Basic Details

  • Enter basic information about the driver and vehicle. Take picture of front of car.

  • Add media

  • Drivers Name

  • Type of vehicle

  • Vehicle Make

  • Registration

  • Current Mileage

  • Date of Last Service

  • Mileage at last service

Vehicle Check

  • Is evidence of Car Tax available and kept with vehicle?

  • Is a No Smoking sign displayed inside vehicle?

  • Is a High Visibility jacket / vest kept in vehicle?

  • Is a Warning Triangle Sign kit kept in the Vehicle?

  • Is a travelling first aid kit kept in the Vehicle?

Front of Vehicle

  • Check the front of the vehicle. Use the check boxes to indicate correct operation.

Side Lights

  • Near Side

  • Off Side

Dip Lights

  • Near Side

  • Off Side

Full Beam

  • Near Side

  • Off Side

Indicators

  • Near Side

  • Off Side

Hazard Warning Lights

  • Near Side

  • Off Side

Fog Lights

  • Near Side

  • Off Side

Rear of Vehicle

  • Check the tear of the vehicle. Use the check boxes to indicate correct operation. If an item is not fitted then. ........

Side Lights

  • Near Side

  • Off Side

Brake Lights

  • Near Side

  • Off Side

Reversing Lights

  • Near Side

  • Off Side

Indicators

  • Near Side

  • Off Side

Hazard Warning Lights

  • Near Side

  • Off Side

Fog Lights

  • Near Side

  • Off Side

General

  • Check the following general items.

  • Windscreen free from crack or other significant damage?

  • Wing mirrors free from cracks or other significant damage? If electrically operated do they function correctly?

  • Windscreen Wipers in good condition, not split or damaged?

  • Windscreen wash available and working?

  • Rear mirror OK?

  • Rear Window free from crack or other significant damage?

  • Horn operational?

Tyres

  • Make a visual check of tyres. Indicate if visually they look;
    In Good Condition
    In Reasonable Condition
    In Poor Condition

  • Near Side Front

  • Near Side Rear

  • Off Side Front

  • Off Side Rear

  • Spare or Space Saver

  • Tyre Repair Kit / Pump / Jack

Vehicle Damage

  • Make a note of any vehicle damage. Take a photo to show damage.

  • Vehicle Damage
  • Description

  • Photo

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