VEHICLE SAFETY

INSPECTION CHECKLIST
Driver's Name: Vehicle Reg:

PAC number:
Date:

ITEM DESCRIPTION YES NO N/A COMMENTS

1 Tires in good condition

Condition of wheels satisfactory (no
2 dangerous deformation, all studs and nuts in
place)
3 Brake system working properly
4 Steering system working normal
5 Parking Brake functional
6 All seatbelts fitted and working properly
7 Mirrors present and clean
8 All lights and signals working
9 Windshields free of cracks and clean
10 Windshield washers working
11 Windshield wipers working
12 Spare wheel fitted and in good condition
13 Tools for tire change provided
14 First Aid Kit provided
15 Triangle provided
16 Fire extinguisher fitted/secured and checked
17 Air Conditioning working
18 Fuel tank full
19 Backup alarm working
20 Torch (Flashlight)
21 Total number of kilometres

Inspected By: Verified By

Name: Name:
Position: Position:
Date: Date: