Title Page

  • Station

  • Fleet Number / Serial Number

  • Engineer's Print Name

  • Engineer's Staff Number

  • Prepared by

  • Date

  • Location

BLANK VAN CHECK SHEET

  • INSTRUCTIONS
    ---------------------
    1. Please answer the questions provided below.
    2. Add photos and notes by clicking on the paperclip icon.
    3. To add a Corrective Measure click on the paperclip icon then "Add Action", provide a description, assign to a member, set priority, and due date.
    3. Complete audit by providing digital signature.
    4. Share your report by exporting as PDF, Word, Excel or Web Link.

FORD TRANSIT CONNECT

  • Please select Check Cycle

  • • A SERVICE = MONTHLY

  • 1. Check level of engine oil and top up as required.

  • 2. Check screen wash level and top up as required.

  • 3. Check steering and brake fluids and top up as required.

  • 4. Check all vehicle lights and replace any filaments as required.

  • 5. Check tyre pressure and adjust as required.

  • 6. Check security of ladder rack for both attachment to ladder and to vehicle.

  • 7. Carry out a general visual inspection of the outside of the vehicle for damage.

  • 8. Carry out inspection for damage to the inside of the vehicle.

  • 9. Remove all debris from inside of vehicle.

  • 10. Check the vehicle inspection sticker and ensure date is still valid.

  • 11. Check fire extinguisher is in date and replace as required.

  • 12. Check condition and expiry of eye wash bottle and replace as required.

  • 13. Check spare tyre for condition and pressure, service as required.

  • • B SERVICE = 3 MONTHLY

  • 1. Check level of engine oil and top up as required.

  • 2. Check screen wash level and top up as required.

  • 3. Check steering and brake fluids and top up as required.

  • 4. Check all vehicle lights and replace any filaments as required.

  • 5. Check tyre pressure and adjust as required.

  • 6. Check security of ladder rack for both attachment to ladder and to vehicle.

  • 7. Carry out a general visual inspection of the outside of the vehicle for damage.

  • 8. Carry out inspection for damage to the inside of the vehicle.

  • 9. Remove all debris from inside of vehicle.

  • 10. Check the vehicle inspection sticker and ensure date is still valid.

  • 11. Check fire extinguisher is in date and replace as required.

  • 12. Check condition and expiry of eye wash bottle and replace as required.

  • 13. Check spare tyre for condition and pressure, service as required.

  • 14. Check wheel brace/jack for condition and replace as required.

  • 15. Check date of AOA sticker expiry. (Order new one, one month before expiry)

COMPLETION

  • Engineer's Name and Signature

  • Auditor's Name and Signature

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.