Vehicle Safety Check List

• Client / Site

• Date

  Date

• Auditor

• Location
  Address

• Employee

• Health and Safety Officer

• INSTRUCTIONS
  
  1. Please provide responsed and answer "✔," "✖," or "N/A" on the questions below.
  2. Add photos and notes by clicking on the paperclip icon.
  3. To add a Corrective Measure click on the paperclip icon then "Add Action", provide a description, assign to a member, set priority, and due date.
  4. Complete audit by providing digital signature.
  5. Share your report by exporting as PDF, Word, Excel or Web Link.

Additional Information

• Vehicle

• Registration No

• Mileage Reading

1. General

• Vehicle is in date for Tax, Insurance and CVRT

  ✔

  ✖

  N/A

• Cab clean with no obstructions or loose material.

  ✔

  ✖

  N/A

• Doors, boot and bonnet lock securely.

  ✔

  ✖

  N/A

• Windows can be opened and closed.

  ✔

  ✖

  N/A

• There is a First-aid kit, Hi Vis, Break Down Triangles, Flashing Amber Beacon

  ✔

  ✖

  N/A

• There is a Bluetooth hands free device for phone calls

  ✔

  ✖

  N/A

2. Lights are working correctly

• Brake lights.

  ✔

  ✖

  N/A

• Indicators.

  ✔

  ✖

  N/A

• Head lights.

  ✔

  ✖

  N/A

• Tail lights.

  ✔

  ✖

  N/A

• Hazard lights.

  ✔

  ✖

  N/A

• Reversing.

  ✔

  ✖

  N/A

• Interior.

  ✔

  ✖

  N/A

• Fog/spot lights.

  ✔

  ✖

  N/A

3. Tyres

• Wheels in good condition and secure.

  ✔

  ✖

  N/A

• Tyres undamaged with correct inflation and tread depth.

  ✔

  ✖

  N/A

• Pressure is per manufacturer’s advice for intended load.

  ✔

  ✖

  N/A

• Spare is present and ready for use.

  ✔

  ✖

  N/A

• Tyre changing equipment is present and functional.

  ✔

  ✖

  N/A

4. Wind Screen – front and rear

• Screen is clean with no damage.

  ✔

  ✖

  N/A

• Wipers and washers work correctly.

  ✔

  ✖

  N/A

• Demister functions properly.

  ✔

  ✖

  N/A

• All required mirrors fitted and adjusted correctly.

  ✔

  ✖

  N/A

Gauges are working properly

• Fuel.

  ✔

  ✖

  N/A

• Oil.

  ✔

  ✖

  N/A

• Speedometer.

  ✔

  ✖

  N/A

• All instruments, gauges and other warning devices operating correctly (note any warning lights).

  ✔

  ✖

  N/A

Fluid levels

• Engine oil, windscreen washer fluid / reservoir and fuel levels checked and no leaks.

  ✔

  ✖

  N/A

• Fuel Tank Full.

  ✔

  ✖

  N/A

• Water / Coolant

  ✔

  ✖

  N/A

Maintenance Required

• List actions or maintenance required to use the vehicle

• ACTION/MAINTENANCE

• Please provide details

Completion

• Please ensure vehicle is returned clean and with a full tank of fuel.

• Employee Name and Signature

  Sign

• Health & Safety Officer Name and Signature

  Sign