Information

  • Plant No:

  • Registration Plate No:

  • Make of Van:

Vehicle Details:

  • Conducted on:

  • Location:

Driver Details

  • Driver:

  • Drivers Licence Valid:

Regulatory Requirements:

  • Registration Due at:

  • COF / WOF due at:

  • Next Service Date:

  • Next Service KM:

  • Speedo:

  • ERoad RUC Km:

  • Hour Meter:

Body & Decals:

  • Visual inspection of all windows:

  • Inspection Body Panels:

  • Door lock & handles:

  • Inspection of Tray / Toolbox:

  • Hazard panels for over dimensional including warning labels:

  • Warning decals readable:

Tyre's, Tow-bar, Certification:

  • Tyre tread depth & wear pattern:

  • Tow ball colour coded Yellow 1" 7/8 Red 50 mm:

  • Drawbar/crane/draw beam certification etc:

  • Load security:

Safety & Warning Devices:

  • Lights: All working:

  • Beacon Fitted and Working:

  • Remote equipment controls in working order:

  • Horn working:

  • Reversing alarm/camera if fitted:

  • First Aid Kit

  • Fire Extinguisher if fitted:

  • Does the Fire Extinguisher have a Test Yellow Tag that is current:

Inside Cab:

  • Cab condition & house keeping:

  • Seat Condition:

  • Seat belt & operation:

  • Last pre start book entry:

  • Did you speak with operator about Van and Highlighted any issues:

  • Lock out tag Issued:

  • Attach Photos (Front Left & Right) & (Back Left & Right):

  • Audited by:

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.