection documentation?
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Hiab Manufacturer
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Hiab Model Number
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Hiab Serial Number
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Last service date of Hiab?
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Date of Last Lift Safety Inspection by Manufacturer Authorized Service Center
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Vehicle out riggers inspected and in good working order?
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List the Name, Address and Telephone Number of Authorised Service Center Performing Lift Inspection
SAFETY EQUIPMENT
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Hands free kit operational
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Securely mounted First Aid Kit (Ensure Completely Stocked)
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Highway safety triangles available
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Fire Extinguisher Charged and Inspected?
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Warning signs displayed on vehicle for flammable substances and compressed gas
REQUIRED DOCUMENTATION
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Date of Last Service (List Details of Last Service, i.e. New Tires, Oil Change, ect...)
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Does the driver know what to do in event of breakdown?
SIGNATURES
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Signature of Auditor
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Signature of Driver