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Vehicle Safety Inspection Form

Vehicle Safety Inspection Form.pdf  

 .............................................. Registration No.                                                                                                              

..........................................................

Date ....................................... Odometer ............................................                           Kilometres    

The following inspection procedure is to supplement and is in addition to the normal company service and vehicle manufactures specifications.
This is a visual inspection only.

 

Inspection: Satisfaction

Rectified

ITEM

Yes 3

No 3

Date

Signed

TYRES & WHEELS

 

 

 

 

Wheel nuts (visual)

 

 

 

 

Front wheels & lock rings for condition

 

 

 

 

Tyres for correct pressure & valves for leaks

 

 

 

 

Tyre tread for condition & depth

 

 

 

 

Tyre walls (without wheel removal) for damage

 

 

 

 

Tyre construction for correct location

 

 

 

 

BRAKES

 

 

 

 

Brake lines & hoses for condition

 

 

 

 

Brake linings for wear & contamination

 

 

 

 

Brake system for air leaks

 

 

 

 

Slack adjusters & auto adjuster for operation & locking

 

 

 

 

Air vacuum for correct build up time

 

 

 

 

Drain valves for operation

 

 

 

 

Service & parking brake for correct operation

 

 

 

 

Hydraulic fluid for level & leaks

 

 

 

 

Brake warning system for operation

 

 

 

 

CONTROLS

 

 

 

 

Gear & clutch controls for correct operation

 

 

 

 

Steering system for free play & slackness

 

 

 

 

Steering arms & tie rods for condition

 

 

 

 

Windscreen wipers/washers for operation & condition

 

 

 

 

LIGHTING

 

 

 

 

Headlamps for operation damage

 

 

 

 

Park, rear, clearance, number plate, stop, reverse, turn signal, warning lights, hazard light & dashlights for operation & damaged lenses

 

 

 

 

Step, interior & destination lights for operation

 

 

 

 

BATTERY

 

 

 

 

Battery terminals & cables for condition

 

 

 

 

Battery & battery carrier for security

 

 

 

 

GENERAL & BODY

 

 

 

 

Power steering system for leaks

 

 

 

 

Engine for excessive oil & water leaks

 

 

 

 

Exhaust system for condition, security & efficiency

 

 

 

 

Gearbox & differential for excessive oil leaks

 

 

 

 

Fuel system for leaks

 

 

 

 

Axle hub seals for leaks

 

 

 

 

Horn for operation

 

 

 

 

Springs for condition

 

 

 

 

‘U’ bolts & centre bolts for security & condition

 

 

 

 

Rear vision mirrors for security & condition

 

 

 

 

Body exterior for dangerous projections

 

 

 

 

Passenger access doors for security & operation

 

 

 

 

Seats for security

 

 

 

 

Steps, floor & hatches for security & condition

 

 

 

 

Engine cover sealing inside passenger compartment for condition

 

 

 

 

Fire extinguisher for presence & charge

 

 

 

 

Inspection Completed ..........................................................................................                                                                                                                     Signed   

Note:     Safety Inspections to be carried out at 10,000 km intervals or every 3 months (whichever occurs first).

Tick and complete the appropriate box along side each item

The person performing the inspection should sign the bottom of each form.

This form must be retained by the operator for a period of at least 2 years after the inspection.

 

Vehicle Safety Inspection Form(continued)

........................................................................                                                                                     Registration No.                                                                                                              

.........................................................

Date ....................................... Odometer ............................................                           Kilometres    

The following inspection procedure is to supplement and is in addition to the normal company service and vehicle manufactures specifications.

This is a visual inspection.

 

Inspection: Satisfaction

Rectified

ITEM

Yes 3

No 3

Date

Signed

SUSPENSION

 

 

 

 

Radius rods for condition of joints

 

 

 

 

Front & rear axle mountings for condition & cracks

 

 

 

 

Shackles for condition

 

 

 

 

Shock absorbers & joints for condition

 

 

 

 

 

 

 

 

 

BRAKES

 

 

 

 

Vacuum system air filter for security & cleanliness

 

 

 

 

Air priority system for operation & condition

 

 

 

 

Retarder/exhaust brake for operation & control

 

 

 

 

 

 

 

 

 

STEERING

 

 

 

 

Steering box for security & operation

 

 

 

 

Steering pins, joints & king pins for condition

 

 

 

 

Steering wheel & column for excessive play

 

 

 

 

 

 

 

 

 

GENERAL

 

 

 

 

Engine insulating material for condition

 

 

 

 

Starter motor for security

 

 

 

 

Driver shafts for condition & security

 

 

 

 

Universal joints & splines for condition

 

 

 

 

Fuel tank mounting & fuel line mounting for security

 

 

 

 

Wheel bearings for adjustment

 

 

 

 

Wheel nuts for tightness

 

 

 

 

 

 

 

 

 

BODY

 

 

 

 

Body mounting attachments for security & condition

 

 

 

 

Body for visual structure defects

 

 

 

 

 

 

 

 

 

SIGNS

 

 

 

 

Check quality & condition of legal signs

 

 

 

 

 

 

 

 

 

ROAD TEST

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Inspection Completed ..........................................................................................                                                                                                                     Signed   

 

Note:     Safety Inspections to be carried out at 10,000 km intervals or every 3 months (whichever occurs first).

Tick and complete the appropriate box along side each item

The person performing the inspection should sign the bottom of each form.

 

Perth

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Sat, 05/28/2022 - 23:00
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