VEHICLE WEEKLY MAINTENANCE CHECKLIST SF00314

• SF00314

• VEHICLE WEEKLY MAINTENANCE CHECKLIST

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Date and Time audit began

  Date

VEHICLE DESCRIPTION

• SV001

• Rego: 435 SEZ
  State: QLD
  Expiry: 02/05/2012
  Make: Hyundai
  Model: iLoad
  Year: 2012
  VIN: Kmfwbx7rlcu418231
  Etag:

• Overall photo of vehicle

  Media

• Odometer Reading

• QV001

• Rego: AY88KE
  State: QLD
  Expiry: 28/10/2012
  Make: Toyota
  Model: HiAce
  Year: 2008
  VIN: Jtfhx02px00037105
  Odometer reading: 109757

• Overall photo of vehicle

  Media

• Odometer Reading

• IC001

• Rego: BSH 751
  State: NSW
  Expiry: 18/08/2013
  Make: Hyundai
  Model: iLoad
  Year: 2010
  VIN: Kmfwbx7rlau2773769

• Overall photo of vehicle

  Media

• Odometer Reading

• ICJ001

• Rego: 192 SBY
  State: QLD
  Expiry: 02/02/2013
  Make: Isuzu
  Model: FBR Series
  Year: 2003
  VIN: Jalfbr34h37000132

• Overall photo of vehicle

  Media

• Odometer Reading

• ICJ002

• Rego:
  State:
  Expiry:
  Make:
  Model:
  Year:
  VIN:

• Overall photo of vehicle

  Media

• Odometer Reading

• ICJ003

• Rego: 487 IUH
  State: QLD
  Expiry: 11/03/2013
  Make: Isuzu
  Model: FRR series Sitec 175
  Year: 2000
  VIN: Jalfrr33ly7000154

• Overall photo of vehicle

  Media

• Odometer Reading

MAINTENANCE

• Is the engine oil within the max and min level markers on the dipstick? (if below, report)

  Yes

  No

  N/A

• Is the engine coolant level within the max and min markers on the expansion tank? (if below, fill to max)

  Yes

  No

  N/A

• Is the windscreen washer fluid within the max and min markers? (if below, fill to max)

  Yes

  No

  N/A

• Is the hydraulic oil level within max and min markers? (if not, report)

  Yes

  No

  N/A

• Is the brake fluid level within the min and max mark? (if below, fill with suitable oil)

  Yes

  No

  N/A

• Is the handbrake operating sufficiently to hold the weight of the vehicle?

  Yes

  No

  N/A

• Is the power steering fluid level within the min and max markers?

  Yes

  No

  N/A

• Are all hoses and cables in good visual order with no leaks or tears?

  Yes

  No

  N/A

LIGHTING

• High and Low Beams Operational

  Yes

  No

  N/A

• Clearance, Marker Lights Operational

  Yes

  No

  N/A

• Left and Right Tail Lights Operational

  Yes

  No

  N/A

• Left and Right Front Turn Signals Operational

  Yes

  No

  N/A

• Left and Right Rear Turn Signals Operational

  Yes

  No

  N/A

• Left and Right Break Lights Operational

  Yes

  No

  N/A

• Left and Right Back-Up Lights Operational

  Yes

  No

  N/A

• License Plate Light Operational

  Yes

  No

  N/A

• Audible Back-up Alarm Operational

  Yes

  No

  N/A

• Are all interior lights functional?

  Yes

  No

  N/A

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

• Windshield Free of Cracks and Chips

  Yes

  No

  N/A

• Front Hood, Grill and Bumper free of Damage

  Yes

  No

  N/A

• Left Mirrors adjustable and Free of Damage

  Yes

  No

  N/A

• Left Fender Free of Damage

  Yes

  No

  N/A

• Left Door Free of Damage

  Yes

  No

  N/A

• Left Side Free of Damage

  Yes

  No

  N/A

• Left Side Windows Free of Cracks and Chips

  Yes

  No

  N/A

• Rear WIndow Free of Cracks and Chips

  Yes

  No

  N/A

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

  Yes

  No

  N/A

• Right Side Free of Damage

  Yes

  No

  N/A

• License Plate / Tag is current and not expired / Note expiration date and verify to registration

  Yes

  No

  N/A

• Right Wheel Chair Lift Door Free of Damage

  Yes

  No

  N/A

• Right Side Windows Free of Cracks and Chips

  Yes

  No

  N/A

• Right Door Free of Damage

  Yes

  No

  N/A

• Right Front Fender Free of Damage

  Yes

  No

  N/A

• Right Mirror Adjustable and Free of Damage

  Yes

  No

  N/A

• Vehicle is Clean and Free of Road Grime and Dirt

  Yes

  No

  N/A

TYRES

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

  Safe

  At Risk

  N/A

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

  Safe

  At Risk

  N/A

• Rear Driver (INSIDE) Tire in Good Repair with no Visible Signs of Wear or Cracking in Sidewall (If Dual Tire Vehicle)

  Safe

  At Risk

  N/A

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

  Safe

  At Risk

  N/A

• Rear Passenger (INSIDE) Driver Tire in Good Repair with no Visible Signs of Wear or Cracking in Sidewall (If Dual Tire Vehicle)

  Safe

  At Risk

  N/A

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

  Safe

  At Risk

  N/A

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

  Yes

  No

  N/A

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

  Yes

  No

  N/A

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

  Yes

  No

  N/A

INTERIOR

• Driver Seat in Good Repair

  Safe

  At Risk

  N/A

• Driver Seat Belt Operational with Shoulder Harness

  Safe

  At Risk

  N/A

• Windshield Wipers Functioning Appropriately

  Yes

  No

  N/A

• Windshield Washer Fluid Functioning and Appropriately Wetting Windshield to Clean

  Yes

  No

  N/A

• Heater and Defroster Operational

  Yes

  No

  N/A

• Air Conditioning Operational

  Yes

  No

  N/A

• Dashboard Lights Operational

  Yes

  No

  N/A

• All Gauges are Operating and Show within Appropriate Ranges

  Yes

  No

  N/A

• Interior Compartment Lights Operational

  Yes

  No

  N/A

• Entry Grab Bar/Rail Secure

  Safe

  At Risk

  N/A

• Interior is Clean and Free of Loose Objects

  Yes

  No

  N/A

• PC and all peripherals in good working order

  Yes

  No

  N/A

• Passenger Seat Belts Operational

  Safe

  At Risk

  N/A

• Passenger Seats in Good Repair

  Safe

  At Risk

  N/A

SAFETY EQUIPMENT

• Vehicle is Equipped with Two Way Radio System or Driver Has Cell Phone when Vehicle is in Operation

  Yes

  No

  N/A

• Securely mounted First Aid Kit (Ensure Completely Stocked)

  Safe

  At Risk

  N/A

• Highway safety triangles available

  Yes

  No

  N/A

• Fire Extinguisher Charged and Inspected Monthly?

  Safe

  At Risk

  N/A

• Onboard Oxygen tanks secured in DOT approved brackets?

  Safe

  At Risk

  N/A

REQUIRED DOCUMENTATION

• Valid Vehicle Registration is located in Vehicle (Note where kept)

  Yes

  No

  N/A

• Valid Vehicle Insurance Certificate is Located in Vehicle (Note where kept)

  Yes

  No

  N/A

• Is Vehicle Serviced According to the Manufacturers Schedule?

  Yes

  No

  N/A

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

  Date

• Date of next service due

  Date

SIGNATURES

• Signature of Auditor

  Sign

• Signature of Witness

  Sign

• Date of next weekly maintenance check?

  Date

ACTIONS NEEDED

• Action needed item 1

• Description of defect

• Urgency rating

  Minor

  Major

  Critical

• Date of rectification

  Date

• Comments

• Rectified by

  Sign

• Action needed item 2

• Description of defect

• Urgency rating

  Minor

  Major

  Critical

• Date of rectification

  Date

• Comments

• Rectified by

  Sign

• Action needed item 3

• Description of defect

• Urgency rating

  Minor

  Major

  Critical

• Date of rectification

  Date

• Comments

• Rectified by

  Sign

• Action needed item 4

• Description of defect

• Urgency rating

  Minor

  Major

  Critical

• Date of rectification

  Date

• Comments

• Rectified by

  Sign

• Action needed item 5

• Description of defect

• Urgency rating

  Minor

  Major

  Critical

• Date of rectification

  Date

• Comments

• Rectified by

  Sign