Cleanscapes Van QA

• Document No.

• Vehicle Registration

• Team

• Conducted on

  Date

• Prepared by

• Location
  Address

General

• What is the current vehicle mileage ?

• Operative uniform and their personal appearance is good ?

  Yes

  No

  N/A

• Does vehicle contain a Health and safety box and COSHH folder?

  Yes

  No

  N/A

• Is a fuel card present ?

  Yes

  No

  N/A

External Inspection

• Is the outside of the vehicle clean ?

  Yes

  No

  N/A

• Is the vehicle free from any dents or scratches ? (note - only report any new damage)

  Yes

  No

  N/A

• Is the windscreen free from any cracks or chips ?

  Yes

  No

  N/A

• Are all lights working correctly and not damaged ?

  Yes

  No

  N/A

• Are tyres and tread limits visually safe ? - (inspection is only visual, if unsure refer vehicle to Kwit Fit )

  Yes

  No

  N/A

Internal Cab Inspection

• Is the cab clean and tidy ?

  Yes

  No

  N/A

• Is the cab free from any damage ?

  Yes

  No

  N/A

Internal Rear Inspection

• Is the inside of the vehicle clean and tidy ?

  Yes

  No

  N/A

• Is equipment stored correctly and safely ? Water behind seats and enough warning signs?

  Yes

  No

  N/A

Signatures

• Person Responsible for Vehicle

  Sign

• Person Completing Inspection

  Sign