Title Page

  • Document No.

  • Driver name

  • Registration

  • Mileage

  • Conducted on

  • Prepared by

  • Location

Tyre Condition

  • N/S Front

  • N/S Rear

  • O/S Front

  • O/S Rear

  • Spare

  • Comments

  • Pics

Lights

  • Head lights

  • Tail lights

  • Side lights

  • Brake lights

  • Indicators

  • Horn

  • Drop down ladder

  • Comments

  • Pics

Fluid levels

  • Water

  • Oil

  • Screen wash

  • Power steering fluid

  • Comments

  • Pics

Equipment

  • Internal racking

  • First aid kit

  • Fire extinguisher

  • Internal lights

  • Chemicals present

  • Internal cleanliness

  • Van stock

  • PPE

  • Ladder tags

  • Comments

  • Pics

Damage to body work

  • Front

  • Rear

  • Off-side

  • Near-side

  • Top

  • Comments

  • Pics

Signatures

  • Assessor

  • Driver

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