LIGHT VEHICLE INSPECTION CHECKLIST

FORM

Doc. No. : HSE-F-OA-036 Rev. : A

Date : 4 Januari 2021 Page : 1 of 1

Date of Inspection : TAG. No :

Company Name : Manufacture :
Type of Equipment : Serial No. :
Police number : Model :

No Description Condition
Remarks
      Good Fair Poor
I Engine 1. Engines Assembly        
II Body 2. Fender LH        
    3. Fender RH        
    4. Engines Hood        
    5. Door & Glass LH        
    6. Door & Glass RH        
    7. Front & Rear Bumper        
    8. Windshield System        
    9. Radiator Grill        
    10. Rear Body Assembly        
    11. Windshield        
    12. Wipers        
III Brake System 1. Front Brake LH & RH        
    2. Rear Brake LH & RH        
    3. Parking Brake        
IV Drive Line 1. Clutch System        
    2. Transmission Assy        
    3. Transfer Case Assy        
    4. Front Differential        
    5. Rear Differential        
    6. Front Propeller Shaft Assy        
    7. Rear Propeller Shaft Assy        
    8. Front Axle Shaft (LH & RH)        
    9. Rear Axle Shaft (LH & RH)        
    10. 5 Tires        
    11. Tie-Rod Ends        
    12. Stabilizer Bar        
V Chassis 1. Frame        
    2. Spring        
    3. Parking Brake        
    4. Shock Absorber        
VI Elect. System 1. Charging System        
    2. Starting System        
    3. Lighting System        
    4. Battery        
    5. Metering System        
    6. Horn        
    7. Air Condition        
VII Accessories 1. Safety Belt        
    2. Fire Extinguisher        
 LIGHT VEHICLE INSPECTION CHECKLIST
FORM

Doc. No. : HSE-F-OA-036 Rev. : A

Date : 4 Januari 2021 Page : 2 of 1

    3. Safety Triangle        
    4. First Aid Kit        
    5. Whip flag        
    6. Back-up alarm        
    7. Rotary/strobe light        
    8. Jack c/w Handle and Tools        
VIII Others 1        
    2        
    3        
IX Comment          
             

HSE Inspector

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