Vehicle Safety Inspection

• Document No.

• Audit Title

• Conducted on

  Date

• Prepared by

• Date

  Date

• Vehicle ID

• Make & Year

• Registration

• Registration Due

  Date

• Vehicle VIN

• Engine Number

• Odometer

• Truck Hrs

• Pump Hrs

• COI Inspection Due

  Date

This section is to be completed by a qualified employee

• Name of qualified person(s) performing inspection

• After each item enter desired action and leave a description of repairs to be carried out in the comments

General Condition

• Body exterior, bumpers, trim etc

  Select Ok Needs Attention Needs Urgent Attention N/A

  • Ok
  • Needs Attention
  • Needs Urgent Attention
  • N/A

• Body interior

  Select Ok Needs Attention Needs Urgent Attention N/A

  • Ok
  • Needs Attention
  • Needs Urgent Attention
  • N/A

• Comments

Engine Operation

• Starting

  Select Ok Needs Attention Needs Urgent Attention N/A

  • Ok
  • Needs Attention
  • Needs Urgent Attention
  • N/A

• Engine shut down, including emergency stops

  Select Ok Needs Attention Needs Urgent Attention N/A

  • Ok
  • Needs Attention
  • Needs Urgent Attention
  • N/A

• Instrument warning lights and gauges

  Select Ok Needs Attention Needs Urgent Attention N/A

  • Ok
  • Needs Attention
  • Needs Urgent Attention
  • N/A

• Comments

Engine Components

• Radiator condition/clean

  Select Ok Needs Attention Needs Urgent Attention N/A

  • Ok
  • Needs Attention
  • Needs Urgent Attention
  • N/A

• Fan Belts

  Select Ok Needs Attention Needs Urgent Attention N/A

  • Ok
  • Needs Attention
  • Needs Urgent Attention
  • N/A

• Radiator and heater hoses

  Select Ok Needs Attention Needs Urgent Attention N/A

  • Ok
  • Needs Attention
  • Needs Urgent Attention
  • N/A

• Engine air filter

  Select Ok Needs Attention Needs Urgent Attention N/A

  • Ok
  • Needs Attention
  • Needs Urgent Attention
  • N/A

• Fuel filter

  Select Ok Needs Attention Needs Urgent Attention N/A

  • Ok
  • Needs Attention
  • Needs Urgent Attention
  • N/A

• Water pump and fan

  Select Ok Needs Attention Needs Urgent Attention N/A

  • Ok
  • Needs Attention
  • Needs Urgent Attention
  • N/A

• Alternator and mountings

  Select Ok Needs Attention Needs Urgent Attention N/A

  • Ok
  • Needs Attention
  • Needs Urgent Attention
  • N/A

• Air conditioner and mountings

  Select Ok Needs Attention Needs Urgent Attention N/A

  • Ok
  • Needs Attention
  • Needs Urgent Attention
  • N/A

• Engine mounts

  Select Ok Needs Attention Needs Urgent Attention N/A

  • Ok
  • Needs Attention
  • Needs Urgent Attention
  • N/A

• Batteries, terminals, cables and security

  Select Ok Needs Attention Needs Urgent Attention N/A

  • Ok
  • Needs Attention
  • Needs Urgent Attention
  • N/A

• Oil leaks

  Select Ok Needs Attention Needs Urgent Attention N/A

  • Ok
  • Needs Attention
  • Needs Urgent Attention
  • N/A

• Coolant leaks

  Select Ok Needs Attention Needs Urgent Attention N/A

  • Ok
  • Needs Attention
  • Needs Urgent Attention
  • N/A

• Comments

Fuel System

• Lines & fittings (eg. leaks, constriction, wearing on chassis components)

  Select Ok Needs Attention Needs Urgent Attention N/A

  • Ok
  • Needs Attention
  • Needs Urgent Attention
  • N/A

• Fuel tank, mounts & filler cap

  Select Ok Needs Attention Needs Urgent Attention N/A

  • Ok
  • Needs Attention
  • Needs Urgent Attention
  • N/A

• Comments

Steering

• Linkages, king pins, tie rods

  Select Ok Needs Attention Needs Urgent Attention N/A

  • Ok
  • Needs Attention
  • Needs Urgent Attention
  • N/A

• Power steering pump and steering box

  Select Ok Needs Attention Needs Urgent Attention N/A

  • Ok
  • Needs Attention
  • Needs Urgent Attention
  • N/A

• Oil leaks

  Select Ok Needs Attention Needs Urgent Attention N/A

  • Ok
  • Needs Attention
  • Needs Urgent Attention
  • N/A

• Front wheel bearings

  Select Ok Needs Attention Needs Urgent Attention N/A

  • Ok
  • Needs Attention
  • Needs Urgent Attention
  • N/A

• Comments

Front Suspension

• Shocks, mounts and bushes

  Select Ok Needs Attention Needs Urgent Attention N/A

  • Ok
  • Needs Attention
  • Needs Urgent Attention
  • N/A

• Springs, clamps and shackles

  Select Ok Needs Attention Needs Urgent Attention N/A

  • Ok
  • Needs Attention
  • Needs Urgent Attention
  • N/A

• Sway bar and bushes

  Select Ok Needs Attention Needs Urgent Attention N/A

  • Ok
  • Needs Attention
  • Needs Urgent Attention
  • N/A

• Comments

Wheels

• Damaged wheels

  Select Ok Needs Attention Needs Urgent Attention N/A

  • Ok
  • Needs Attention
  • Needs Urgent Attention
  • N/A

• Loose wheel nuts, damaged or broken studs

  Select Ok Needs Attention Needs Urgent Attention N/A

  • Ok
  • Needs Attention
  • Needs Urgent Attention
  • N/A

• Comments

Brakes

• Pads, rotors, shoes & drums

  Select Ok Needs Attention Needs Urgent Attention N/A

  • Ok
  • Needs Attention
  • Needs Urgent Attention
  • N/A

• Park brake

  Select Ok Needs Attention Needs Urgent Attention N/A

  • Ok
  • Needs Attention
  • Needs Urgent Attention
  • N/A

• Comments

Transmission and Drive Train

• Fluid/oil level, condition

  Select Ok Needs Attention Needs Urgent Attention N/A

  • Ok
  • Needs Attention
  • Needs Urgent Attention
  • N/A

• Transmission oil leaks

  Select Ok Needs Attention Needs Urgent Attention N/A

  • Ok
  • Needs Attention
  • Needs Urgent Attention
  • N/A

• Transmission mounts

  Select Ok Needs Attention Needs Urgent Attention N/A

  • Ok
  • Needs Attention
  • Needs Urgent Attention
  • N/A

• U-joints and centre bearing

  Select Ok Needs Attention Needs Urgent Attention N/A

  • Ok
  • Needs Attention
  • Needs Urgent Attention
  • N/A

• Differentials oil levels

  Select Ok Needs Attention Needs Urgent Attention N/A

  • Ok
  • Needs Attention
  • Needs Urgent Attention
  • N/A

• Differential oil leaks

  Select Ok Needs Attention Needs Urgent Attention N/A

  • Ok
  • Needs Attention
  • Needs Urgent Attention
  • N/A

• Comments

Rear Suspension

• Shocks, mountings and bushes

  Select Ok Needs Attention Needs Urgent Attention N/A

  • Ok
  • Needs Attention
  • Needs Urgent Attention
  • N/A

• Springs, clamps, shackles, bushes and rods

  Select Ok Needs Attention Needs Urgent Attention N/A

  • Ok
  • Needs Attention
  • Needs Urgent Attention
  • N/A

• U bolts

  Select Ok Needs Attention Needs Urgent Attention N/A

  • Ok
  • Needs Attention
  • Needs Urgent Attention
  • N/A

• Comments

Under Chassis

• Chassis and cross members

  Select Ok Needs Attention Needs Urgent Attention N/A

  • Ok
  • Needs Attention
  • Needs Urgent Attention
  • N/A

• Cab mounts

  Select Ok Needs Attention Needs Urgent Attention N/A

  • Ok
  • Needs Attention
  • Needs Urgent Attention
  • N/A

• Tank mounts

  Select Ok Needs Attention Needs Urgent Attention N/A

  • Ok
  • Needs Attention
  • Needs Urgent Attention
  • N/A

• Comments

Hydraulics System

• Oil level and condition

  Select Ok Needs Attention Needs Urgent Attention N/A

  • Ok
  • Needs Attention
  • Needs Urgent Attention
  • N/A

• Oil leaks

  Select Ok Needs Attention Needs Urgent Attention N/A

  • Ok
  • Needs Attention
  • Needs Urgent Attention
  • N/A

• Fittings secure

  Select Ok Needs Attention Needs Urgent Attention N/A

  • Ok
  • Needs Attention
  • Needs Urgent Attention
  • N/A

• Hoses for wear and tear, not rubbing

  Select Ok Needs Attention Needs Urgent Attention N/A

  • Ok
  • Needs Attention
  • Needs Urgent Attention
  • N/A

• Drive shaft condition

  Select Ok Needs Attention Needs Urgent Attention N/A

  • Ok
  • Needs Attention
  • Needs Urgent Attention
  • N/A

• Switches operate

  Select Ok Needs Attention Needs Urgent Attention N/A

  • Ok
  • Needs Attention
  • Needs Urgent Attention
  • N/A

• Pump and drive motor noise

  Select Ok Needs Attention Needs Urgent Attention N/A

  • Ok
  • Needs Attention
  • Needs Urgent Attention
  • N/A

• Comments

This section to be completed by a competent employee

• Name of competent person(s) carrying out inspection

• Current service sticker

  Select Yes No N/A

  • Yes
  • No
  • N/A

Cabin Glass

• Windscreen cracks or damage

  Select Ok Needs Attention Needs Urgent Attention N/A

  • Ok
  • Needs Attention
  • Needs Urgent Attention
  • N/A

• Side and rear windows

  Select Ok Needs Attention Needs Urgent Attention N/A

  • Ok
  • Needs Attention
  • Needs Urgent Attention
  • N/A

• Side windows operational

  Select Ok Needs Attention Needs Urgent Attention N/A

  • Ok
  • Needs Attention
  • Needs Urgent Attention
  • N/A

• Comments

Doors, Entry's And Exits

• Drivers door operation

  Select Ok Needs Attention Needs Urgent Attention N/A

  • Ok
  • Needs Attention
  • Needs Urgent Attention
  • N/A

• Drivers steps free of debris and secure

  Select Ok Needs Attention Needs Urgent Attention N/A

  • Ok
  • Needs Attention
  • Needs Urgent Attention
  • N/A

• Drivers grab rails safe and secure

  Select Ok Needs Attention Needs Urgent Attention N/A

  • Ok
  • Needs Attention
  • Needs Urgent Attention
  • N/A

• Passengers door operation

  Select Ok Needs Attention Needs Urgent Attention N/A

  • Ok
  • Needs Attention
  • Needs Urgent Attention
  • N/A

• Passengers steps free of debris and secure

  Select Ok Needs Attention Needs Urgent Attention N/A

  • Ok
  • Needs Attention
  • Needs Urgent Attention
  • N/A

• Floors free of debris and loose floor coverings

  Select Ok Needs Attention Needs Urgent Attention N/A

  • Ok
  • Needs Attention
  • Needs Urgent Attention
  • N/A

• Comments

Emergency Exits

• Doors and windows open and latch properly

  Select Ok Needs Attention Needs Urgent Attention N/A

  • Ok
  • Needs Attention
  • Needs Urgent Attention
  • N/A

• No obstructions

  Select Ok Needs Attention Needs Urgent Attention N/A

  • Ok
  • Needs Attention
  • Needs Urgent Attention
  • N/A

• Comments

Drivers And Passengers Seats

• Seats mounted securely

  Select Ok Needs Attention Needs Urgent Attention N/A

  • Ok
  • Needs Attention
  • Needs Urgent Attention
  • N/A

• Arm rests secure

  Select Ok Needs Attention Needs Urgent Attention N/A

  • Ok
  • Needs Attention
  • Needs Urgent Attention
  • N/A

• Seatbelts operational, secure, clean and not frayed

  Select Ok Needs Attention Needs Urgent Attention N/A

  • Ok
  • Needs Attention
  • Needs Urgent Attention
  • N/A

• Comments

Fluids

• Engine oil level and condition

  Select Ok Needs Attention Needs Urgent Attention N/A

  • Ok
  • Needs Attention
  • Needs Urgent Attention
  • N/A

• Coolant level and condition

  Select Ok Needs Attention Needs Urgent Attention N/A

  • Ok
  • Needs Attention
  • Needs Urgent Attention
  • N/A

• Brake fluid level

  Select Ok Needs Attention Needs Urgent Attention N/A

  • Ok
  • Needs Attention
  • Needs Urgent Attention
  • N/A

• Power steering fluid level, not burnt

  Select Ok Needs Attention Needs Urgent Attention N/A

  • Ok
  • Needs Attention
  • Needs Urgent Attention
  • N/A

• Windshield washer level

  Select Ok Needs Attention Needs Urgent Attention N/A

  • Ok
  • Needs Attention
  • Needs Urgent Attention
  • N/A

• Comments

Tyres

• Tread depth

  Select Ok Needs Attention Needs Urgent Attention N/A

  • Ok
  • Needs Attention
  • Needs Urgent Attention
  • N/A

• Tyre damage

  Select Ok Needs Attention Needs Urgent Attention N/A

  • Ok
  • Needs Attention
  • Needs Urgent Attention
  • N/A

• Tyre pressures

  Select Ok Needs Attention Needs Urgent Attention N/A

  • Ok
  • Needs Attention
  • Needs Urgent Attention
  • N/A

• Truck tyre pressures for 11R 22.50 is as follows
  Front 110psi
  Rear 95psi

• For cars, utes and four wheel drives
  Refer to tyre placard located on the vehicle

• Comments

Lights And Warning Devices

• Interior light(s) and step lighting

  Select Ok Needs Attention Needs Urgent Attention N/A

  • Ok
  • Needs Attention
  • Needs Urgent Attention
  • N/A

• Headlights, switch, high and low beam switch

  Select Ok Needs Attention Needs Urgent Attention N/A

  • Ok
  • Needs Attention
  • Needs Urgent Attention
  • N/A

• Running lights, park lights, tail lights, clearance lights and number plate lights

  Select Ok Needs Attention Needs Urgent Attention N/A

  • Ok
  • Needs Attention
  • Needs Urgent Attention
  • N/A

• Turn signal lights and indicators

  Select Ok Needs Attention Needs Urgent Attention N/A

  • Ok
  • Needs Attention
  • Needs Urgent Attention
  • N/A

• Hazard lights and indicators

  Select Ok Needs Attention Needs Urgent Attention N/A

  • Ok
  • Needs Attention
  • Needs Urgent Attention
  • N/A

• Horn

  Select Ok Needs Attention Needs Urgent Attention N/A

  • Ok
  • Needs Attention
  • Needs Urgent Attention
  • N/A

• Back up alarm and back up lights

  Select Ok Needs Attention Needs Urgent Attention N/A

  • Ok
  • Needs Attention
  • Needs Urgent Attention
  • N/A

• Flashing beacon

  Select Ok Needs Attention Needs Urgent Attention N/A

  • Ok
  • Needs Attention
  • Needs Urgent Attention
  • N/A

• Comments

Mirrors

• Interior

  Select Ok Needs Attention Needs Urgent Attention N/A

  • Ok
  • Needs Attention
  • Needs Urgent Attention
  • N/A

• Exterior

  Select Ok Needs Attention Needs Urgent Attention N/A

  • Ok
  • Needs Attention
  • Needs Urgent Attention
  • N/A

• Comments

Windshield Wiper And Washer

• Wiper blades condition and arm assembly

  Select Ok Needs Attention Needs Urgent Attention N/A

  • Ok
  • Needs Attention
  • Needs Urgent Attention
  • N/A

• Wiper washer switch operation

  Select Ok Needs Attention Needs Urgent Attention N/A

  • Ok
  • Needs Attention
  • Needs Urgent Attention
  • N/A

• Washer spray and coverage

  Select Ok Needs Attention Needs Urgent Attention N/A

  • Ok
  • Needs Attention
  • Needs Urgent Attention
  • N/A

• Comments

Heater, Defroster And Air Conditioning

• Fans operate

  Select Ok Needs Attention Needs Urgent Attention N/A

  • Ok
  • Needs Attention
  • Needs Urgent Attention
  • N/A

• Heater operates and blows onto windshield

  Select Ok Needs Attention Needs Urgent Attention N/A

  • Ok
  • Needs Attention
  • Needs Urgent Attention
  • N/A

• Air conditioner cools satisfactory

  Select Ok Needs Attention Needs Urgent Attention N/A

  • Ok
  • Needs Attention
  • Needs Urgent Attention
  • N/A

• Comments

Vehicle Drivability

• Performance and noise

  Select Ok Needs Attention Needs Urgent Attention N/A

  • Ok
  • Needs Attention
  • Needs Urgent Attention
  • N/A

• Speedometer, odometer and hr meter operating

  Select Ok Needs Attention Needs Urgent Attention N/A

  • Ok
  • Needs Attention
  • Needs Urgent Attention
  • N/A

• Brakes operate satisfactory, noise, pulling under brake application

  Select Ok Needs Attention Needs Urgent Attention N/A

  • Ok
  • Needs Attention
  • Needs Urgent Attention
  • N/A

• Steering pulls under normal operation

  Select Ok Needs Attention Needs Urgent Attention N/A

  • Ok
  • Needs Attention
  • Needs Urgent Attention
  • N/A

• Transmission shift properly

  Select Ok Needs Attention Needs Urgent Attention N/A

  • Ok
  • Needs Attention
  • Needs Urgent Attention
  • N/A

• Comments

Safety Equipment

• Fire extinguisher(s) charged and tested

  Select Yes No N/A

  • Yes
  • No
  • N/A

• Fire extinguishers to be tested every six (6) months

• First aid kit

  Select Yes No N/A

  • Yes
  • No
  • N/A

• Snake bite kit

  Select Yes No N/A

  • Yes
  • No
  • N/A

• Reflective triangle set

  Select Yes No N/A

  • Yes
  • No
  • N/A

• Wheel chocks

  Select Yes No N/A

  • Yes
  • No
  • N/A

• Comments

Water Tank And Sprays

• Water tank damage

  Select Ok Needs Attention Needs Urgent Attention N/A

  • Ok
  • Needs Attention
  • Needs Urgent Attention
  • N/A

• Water tank mountings security and wear

  Select Ok Needs Attention Needs Urgent Attention N/A

  • Ok
  • Needs Attention
  • Needs Urgent Attention
  • N/A

• Switches operate

  Select Ok Needs Attention Needs Urgent Attention N/A

  • Ok
  • Needs Attention
  • Needs Urgent Attention
  • N/A

• Air lines and electrics for wear and tear, rubbing and security

  Select Ok Needs Attention Needs Urgent Attention N/A

  • Ok
  • Needs Attention
  • Needs Urgent Attention
  • N/A

• Spray fittings security and operation

  Select Ok Needs Attention Needs Urgent Attention N/A

  • Ok
  • Needs Attention
  • Needs Urgent Attention
  • N/A

• Water leaks

  Select Ok Needs Attention Needs Urgent Attention N/A

  • Ok
  • Needs Attention
  • Needs Urgent Attention
  • N/A

• Comments

Pump Motor

• Current service sticker

  Select Yes No N/A

  • Yes
  • No
  • N/A

• Pump services every 100hrs

• Engine oil level

  Select Ok Needs Attention Needs Urgent Attention N/A

  • Ok
  • Needs Attention
  • Needs Urgent Attention
  • N/A

• Oil leaks

  Select Ok Needs Attention Needs Urgent Attention N/A

  • Ok
  • Needs Attention
  • Needs Urgent Attention
  • N/A

• Inspect fuel lines for deterioration, wear and loose fittings

  Select Ok Needs Attention Needs Urgent Attention N/A

  • Ok
  • Needs Attention
  • Needs Urgent Attention
  • N/A

• Fuel leaks

  Select Ok Needs Attention Needs Urgent Attention N/A

  • Ok
  • Needs Attention
  • Needs Urgent Attention
  • N/A

• Inspect engine mountings

  Select Ok Needs Attention Needs Urgent Attention N/A

  • Ok
  • Needs Attention
  • Needs Urgent Attention
  • N/A

• Inspect air cleaner elements, mountings and hoses

  Select Ok Needs Attention Needs Urgent Attention N/A

  • Ok
  • Needs Attention
  • Needs Urgent Attention
  • N/A

• Comments

Tool Box Equipment

• Jack and jack handle

  Select Yes No N/A

  • Yes
  • No
  • N/A

• Wheel brace and handle

  Select Yes No N/A

  • Yes
  • No
  • N/A

• Air line

  Select Yes No N/A

  • Yes
  • No
  • N/A

• Tyre inflator

  Select Yes No N/A

  • Yes
  • No
  • N/A

• Air duster

  Select Yes No N/A

  • Yes
  • No
  • N/A

• Comments