Weekly Vehicle Inspection

• Document No.

• West Region

  South Region

  Central Region

• Site

• Rego/Unit Number

• Make

• Model

• Conducted on

  Date
• Location
  Address

• DIRECTIONS. The following codes should be used during the inspection and further details provided in the “comments” section, if the item is regarded as unsatisfactory.
  1 - (Not applicable), 2 - (Requires urgent attention), 3 - (Requires attention), 4 - (Satisfactory), 5 - (High standard)
  

LIGHTS (CHECK OPERATION AND VISIBILITY OF):

• Headlights

  1 Not applicable

  2 Requires urgent attention

  3 Requires attention

  4 Satisfactory

  5 High standard

• Parking lights

  1 Not applicable

  2 Requires urgent attention

  3 Requires attention

  4 Satisfactory

  5 High standard

• Hazard lights

  1 Not applicable

  2 Requires urgent attention

  3 Requires attention

  4 Satisfactory

  5 High standard

• Brake lights

  1 Not applicable

  2 Requires urgent attention

  3 Requires attention

  4 Satisfactory

  5 High standard

• Reverse lights

  1 Not applicable

  2 Requires urgent attention

  3 Requires attention

  4 Satisfactory

  5 High standard

BRAKES AND WARNINGS:

• Check operation of horn

  1 Not applicable

  2 Requires urgent attention

  3 Requires attention

  4 Satisfactory

  5 High standard

• Check operation of handbrake/footbrake

  1 Not applicable

  2 Requires urgent attention

  3 Requires attention

  4 Satisfactory

  5 High standard

• Check for firm brake pedal

  1 Not applicable

  2 Requires urgent attention

  3 Requires attention

  4 Satisfactory

  5 High standard

INTERIOR:

• Internal cleanliness maintained

  1 Not applicable

  2 Requires urgent attention

  3 Requires attention

  4 Satisfactory

  5 High standard

• Cargo barrier in place, where appropriate

  1 Not applicable

  2 Requires urgent attention

  3 Requires attention

  4 Satisfactory

  5 High standard

• Safety belts in good order

  1 Not applicable

  2 Requires urgent attention

  3 Requires attention

  4 Satisfactory

  5 High standard

EXTERIOR:

• Any damage to body work noted

  1 Not applicable

  2 Requires urgent attention

  3 Requires attention

  4 Satisfactory

  5 High standard

• Windscreen in good order and clean

  1 Not applicable

  2 Requires urgent attention

  3 Requires attention

  4 Satisfactory

  5 High standard

• Windscreen wipers and washers operating

  1 Not applicable

  2 Requires urgent attention

  3 Requires attention

  4 Satisfactory

  5 High standard

• Water in windscreen washer reservoir

  1 Not applicable

  2 Requires urgent attention

  3 Requires attention

  4 Satisfactory

  5 High standard

GENERAL SAFETY:

• System in place for reporting problems

  1 Not applicable

  2 Requires urgent attention

  3 Requires attention

  4 Satisfactory

  5 High standard

• Servicing as required

  1 Not applicable

  2 Requires urgent attention

  3 Requires attention

  4 Satisfactory

  5 High standard

FIRST AID:

• First Aid Kit in vehicle

  1 Not applicable

  2 Requires urgent attention

  3 Requires attention

  4 Satisfactory

  5 High standard

• Container and contents clean and orderly

  1 Not applicable

  2 Requires urgent attention

  3 Requires attention

  4 Satisfactory

  5 High standard

• System in place to replenish kit items

  1 Not applicable

  2 Requires urgent attention

  3 Requires attention

  4 Satisfactory

  5 High standard

• Expiry dates checked

  1 Not applicable

  2 Requires urgent attention

  3 Requires attention

  4 Satisfactory

  5 High standard

• Out of date items disposed of

  1 Not applicable

  2 Requires urgent attention

  3 Requires attention

  4 Satisfactory

  5 High standard

TYRES:

• Tyre tread checked for wear (Including spare)

  1 Not applicable

  2 Requires urgent attention

  3 Requires attention

  4 Satisfactory

  5 High standard

• Treads matching for front and rear tyres

  1 Not applicable

  2 Requires urgent attention

  3 Requires attention

  4 Satisfactory

  5 High standard

• Tyre pressure checked (Including spare)

  1 Not applicable

  2 Requires urgent attention

  3 Requires attention

  4 Satisfactory

  5 High standard

• Jack and wheel brace available and in good repair

  1 Not applicable

  2 Requires urgent attention

  3 Requires attention

  4 Satisfactory

  5 High standard

TRANSPORTATION OF CLIENTS:

• Are clients transported in the vehicle?

  Yes

  No

• Wheelchair hoist fitted, if required

  1 Not applicable

  2 Requires urgent attention

  3 Requires attention

  4 Satisfactory

  5 High standard

• Appropriate for the transport of clients

  1 Not applicable

  2 Requires urgent attention

  3 Requires attention

  4 Satisfactory

  5 High standard

• Ability to secure clients appropriately

  1 Not applicable

  2 Requires urgent attention

  3 Requires attention

  4 Satisfactory

  5 High standard

• Client behaviour while travelling is known

  1 Not applicable

  2 Requires urgent attention

  3 Requires attention

  4 Satisfactory

  5 High standard

GENERAL COMMENTS:

• Add any general about the vehicle

INSPECTING PERSONS DETAILS:

• Add signature

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• I Certify that the described vehicle is to the manufacturers specifications and is being serviced and maintained by competent personnel to the manufacturer’s recommendations.

• Add signature

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