Employee's Vehicle Safety Audit Checklist

Employee Name: Date of Audit (DD/MM/YYYY):

Employee designation: Vehicle Audit time:
Driving Licence number and Validity: Vehicle Registration No. and Year:
Vehicle Make and model No: Vehicle last Service date:

Sl. No. Description Yes/ No/ NA Applicability Remarks

1 Vehicle in good condition and Periodical services done All
2 Vehicle not met with any major incident during last 3 months period All
3 Vehicle Brakes (as applicable for 2 or 4 Wheeler) are in working condition All
4 Brake, Clutch and Accelerator cables visually inspected for any damage 2 Wheeler
5 Left, right (and rear for 4 Wheeler) view Mirrors are available and fit to view All

6 No major cracks, cuts at vehicle Tyres and in good condition All

7 Tyre Air pressure is at acceptable level (visual observation) All

Vehicle Number plate, RC book, Insurance, Pollution certificate, NOC etc., are valid.
8 All
(Please mention Vehicle Owner name as mentioned in RC book in Remarks)
9 Windshield Wipers are in working condition 4 Wheeler
10 No Engine oil leakage observed in and around vehicle parked area All

11 All lights (Head light, Tail light, Side indicators, Break light) are in working condition All

12 Horn is in working condition All

13 Helmet and its Lock are in good condition 2 Wheeler
14 Vehicle is having Safety belt provision for all passengers and in working condition 4 Wheeler
15 Vehicles door and glass window are in proper working condition 4 Wheeler
16 Vehicle Stand-by Tyre is available and in proper condition 4 Wheeler

Other observations if any:

Name & Designation of Auditor:

Signature: