Vehicle Inspection Form
Department:
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Site Name and address:
Vehicle Locations
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Please Select
Goulburn
Bathurst
Registration no:
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Vehicle Make and Model:
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Odometre Reading:
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Date Inspected:
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/
Day
/
Month
Year
Date
Service Due Date:
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-
Day
-
Month
Year
Date
Service Due Kilometres
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Item Checklist:
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Rows
Ok
Not Ok
N/A
Action Required
Fluids – radiator, oil, transmission, brake, steering, wiper
Lights – headlights, driving, tail, signal, hazard,
Tyres – pressure, tread, wheel nuts, spare
Brakes – function, emergency, warnings,
Aircon– functioning, windows clear
Safety – seatbelts, first aid kit, fire extinguisher (insp. Date)
Accessories – wipers, mirrors, hubcaps clean
Windshield – clean, no chips or cracks
PPE – gloves
Other
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Please circle the area where damage is noted and indicate type of damage:
Notes
Upload any documents related to vehicle
Browse Files
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of
Vehicle Photo 1 - from front left corner, covers "Left" side of the vehicle and front.
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Vehicle Photo 2 - from rear left corner, covers "Left" side of the vehicle and back.
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Vehicle Photo 3 - Inside front
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Vehicle Photo 3 - Inside back
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Inspected By:
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First Name
Last Name
Signature
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Submit
Should be Empty: