Heavy Vehicle Inspection Checklist - SafetyCulture

Heavy Vehicle InspectionChecklistconducted forBilly TrucksLocationKidman Way, Mount Hope NSW 2877, AustraliaConducted on26 Apr 2018 02:45 PMPrepared bySafetyCulture StaffCompleted on26 Apr 2018 02:57 PMScore64/67.0 - 95.52%

Actions#1. Fix this rotor brake to avoid loss of brake during travel and operationAssignee:Priority:Due Date:Audit:Linked to item:Status:carley593@gmail.comHIGH26 Apr 2018 02:48 PMBilly Trucks / SafetyCulture Staff / 26 Apr 2018Drums or RotorsTo Do#2. Please fix the leaksAssignee:Priority:Due Date:Audit:Linked to item:Status:Sheenred@gmail.comMEDIUM26 Apr 2018 02:52 PMBilly Trucks / SafetyCulture Staff / 26 Apr 2018Visible LeaksTo DoBilly Trucks / SafetyCulture Staff / 26 Apr 2018-2-

Audit - 64/67 95.52%QuestionResponseDetailsGeneral InformationSelect vehicle typeTruckSelect vehicle identification typeLicense Plate #, VINEnter VIN #HWR 413TTake photo of License Plate No.Appendix 1Enter mileage60,000 milesTake photo of the vehicleAppendix 2AdministrativeRegistration & insurance cards arecurrent?YesLicense plate and tags are current?YesInspectionScore (64/67) 95.52%BRAKE SYSTEMAdjustmentBilly Trucks / SafetyCulture Staff / 26 Apr 2018Score (64/67) 95.52%Cards are all up to dateScore (9/11) 81.82%OK-3-

QuestionDrums or RotorsResponseNeedsRepairDetailsRusty rotorAppendix 3REFERENCE: Good brakes must be free from rusts[This is an example of how you can use iAuditor to include best practice reference images in yourtemplates to assist with inspections]Hoses and/or TubingNeedsRepairHose has a small hole that can causeleaksAppendix 4LiningOKWarning (Low Pressure)OKBilly Trucks / SafetyCulture Staff / 26 Apr 2018Score (64/67) 95.52%-4-

QuestionTractor Protection ValveAppendix 5ResponseDetailsRepairedAppendix 6Air CompressorOKService BrakesOKParking BrakesOKElectric BrakesNotApplicableHydraulic BrakesOKVacuum BrakesOKWarning (Sys Failure)OKSTEERING SYSTEMScore (8/8) 100.00%Free Play (Lash)OKSteering ColumnOKFront Axle BeamOKSteering Gear BoxOKPittman Arm.OKBall & Socket JointsOKTie Rods &Drag LinksOKBilly Trucks / SafetyCulture Staff / 26 Apr 2018Score (64/67) 95.52%Air compressor is in good workingcondition-5-

QuestionNuts, Bolts, FastenersResponseDetailsRepairedAppendix 7Power Steering FluidWINDSHIELDSOKScore (2/2) 100.00%Glass free of cracks, discolorationOKWiper power unit, bladesOKWIPERSAll working and in good conditionFUEL SYSTEMVisible LeaksScore (1/1) 100.00%OKScore (2/3) 66.67%NeedsRepairVisible leaksAppendix 8Fill Caps in place/intactOKTank(s) securely attachedOKLIGHTING DEVICESScore (10/10) 100.00%HeadlampsOKFront Turn SignalsOKFront ID/Clearance LampsOKSide Marker Lamps —LeftOKSide Marker Lamps -RightOKBilly Trucks / SafetyCulture Staff / 26 Apr 2018Score (64/67) 95.52%-6-

QuestionResponseRear Turn SignalsOKStop LampsOKTail LampsOKRear ID/Clearance LampsOKRe fie ctors / Ref TapeOKCOUPLING DEVICESScore (5/5) 100.00%5th WheelOKPintle HooksOKDrawbar EyeOKDrawbar TongueOKSafety DevicesOKEXHAUST SYSTEMScore (2/2) 100.00%LeaksOKPlacementOKSAFE LOADINGSecurement DevicesSUSPENSIONScore (1/1) 100.00%OKScore (3/3) 100.00%Springs (cracked/broken/shifted)OKU-bolts. Hangers, etc.OKTorque, Radius, Tracking ArmsOKFRAMEScore (3/3) 100.00%Frame MembersOKTire &Wheel ClearanceOKSliding Subframe (adj. axle)OKTIRESSteering Axle Tires -ConditionBilly Trucks / SafetyCulture Staff / 26 Apr 2018Score (64/67) 95.52%DetailsScore (4/4) 100.00%OK-7-

QuestionResponseSteering Tires - over 4/32" treadOKOther Tires — ConditionOKOther Tires — over 2/32" treadOKWHEELS & RIMSScore (4/4) 100.00%Lock/Slide RingOKFastenersOKDisk/Spoke ConditionOKWeldsOKCARGO & EQUIPMENT (LEAN)DetailsScore (2/2) 100.00%All equipment is secured & adequatelystored?OKTruck is organized & free of excessivematerial?OKSAFETYHealth & Safety Manual in the truck?YesFirst Aid kit is complete and items withinthe expiration date?YesFire extinguisher mounted with currentinspection tag?YesSure off tester and water managementtools on truck?YesIF EQUIPPED WITH A TRAILERScore (8/8) 100.00%Trailer has been checked for properconnection to the vehicle?OKBrakes if equipped?OKCargo Secure?OKLights/Marker Lamps?OKSprings Appear OK?OKStraps/Tie Downs?OKBilly Trucks / SafetyCulture Staff / 26 Apr 2018Score (64/67) 95.52%Manuals and guides are in the trucks forreminders of safety measures-8-

QuestionResponseTrailer Tires & Pressure?OKTrailer Platform Integrity?OKSummaryDetailsList any other condition which may affectsafe vehicle operation.1. Regularly schedule vehicle maintenance — oilchanges and all-over inspections — tops mostautomotive experts’ lists to ensure trucks last longer.2. Clean it up.3. Keep tires properly inflated to prevent unnecessarywear and tear. The recommended air pressure is usuallyindicated in the owner’s manual and the pickup truck’stire well. Replace worn out tires if necessary.Check boltsand fasteners if properly screwed.Enter any other observationsNoneRate the overall condition of the vehicleAverageEnter recommendations here1. Regularly change engine oil and fluids.2. Regularly adjust belts, hoses, brake pads, drive belts,timing belts and hoses. Replace them if necessary. Thebrake system should also be in good condition. Wornout brake pads should also be immediately replaced.3. Regularly inspect the suspension system. Vitalcomponents such as the struts, springs, shockabsorbers, and linkages should be regularly checked.RecommendationsCompletionFull Name andSignature of CertifiedInspectorIvan DorschnerBilly Trucks / SafetyCulture Staff / 26 Apr 2018Score (64/67) 95.52%26 Apr 2018 03:00 PM-9-

MediaAppendix 1Appendix 2Appendix 3Appendix 4Billy Trucks / SafetyCulture Staff / 26 Apr 2018- 10 -

Appendix 5Appendix 6Appendix 7Appendix 8Billy Trucks / SafetyCulture Staff / 26 Apr 2018- 11 -

Heavy Vehicle Inspection Checklist conducted for Billy Trucks Location Kidman Way, Mount Hope NSW 2877, Australia Conducted on 26 Apr 2018 02:45 PM Prepared by SafetyCulture Staff Completed on 26 Apr 2018 02:57 PM Score 64/67.0 - 95.52%