You are on page 1of 3

OHS ASSIST

VEHICLE INSPECTION
SITE: MILEAGE:
RESPONSIBLE DRIVERS: NEXT SERVICE MILEAGE:
DATE OF INSPECTION: TIME OF INSPECTION:
VEHICLE REG: INSPECTOR NAME:

ELECTRICAL SYSTEM
ELECTRIC LIGHTS OK/ FAULT/ NA COMMENTS
HEAD LIGHTS:
REVERSE LIGHTS:
TAIL LIGHTS:
BEACON LIGHTS:
RED AND GREEN LIGHTS:
HORN:
REVERSE ALARM:
DOOR SWITCH INTERLOCK:
ISOLATION SWITCH:
EMERGENCY SHUTDOWN SWITCHES (Master Switch):
INDICATOR LIGHTS:
HAZARDS LIGHTS:
PARKING LIGHTS:
BRAKE LIGHTS WORKING:
INTERIOR LIGHTS:
BATTERY OK/ FAULT/ NA COMMENTS
SECURED CIRCUIT TERMINALS:
BATTERY PERFORMANCE:
ECM CONDITION:
SEATS AND SEAT BELTS OK/ FAULT/ NA COMMENTS
FUNCTIONALITY OF SEAT BELTS:
CONDITION OF ALL SEATS:
FIRE SAFETY OK/ FAULT/ NA COMMENTS
STATUS OF FIRE EXTINGUISHERS:

BRAKE TEST OK/ FAULT/ NA COMMENTS


FOOT BRAKE: OK
HAND BRAKE/FAIL SAFE HOLDING: OK
CLUTCH PERFORMANCE: OK
GAS PEDAL PERFORMANCE: OK
BRAKE FLUID LEVEL: OK
Template Provided Free By: OHS Assist (Workplace Safety Made Simple)
www.ohsassist.app
OHS ASSIST
CHECK OK/ FAULT/ NA COMMENTS

ENGINE OIL LEVEL: OK

COOLANT LEVEL: OK

POWER PACK OIL LEVEL: OK


WEAR INDICATOR PIN: OK
BRAKE PAUSE: OK
TRANSMISSION OK/ FAULT/ NA COMMENTS
PROP SHAFT CONDITION/ DRIVE LINE/UNIVERSAL JOINT: OK

TRANSMISSION OIL: OK
HYDRAULIC CLUTCH FLUID RESERVIOR: OK
LUBRICATION POINTS: OK
GEAR OIL LEVEL: OK
STEERING FLUID LEVEL: OK
DOOR OPERATION MECHANISM OK/ FAULT/ NA COMMENTS
DOOR LOCK OPERATION: OK
WINDOW MECHANISM OK/ FAULT/ NA COMMENTS
WINDOWS CONDITIONS: OK
WINDOW MECHANISM CONDITION: OK
WINDSCREEN CONDITION/STATUS: OK
STATUS OF WIPER BLADES: OK
STATUS OF SIDE MIRRORS: OK
TYRES CONDITIONS OK/ FAULT/ NA COMMENTS
TYRE PRESSURE: OK
TREAD: OK
DAMAGE: OK
WHEEL STUDS AND NUTS: OK
SPARE TYRE (AVAILABILITY AND CONDITION): OK
CHASSIS CONDITIONS OK/ FAULT/ NA COMMENTS
DENTS: OK
DEFORMATIONS: OK
EXHAUST OK/ FAULT/ NA COMMENTS
LEAKS/ BLOWING: OK
EMMISSION TEST: OK

ENGINE SYSTEM
OIL LEAKAGE: OK

Template Provided Free By: OHS Assist (Workplace Safety Made Simple)
www.ohsassist.app
OHS ASSIST
V-BELT: OK
CHECK THE STATUS/PERFORMANCE OF THE VBELT: OK

TOOLS AND ACCESSORIES


CHECK OK/ FAULT/ NA COMMENTS
WHEEL SPANNER: OK
JACK: OK
FIRST AID BOX: OK
TRIANGLES: OK
CHOCK BLOCKS: OK

____________________________

INSPECTOR SIGNATURE

Template Provided Free By: OHS Assist (Workplace Safety Made Simple)
www.ohsassist.app

You might also like