Title Page

  • Broadland Housing Association
    NCFC
    Jarrold Stand
    Carrow Road
    Norowich
    NR1 1HU

  • Location
  • Inspection carried out by

  • Conducted on

General Information

  • Enter Drivers Name

  • Enter Licence Plate Number

  • Enter Mileage

  • Take photo of exterior of van (front)

  • Take photo of exterior of van (rear)

  • Take photo of exterior of van (drivers side view)

  • Take photo of exterior of van (passenger side view)

  • Take photo of interior (cab area)

  • Take photo of interior (storage area)

Inspection

CAB AREA

  • Does the footbrake operate correctly with no excessive travel?

  • Check footbrake peddle rubber is secure and intact

  • Does the handbrake operate correctly with no excessive travel?

  • Does the steering operate correctly with no excessive play, heaviness, noises etc.

  • Describe defect:

  • Do the interior cab lights work?

  • Are the dashboard lights working correctly? e.g. indicator signal etc.

  • Are there any warning lights/messages on the dashboard? e.g. ABS etc.

  • Which lights/messages are displayed?

  • Are the mirrors correctly aligned, secure and vision not obscured by damage or discolouration?

  • Is there good visibility through the windscreen & windows?

  • Glass free of chips/cracks, discoloration and other damage

  • Describe defect/s:

  • Take photo of defect/s

  • Do the windscreen wipers and washers work correctly?

  • Describe defect/s:

  • Are the seats/seatbelts secure, function correctly & free from cuts/damage?

  • Describe defect/s:

  • Does the horn work correctly?

  • Does the heater/demister work correctly?

  • Cleanliness of cab area

EXTERIOR

  • Are there excessive emissions e.g. black smoke etc?

  • With the engine running, are there any visible leaks?

  • Fuel cap securely fitted and the flap secure

  • Bodywork condition - are there any dents/scrapes/sharp edges etc.

  • Take close up photo of damage

  • Take close up photo of damage

  • Take close up photo of damage

  • Describe damage

  • Take photo of damage

  • Cleanliness of exterior

LIGHTING DEVICES

  • Headlights working correctly (both dipped and full beam)?

  • Brake lights working correctly?

  • Tail lights working correctly?

  • Reverse light/s working correctly?

  • Indicator lights working correctly?

  • Are the number plate lights working?

TYRES/WHEELS

  • Tread wear N/S/F

  • Tread wear N/S/R

  • Tread wear O/S/F

  • Tread wear O/S/R

  • Tread wear Spare

  • Air pressure (do the tyres look inflated?)

  • Which tyre/s look deflated?

  • Tyre condition - are there any cords visible, deep cuts or damage etc?

  • Describe defect/s:

  • Take photo of defect on tyre

  • Take photo of defect/s

  • Are there any missing or insecure wheel nuts?

ENGINE FLUIDS

  • Check oil level

  • Check brake fluid level

  • Check power steering fluid level

  • Check coolant level

  • Check screen wash level

STORAGE AREA

  • Is the bulkhead free from damage?

  • Take a photo of the damage

  • Is the racking secure?

  • Chemicals present

  • Correct van stock (as required for job role)

  • Is the flooring secure with no lifting/damage?

  • Take photo of lifting/damage

  • Is the plyboard lining in good condition?

  • Take photo of any damage

  • Do the doors (rear & side) shut securely?

  • Is the interior lighting working correctly?

  • Cleanliness of storage area

LADDER, PIPE TUBE & ROOF RACK INSPECTION

  • Is the drop down ladder fit for use? e.g. free from damage etc.

  • Describe defect:

  • Is the pipe tube fit for use? e.g. lockable etc.

  • Describe defect:

  • Number of pipe tubes fitted to vehicle

  • Are both the drop down ladder and pipe tube securely fitted to the roof rack?

  • Is the roof rack securely fitted to the vehicle and free from damage?

  • Describe defect:

SAFETY EQUIPMENT

  • Fire extinguisher present and within inspection date

  • First aid kit present (check contents and expiry date)

  • Eye wash present (check expiry date)

  • Non-Smoking Sign present

  • Required PPE present

  • Identification Card (ID) present

  • Sky Guard (charged and functioning correctly)

  • Needle Kit (if applicable to role)

SUMMARY

  • List any other conditions which may prevent safe operation of this vehicle

  • Enter any other observations

  • Rate the overall condition of the vehicle

Recommendations

  • Enter recommendations here

COMPLETION

  • Driver - Are there any reasons you should not be driving a company vehicle? e.g. health conditions, medication etc.

  • List reasons:

  • Signature of Driver

  • Full Name of Driver

  • Signature of Inspector

  • Full Name of Inspector

  • Date and Time of Inspection

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