CITY LIFTING DRIVERS DAILY VEHICLE DEFECT REPORT

• Document No.

• VEHICLE NO

• TRAILER NO

• Date

  Date

• DRIVERS NAME

• ODOMETER READING

• FUEL / OIL LEAKS

  OK

  DEFECT

  N/A

• TAKE PHOTO OF DEFECT (RECTIFIED BY)

  Media

• DESCRIPTION OF DEFECT

• BATTERY SECURITY (CONDITION)

  OK

  DEFECT

  N/A

• TAKE PHOTO OF DEFECT (RECTIFIED BY)

  Media

• DESCRIPTION OF DEFECT

• TYRES AND WHEEL FIXING

  OK

  DEFECT

  N/A

• TAKE PHOTO OF DEFECT (RECTIFIED BY)

  Media

• DESCRIPTION OF DEFECT

• SPRAY SUPPRESSION

  OK

  DEFECT

  N/A

• TAKE PHOTO OF DEFECT (RECTIFIED BY)

  Media

• DESCRIPTION OF DEFECT

• STEERING

  OK

  DEFECT

  N/A

• TAKE PHOTO OF DEFECT (RECTIFIED BY)

  Media

• DESCRIPTION OF DEFECT

• SECURITY OF LOAD

  OK

  DEFECT

  N/A

• TAKE PHOTO OF DEFECT (RECTIFIED BY)

  Media

• DESCRIPTION OF DEFECT

• MIRRORS

  OK

  DEFECT

  N/A

• TAKE PHOTO OF DEFECT (RECTIFIED BY)

  Media

• DESCRIPTION OF DEFECT

• LIGHTS

  OK

  DEFECT

  N/A

• TAKE PHOTO OF DEFECT (RECTIFIED BY) (RECTIFIED BY)

  Media

• DESCRIPTION OF DEFECT

• REFLECTORS

  OK

  DEFECT

  N/A

• TAKE PHOTO OF DEFECT (RECTIFIED BY)

  Media

• DESCRIPTION OF DEFECT

• INDICATORS

  OK

  DEFECT

  N/A

• TAKE PHOTO OF DEFECT (RECTIFIED BY)

  Media

• DESCRIPTION OF DEFECT

• WIPERS

  OK

  DEFECT

  N/A

• TAKE PHOTO OF DEFECT (RECTIFIED BY)

  Media

• DESCRIPTION OF DEFECT

• WASHERS

  OK

  DEFECT

  N/A

• TAKE PHOTO OF DEFECT (RECTIFIED BY)

  Media

• DESCRIPTION OF DEFECT

• HORN

  OK

  DEFECT

  N/A

• TAKE PHOTO OF DEFECT (RECTIFIED BY)

  Media

• DESCRIPTION OF DEFECT

• EXCESSIVE EXHAUST SMOKE

  OK

  DEFECT

  N/A

• TAKE PHOTO OF DEFECT (RECTIFIED BY)

  Media

• DESCRIPTION OF DEFECT

• BREAKS (INC ABS/EBS)

  OK

  DEFECT

  N/A

• TAKE PHOTO OF DEFECT (RECTIFIED BY)

  Media

• DESCRIPTION OF DEFECT

• TAKE PHOTO OF DEFECT (RECTIFIED BY)

  Media

• DESCRIPTION OF DEFECT

• SECURITY OF BODY / WINGS

  OK

  DEFECT

  N/A

• TAKE PHOTO OF DEFECT (RECTIFIED BY)

  Media

• DESCRIPTION OF DEFECT

• MARKERS / REGISTRATION PLATES

  OK

  DEFECT

  N/A

• TAKE PHOTO OF DEFECT (RECTIFIED BY)

  Media

• DESCRIPTION OF DEFECT

• GLASS

  OK

  DEFECT

  N/A

• TAKE PHOTO OF DEFECT (RECTIFIED BY)

  Media

• DESCRIPTION OF DEFECT

ARTIC LORRY AND TRAILER COMBINATIONS ONLY

• BRAKE LINES

  OK

  DEFECT

  N/A

• TAKE PHOTO OF DEFECT (RECTIFIED BY)

  Media

• DESCRIPTION OF DEFECT

• COUPLING SECURITY

  OK

  DEFECT

  N/A

• TAKE PHOTO OF DEFECT (RECTIFIED BY)

  Media

• DESCRIPTION OF DEFECT

• ELECTRICAL CONNECTIONS

  OK

  DEFECT

  N/A

• TAKE PHOTO OF DEFECT (RECTIFIED BY)

  Media

• DESCRIPTION OF DEFECT

DECLARATION

• IS ALL SAFETY EQUIPMENT PRESENT AND SERVICEABLE

  YES

  NO

• ARE YOU FIT AND SAFE TO WORK AND FREE FROM DRUGS AND ALCOHOL

  YES

  NO

• DRIVERS SIGNATURE

  Sign

OFFICE USE ONLY

• DEFECTS RECTIFIED BY:
  
  NAME .........................................................................................................................
  
  SIGNATURE ...............................................................................................................
  
  DATE ..........................................................................................................................