Driver Pre Start Vehicle Inspection. DPS003

Basic Information

• Today's Date

  Date

• Driver Name

• Vehicle Registration

• Odometer Reading

  Media

Tyres

• Current Tyre Condition

  Good

  Fair

  Poor

  N/A

• Spare Tyre

  Good

  Fair

  Poor

  N/A

Under Hood Inspection

• Brake Fluid Level

  Good

  Fair

  Poor

  N/A

• Windshield Washer Fluid

  Good

  Fair

  Poor

  N/A

• Hoses

  Good

  Fair

  Poor

  N/A

• Remove Debris From Radiator Core

  Yes

  No

  N/A

• Coolant Level

  Good

  Fair

  Poor

  N/A

• Power Steering Fluid

  Good

  Fair

  Poor

  N/A

• Transmission Fluid

  Good

  Fair

  Poor

  N/A

• Belts

  Good

  Fair

  Poor

  N/A

• Engine Oil

  Good

  Fair

  Poor

  N/A

• Oil Change Mileage and Date

  Media

Lights

• Headlights

  Pass

  Fail

  N/A

• High Beam

  Pass

  Fail

  N/A

• Low Beam

  Pass

  Fail

  N/A

• Hazard Lights

  Pass

  Fail

  N/A

• Instrument Lights

  Pass

  Fail

  N/A

• Brake Lights

  Pass

  Fail

  N/A

• Tail Lights

  Pass

  Fail

  N/A

• Beacon

  Pass

  Fail

  N/A

• Turn Signals

  Pass

  Fail

  N/A

• Check Engine Light

  Pass

  Fail

  N/A

• Oil Pressure

  Good

  Fair

  Poor

  N/A

• Emergency Brake Light

  Pass

  Fail

  N/A

• Engine Temperature

  Good

  Fair

  Poor

  N/A

Safety Features

• Air Condition/Heater/Defroster<br>

  Good

  Fair

  Poor

  N/A

• Windshield Wipers

  Good

  Fair

  Poor

  N/A

• Windshield/Windows

  Good

  Fair

  Poor

  N/A

• Seat Belts

  Good

  Fair

  Poor

  N/A

• Mirrors

  Good

  Fair

  Poor

  N/A

• Horn

  Pass

  Fail

  N/A

• Back Up Alarm

  Pass

  Fail

  N/A

• Steering

  Pass

  Fail

  N/A

• Brakes/Parking Brake

  Pass

  Fail

  N/A

• First Aid Kit

  Yes

  No

  N/A

• Cones

  Yes

  No

  N/A

• Fire Extinguisher

  Pass

  Fail

  N/A

• Foreign Voltage Detector

  Yes

  No

  N/A

• Safety Sticker’s on Vehicle

  Media

Ladder Rack

• Ladder Rack Secure To Roof

  Yes

  No

  N/A

• Working Properly

  Yes

  No

  N/A

Cable Drum Trailer

• Engine Oil Level

  Good

  Fair

  Poor

  N/A

• Hydraulic Fluid Level

  Good

  Fair

  Poor

  N/A

• Hydraulic Leaks Exterior/Interior

  Pass

  Fail

  N/A

• Drum Lift Control Operational

  Good

  Fair

  Poor

  N/A

• Stabiliser Leg Control Operational

  Pass

  Fail

  N/A

• Starter Battery Charge and starter motor operational

  Pass

  Fail

  N/A

• Cable Drum Restraint

  Safe

  At Risk

  N/A

Documentation

• ID cards and Enable card with you to site

  Yes

  No

  N/A

• Traffic Management Scenario's to site

  Yes

  No

  N/A

• Insurance Details

  Yes

  No

  N/A

• Vehicle Registration Form

  Yes

  No

  N/A

Personal Protective Equipment

• Hard Hat

  Safe

  At Risk

  N/A

• Safety Glasses

  Safe

  At Risk

  N/A

• Hand Protection

  Safe

  At Risk

  N/A

• Foot Protection

  Safe

  At Risk

  N/A

• Sharps Kit

  Yes

  No

  N/A

Comments

• Overall condition

  Good

  Fair

  Poor

  N/A

• Driver Signature

  Sign

• Supervisor Signature

  Sign