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OCCUPATIONAL HEALTH & SAFETY MANAGEMENT SYSTEM Ref. No. : SR4.4.

6/06

Document Title: Rev. No./ Issue : 1 / 13


Vehicle Inspection Checklist Issuing Date : 17.06.2013

Date:
Location:

Name & Signature of Safety Officer / Engineer:


Vehicle / Equipment Type & Plate#
Driver Name & ID#

S# EXTERNAL Yes No NA S# INTERNAL Yes No NA


ELECTRICAL CONTROL
1 Headlight Working 1 Horn
2 Brake Light Working 2 Brakes
3 Turn Light Working 3 Windshield Wipers
WINDSHIELD, WINDOWS,
4 Back-up Light Working WIPERS etc
RUBBER PRODUCTS 4 Windshield wiper blades
Front wind shield – clean,
5 Fan Belt 5
No cracks
6 Tires-Correct Air Pressure 6 Unobstructed view
Back Windows clean, No
7 Tread Pattern Matches 7
cracks, unobstructed
Overall Condition – No deep Side window clean, No
8 8
cracks, unobstructed
cuts, lumps, tears & bulges
VEHICLE BODY SEAT, SEAT BELTS & MIRRORS
Driver’s seat position &
9 No Damage 9
seat belt
10 Load Security 10 Passenger Seat & Seat Belt
11 Lights & Reflectors - Clean 11 Mirrors
EMERGENCY EQUIPMENT

12 Jack & Accessories


13 Fire Extinguisher
14 First Aid Kit

Remarks (if any):

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