Quality Lifestyle Support

Enhancing the Lives of Individuals

WPHS Monthly Vehicle Inspection Report

Vehicle Make
Registration No. / Odometer Reading
Section 1 / To be completed prior to starting vehicle
Registration & Servicing
Item / Serviceable / Comments
Registration Current / Yes No
Registration plates attached / Yes No
Servicing log book is in vehicle & current / Yes No
Vehicle Driver log book up-to-date / Yes No
Transportation of Clients
Item / Serviceable / Comments
Appropriate for the transport of clients / Yes No
Facility to secure clients appropriately / Yes No
Brakes & Warnings
Item / Serviceable / Comments
Handbrake operational / Yes No
Horn operational / Yes No
Interior
Item / Serviceable / Comments
Internal cleanliness / Yes No
Upholstery / Yes No
Seat Belts in good working order / Yes No
Dashboard in satisfactory condition / Yes No
Rear Vision Mirror operational / Yes No
Seat Adjustments operational / Yes No
Glove Box operational / Yes No
Tyres (including spare tyre)
Item / Serviceable / Comments
Tyre tread adequate / Yes No
Tyre treads matching for front & rear / Yes No
Tyresat appropriate air pressure / Yes No
Engine
Item / Serviceable / Comments
Engine Oil Level / Yes No
Oil leaks visible? / Yes No
Radiator Water level / Yes No
Radiator leaks visible? / Yes No
Brake fluid level / Yes No
Brake fluid leaks visible? / Yes No
Windscreen washer water level / Yes No
Windscreen washer leaks visible? / Yes No
Battery levels / Yes No
Battery leaks / Yes No
Battery connections clean / Yes No
Air filter clean? / Yes No
Power steering fluid level / Yes No
Power steering fluid leaks visible? / Yes No
Engine general cleanliness / Yes No
Body Damage
Indicate on the diagrams below, any damage to the body, windows, mirrors or windscreens, by using an “X”
Body Damage Comments
Safety Equipment
Item / Serviceable / Comments
Car Jack present / Yes No
Car Jack in working condition / Yes No
Basic Tool Kit present & complete / Yes No
First Aid Kit present / Yes No
Contents complete and/or replenished / Yes No
Expiry dates checked & OK / Yes No
Out of date items disposed of / Yes No
Section 2 / To be completed after starting vehicle
Exterior Lights
Item / Serviceable / Comments
Front RHS parking lights operational / Yes No
Front LHS parking lights operational / Yes No
Back RHS parking lights operational / Yes No
Back LHS parking lights operational / Yes No
Front RHS headlight operational / Yes No
Rear RHS light operational / Yes No
Front LHS headlight operational / Yes No
Rear LHS light operational / Yes No
Front RHS High beam light operational / Yes No
Front LHS High Beam light operational / Yes No
Front RHS indicator operational / Yes No
Rear RHS indicator operational / Yes No
Front LHS indicator operational / Yes No
Rear LHS indicator operational / Yes No
Front RHS hazard light operational / Yes No
Rear RHS hazard light operational / Yes No
Front LHS hazard light operational / Yes No
Rear LHS hazard light operational / Yes No
Front Number Plate light operational / Yes No
Rear Number Plate light operational / Yes No
Boot Light operational / Yes No
Interior
Item / Serviceable / Comments
Interior light operational / Yes No
Dashboard lights operational / Yes No
Indicator lights on dashboard operational / Yes No
Handbrake light on dashboard operational / Yes No
Hazard lights on dashboard operational / Yes No
Warning lights turns off after initial start up of vehicle / Yes No
High Beam Light on dashboard operational / Yes No
Air-conditioning operational / Yes No
Heating operational / Yes No
Vents operational / Yes No
Radio operational / Yes No
Section 3 / To be completed after driving vehicle
Driving
Item / Serviceable / Comments
Brakes operational / Yes No
Warning lights do not appear on dashboard / Yes No
Speedometer operational / Yes No
Odometer operational / Yes No
Performance of vehicle satisfactory? / Yes No
Section 4 / Additional Comments
Inspector Signature
Inspector Name
Role
Date of Inspection
Due date of next Inspection

WPHS Monthly Vehicle Inspection Report, Version 4September 2014