MTV INSPECTION CHECKLIST

(Pre-Mobilization/ Monthly/ Quarterly) Tick Appropriate ✓

A
Location Insurance Validity
H
B I
Vehicle Make/ Model Road Tax Validity

C J
Registration Number Fitness Validity

D K
Odometer reading PUC Validity

E L
Contractor Name Seating capacity

F B.P. Vehicle in- Battery make &

M
charge mob no. Invoice Details
G
N Battery warranty date
Inspection Date

Driver Details:
O Driver Name Gate pass no.

P License Number Validity

Q License type
R Authorisation Card for Driving (for commercial drivers):
Validity & stamp of
Road safety
S HSE Ind. training DDT
date
T BTW date

PART 1: CHECKLIST FOR INSPECTION

In Status column, enter: ✓ - Pass x - Fail
Heavy vehicles older than 10 years from Date Of Registration shall not be inspected, as does not meet vintage criteria.

I NO – GO Criteria as per Balco Procedure for fleet management

STATUS RECHECKED
DEFECT
S.No. DESCRIPCTION (✓ - Pass; X (Date &
FOUND
-Fail) Sign)
1 Main horn provided and working properly (Audible)
2 Reverse Horn provided and working properly (Audible)
3 All tyres must be in good condition (Tread depth min 1.6mm)
Head lights, side indicators, back light provided & functioning
4
properly
5 Front & Reverse Camera
6 RUPD, SUPD & Fuel Tank Guards in place
7 Is the seat belt installed and working. (Retractable, 3 points)
8 Brakes / parking brakes are in good condition
9 Are mirrors available and in good condition
10 Are wind shields intact and both wipers working
11 Availability & use of Wheel chocks. -one pair
12 Display of Safe Distance sticker (5 meters)
Availability of reflective stickers over vehicle (Front: white, Side:
13
Yellow, back: Red) min. 50mm Width
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Other Key Requirements as per Balco procedure for fleet

II
management
14 Is a fire extinguisher present inside the operator cabin 5 KG BIS
Marked DCP stored pressure portable type)
15 Availability of First aid kit (Dettol, Bunol, Bandage, cotton, band aid)
16 Tilt sensor installed in cabin
17 Disabled vehicles marker (Reflective Warning Triangle)
18 No Dark Films on side Wind shields
19 Hazard Warning Switch
20 Mud Guards and Mud Flaps
21 Is any oil leakage
Visual condition (Battery Cover available & it is not good conductor of
22
electricity, any cracks, Bulge, leakage are not present)
23 Low Air Brake Pressure (Audio Visual Alarm)
24 Whether Jack, Tools,
25 Condition of Doors, Floor and Steps
26 Condition of Vehicle Body
27 Functional Speedometer
Driver Controls on Dashboard / Functional Speedometer in working
28
condition
29 Fuel Tanks leakage
30 Broken / Damage wheel nuts
31 Oil Leaks, Coolant Leaks
32 Front, Rear & Side Registration Number Plate
33 Maintenance record availability
34 Whether Emergency Contact nos. posted and visible?
35 BP safety officer’s vehicle inspection checklist status
36 Fatigue register
37 GPS system installed
38 Driver fatigue monitoring device installed or not

PART 2: VEHICLE FITNESS FOR ACCEPTANCE

Vehicle is fit for use (See Re-Checked Column above) Yes / No

Vehicle Inspector Driver

Name: Name:

Signature: Signature:

PART 3: Re-Inspection after Rectification of Defects (if any)

S. No Defects Corrected Vehicle Inspector Vehicle Acceptance Driver
(Name & Sign) (Yes/No) (Name & Sign)