Information

  • Audit Title

  • Document No.

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Driver

  • Date and Time audit began

VEHICLE DESCRIPTION

  • Photograph of Vehicle Being Inspected

  • Registration Number

  • Make

  • Model

  • Odometer Reading at Inspection

EXTERIOR LIGHTING

  • High and Low Beams Operational

  • Left and Right Rear Lights Operational

  • Left and Right Front Turn Signals Operational

  • Left and Right Rear Turn Signals Operational

  • Left and Right Break Lights Operational

  • Left and Right Back-Up Lights Operational

  • License Plate Light Operational

  • Audible Back-up Alarm Operational

EXTERIOR BODY AND GLASS (Take Photos of any noted damage)

  • Windscreen Free of Cracks and Chips

  • Current tax disk

  • Bonnet, Front of vehicle free of Damage

  • Right Side Free of Damage

  • Right Mirror Adjustable and Free of Damage

  • Right Side Windows Free of Cracks and Chips

  • Rear WIndow Free of Cracks and Chips

  • Rear of Vehicle and Bumper Free of Damage (Tailgate if included)

  • Left Side Free of Damage

  • Left Mirrors adjustable and Free of Damage

  • Left Side Windows Free of Cracks and Chips

  • Vehicle is Clean and Free of Road Grime and Dirt

TIRES

  • Front Driver Tyre in Good Repair with no Visible Signs of Wear or Cracking in Sidewall

  • Rear Driver Tyre in Good Repair with no Visible Signs of Wear or Cracking in Sidewall

  • Rear Passenger Tyre in Good Repair with no Visible Signs of Wear or Cracking in Sidewall

  • Front Passenger Tyre in Good Repair with no Visible Signs of Wear or Cracking in Sidewall

  • Adequate Spare Tyre is Available if Necessary in Good Repair with No Visible Signs of Wear or Cracking in Sidewall

  • Front Driver and Passenger Wheel/Tyre Trim Rings in Place

  • Rear Driver and Passenger Wheel/Tyre Trim Rings in Place

Vehicle fluid levels

  • Washer fluid OK?

  • Engine oil OK?

  • Power steering fluid OK?

  • Radiator coolant OK?

INTERIOR

  • Driver Seat in Good Repair

  • Driver Seat Belt Operational with Shoulder Harness

  • Windshield Wipers Functioning Appropriately

  • Windshield Washer Fluid Functioning and Appropriately Wetting Windshield to Clean

  • Heater and Defroster Operational

  • Air Conditioning Operational

  • Dashboard Lights Operational

  • All Gauges are Operating and Show within Appropriate Ranges

  • Interior Compartment Lights Operational

  • Under Storage Lights Operational

  • Entry Grab Bar/Rail Secure

  • Interior is Clean and Free of Loose Objects

  • Passenger Seat Belts Operational

  • Passenger Seats in Good Repair

Hiab fitted vehicle

  • Is driver trained and certified in use?

  • Is certification present?

  • Is all lifting equipment tested, certified and tagged with current inspection documentation?

  • Hiab Manufacturer

  • Hiab Model Number

  • Hiab Serial Number

  • Last service date of Hiab?

  • Date of Last Lift Safety Inspection by Manufacturer Authorized Service Center

  • Vehicle out riggers inspected and in good working order?

  • List the Name, Address and Telephone Number of Authorised Service Center Performing Lift Inspection

SAFETY EQUIPMENT

  • Hands free kit operational

  • Securely mounted First Aid Kit (Ensure Completely Stocked)

  • Highway safety triangles available

  • Fire Extinguisher Charged and Inspected?

  • Warning signs displayed on vehicle for flammable substances and compressed gas

REQUIRED DOCUMENTATION

  • Date of Last Service (List Details of Last Service, i.e. New Tires, Oil Change, ect...)

  • Does the driver know what to do in event of breakdown?

SIGNATURES

  • Signature of Auditor

  • Signature of Driver

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.