Guideline Vehicle Safety Inspection Checklist Template Page 2
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1
2Guideline Vehicle Safety Inspection Checklist
Pre 1949 vehicles only
4. Seats
Seats structurally sound and securely mounted
Latches/hinges
12. Road test
(if conducted)
Does the vehicle display any undesirable handling
characteristics or instability when driven under a range
Mudguards
of driving conditions including accelerating, cornering
and braking?
5.Lamps, signals, reflectors
Presence
Bumpers
13. Modifications
Has the vehicle been modified? – provide details
Condition
Field of view
Colour of emitted light
9.Engine and driveline
When assessed according to VSI 33 are there
Operation
Oil leaks
any modifications that require certification?
If so provide VASS Approval Certificate no.
TellTales
Mountings
Date
D
D
M
M
Y
Y
Y
Y
Clearances
6.Exhaust
14. Outcome of first inspection
Free of leaks
Shielding of rotating parts
Comments and recommendations, rectifications required.
Routing/Mounting
10. Fuel system
Heat shielding
Free of leaks
Inspected by
Noise
Tank mounting/venting/filling
Location
Lines – material/routing/mounting/heat protection
Date
Signed
D
D
M
M
Y
Y
Y
Y
7.Glazing
Material
Y
Date
D
D
M
M
Y
Y
Y
Pumps and Filters
Condition
15. Outcome of second inspection
11. Other
(if required)
Tinting
Rear vision mirror(s)
Wipers
Battery – security/venting
Inspected by
Wiring – routing/mounting/protection
8. Body and chassis
Rust/damage
Y
Date
Signed
D
D
M
M
Y
Y
Y
Horn
Protrusions
Y
Date
D
D
M
M
Y
Y
Y
Pedals and other controls
Structural integrity
Steering wheel
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