Canning & Coyle DRIVER SIGN IN/ OUT

• Location
  Address

• Type Of Vehicle

  Select

• Hire Company Name

  Northgate

  Herds

  C&C Owned

• Is the vehicle returning to yard or out to field?

  RETURNED TO YARD

  OUT TO FIELD

Vehicle Information

• Reg No:

• Drivers Name:

  Select

• Date:

  Date

• Fuel Level:

  Select E 1/4 1/2 3/4 F N/A

  • E
  • 1/4
  • 1/2
  • 3/4
  • F
  • N/A

• Odometer:

• Is there any Warning Lights on dash?

  Select Brakes Service Limp Mode AdBlu Bulb None

  • Brakes
  • Service
  • Limp Mode
  • AdBlu
  • Bulb
  • None

• Check oil life according to ECU

  365 Days

  182 Days or above

  91 Days or above

  45 days or below

Vehicle Condition IN: Key Damage M=missing D=Dent S=Scrape C=Chip H=Hole CR=Crack

• Front:

  Select M D S C H CR N/A No Damage

  • M
  • D
  • S
  • C
  • H
  • CR
  • N/A
  • No Damage

• Rear

  Select M D S C H CR N/A No Damage

  • M
  • D
  • S
  • C
  • H
  • CR
  • N/A
  • No Damage

• O/S

  Select M D S C H CR N/A No Damage

  • M
  • D
  • S
  • C
  • H
  • CR
  • N/A
  • No Damage

• N/S

  Select M D S C H CR N/A No Damage

  • M
  • D
  • S
  • C
  • H
  • CR
  • N/A
  • No Damage

• Top:

  Select M D S C H CR N/A No Damage

  • M
  • D
  • S
  • C
  • H
  • CR
  • N/A
  • No Damage

• Windscreen Condition:

  Chipped

  Chipped/ Cracked

  NO Damage

• Interior - Condition

  Clean

  Dirty

  Damage

• Additional damage? Please note and take photographic evidence.

  YES

  NO

Vehicle Chapter 8, Security and other items

• Beacon

  Yes

  No

  N/A

• Chevrons on Rear

  Yes

  No

  N/A

• Vehicle Jack

  Yes

  No

  N/A

• Jack Handle

  Yes

  No

  N/A

• Wheel Brace

  Yes

  No

  N/A

• Pedal Box

  Yes

  No

  N/A

• Smoking Sticker

  Yes

  No

  N/A

• Spare Wheel

  Yes

  No

  N/A

• Armour Lock

  Yes

  No

  N/A

Tyres IN:

• Tyre condition:

  Good

  OK

  Worn or damage to tyre wall

• O/S Front -Millimeters

• N/S Front -Millimeters

• O/S Rear-Millimeters

• N/S Rear-Millimeters

• Spare -Millimeters

Signed IN:

• Driver Signature:

  Sign

• Supervisor Signature

  Sign