Cleanscapes Ltd

• Document No.

• Vehicle Registration

• Division

• Conducted on

  Date

• Prepared by

• Location
  Address

General

• What is the current vehicle mileage ?

• Operative uniform and personal appearance is good ?

  Yes

  No

  N/A

• Is vehicle health and safety Box+Coshh Box present ?

  Yes

  No

  N/A

• Is fuel card present ?

  Yes

  No

  N/A

External Inspection

• Is the external of the vehicle clean ?

  Yes

  No

  N/A

• Is the vehicle free from any dents or scratches ? (note - If reported previously, 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 no damage ?

  Yes

  No

  N/A

• Are tyres and tread limits visually safe ? - (inspection is only visual, if not sure refer vehicle for repair)

  Yes

  No

  N/A

Inside Driver Cab Inspection

• Is driver cab, clean and tidy ?

  Yes

  No

  N/A

• Is the driver cab free from any damage ?

  Yes

  No

  N/A

Inside Rear Inspection

• Is the rear 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

• Is the rear of the vehicle free from any damage to report ?

  Yes

  No

  N/A

Signatures

• Person Responsible for Vehicle

  Sign

• Person Completing Inspection

  Sign