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Car Inspection Checklist: Insurance Certificate

This document is a car inspection checklist used by an Africa-based QHSE (Quality, Health, Safety and Environment) department to inspect company vehicles. The two-page checklist includes over 50 line items to check regarding the vehicle's certificates and insurances, safety equipment, condition, fluid levels, and any notes or deficiencies. Inspectors are to check that all required items are present and in good working order, and note any items in poor condition for repair or replacement. Drivers must sign off to confirm inspection and acknowledge responsibility for their vehicle and authority to refuse unsafe operations.

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4K views1 page

Car Inspection Checklist: Insurance Certificate

This document is a car inspection checklist used by an Africa-based QHSE (Quality, Health, Safety and Environment) department to inspect company vehicles. The two-page checklist includes over 50 line items to check regarding the vehicle's certificates and insurances, safety equipment, condition, fluid levels, and any notes or deficiencies. Inspectors are to check that all required items are present and in good working order, and note any items in poor condition for repair or replacement. Drivers must sign off to confirm inspection and acknowledge responsibility for their vehicle and authority to refuse unsafe operations.

Uploaded by

dnmule
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as XLSX, PDF, TXT or read online on Scribd
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AFRICA Q-HSE DEPARTMENT

CAR INSPECTION CHECKLIST

Rev 02

Registration N°: Date:

Make of the Car: Supplier:

Model of the Car: Driver's Name:

CERTIFICATES & Furnished Min


How Many?
Comments SAFETY EQUIPMENT (0 if none)
Requirem Comments
INSURRANCES YES NO ent

Insurance Certificate Fire Extinguisher (Dry Powder) 1

Vehicle Wallet First Aids Kit 1

Servicing History Reflective Vests 1

National Driver Licence Flashlight (Charged Up) 1

Driver Autorisation Letter Shovel /

Gloves /
Others:
Warning Triangle 1

Others:

Furnished Condition
Where if
EQUIPEMENT Comments VEHICLE CONDITION Poor?*
Comments
YES NO GOOD POOR

Spare Wheel Bodywork

Reversing Alarm Mirrors

Horn Wipers

Rubber Rugs Tyres (inc Spare)

Fire Pump/Pressure Gauge Indicators

Jacking Equipement Lights (inc reversing lights)

Tool Kit Interior (Cleanliness)

Battery Cable Seat Belts

Wedge Head Rests

Towing Strop Windows

AC/Heater * Mark Down if Poor (using Letters or Numbers)

Others :

Levels
FLUID LEVELS Comments
HIGH LOW

Oil

Fuel

Coolant

Water

Screen Wash

Notes :
- All the above items must be checked. The driver is solely responsible for the use of his equipment. He has full authority to refuse any dangerous operation.
- The Stopping Items, identified in bold-underlined-italic font, lead to immediate and systematic stop of the equipment until deficiencies are corrected or until any
instructions from Managers and/or Q-HSE.

COMMENTS

Nom du chauffeur et signature : Nom du Superviseur Logistics


et signature :

Document N°: Rev 02


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This document is uncontrolled when printed

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