Vehicle Safety Audit

• Vehicle Number

• Make/Model

• Conducted on

  Date

• Prepared by

• Location
  Address

Visibility: Have I

• Checked that windshield wipers work properly?

  Yes

  No

  N/A

• Checked that windshield cracks and pits do not impair visibility?

  Yes

  No

  N/A

• Cleared windows of dirt, bugs, dew, or ice?

  Yes

  No

  N/A

• Adjusted mirrors before moving vehicle?

  Yes

  No

  N/A

• Checked behind my vehicle before backing up?

  Yes

  No

  N/A

• Put on my gasses or contact lenses? (if applicable)

  Yes

  No

  N/A

Lights, Signals, and Warnings: Have I

• Checked that headlights work?

  Yes

  No

  N/A

• Checked that the breaklights work?

  Yes

  No

  N/A

• Checked that the turn signals and emergency flashers work?

  Yes

  No

  N/A

• Checked that the back up lights work?

  Yes

  No

  N/A

• Plugged in the trailer lights and checked that they are working?

  Yes

  No

  N/A

• Checked that the horn works?

  Yes

  No

  N/A

• Checked for any warning lights?

  Yes

  No

  N/A

• Checked that the monthly fire extinguisher inspection is up to date?

  Yes

  No

  N/A

Distractions: Have I

• Tuned-in the radio before moving the vehicle?

  Yes

  No

  N/A

• Fastened my seat belt before moving the vehicle?

  Yes

  No

  N/A

• Mapped out my route before moving the vehicle?

  Yes

  No

  N/A

Restraints: Have I

• Checked seat belts for signs of wear of damage?

  Yes

  No

  N/A

• Checked that all seat belts work and latch properly?

  Yes

  No

  N/A

• Latched the trailer hitch?

  Yes

  No

  N/A

• Secured loads properly, including loose items in cab?

  Yes

  No

  N/A

• Checked that door locks are working properly and locked doors?

  Yes

  No

  N/A

• Checked that the spare tire is secured and I have a jack?

  Yes

  No

  N/A

Traction: Have I

• Checked that brakes are firm and working properly?

  Yes

  No

  N/A

• Checked tires for signs of excessive wear or weather cracking?

  Yes

  No

  N/A

• Checked inflation of tires, including spare tire?

  Yes

  No

  N/A

• Given consideration to wet, muddy, icy, or snowy roads?

  Yes

  No

  N/A

• Chosen goods roads to travel?

  Yes

  No

  N/A

Fluids: Have I

• Checked the fuel level?

  Yes

  No

  N/A

• Checked under the parked vehicle for fluid leaks?

  Yes

  No

  N/A

• Checked oil, water, brake, windshield, and steering fluid levels?

  Yes

  No

  N/A

Gauges: Have I

• Checked that all gages are working?

  Yes

  No

  N/A

• Checked that speedometer is working?

  Yes

  No

  N/A