Drivers Vehicle Inspection

• Store

  Matlock

  Alfreton

  Heanor

  Belper

  Ilkeston

• Conducted on

  Date

• Conducted By

VEHICLE DESCRIPTION

• Photograph of Vehicle Being Inspected (Inside and Out)

  Media

• Vehicle Registration Number

• Drivers Name

• Current Mileage

EXTERIOR LIGHTING

• High and Low Beams Operational

  Yes

  No

  N/A

• Left and Right Rear Side Lights Operational

  Yes

  No

  N/A

• Left and Right Front Indicators Operational

  Yes

  No

  N/A

• Left and Right Rear Indicators Operational

  Yes

  No

  N/A

• Left and Right Break Lights Operational

  Yes

  No

  N/A

• Fog Lights Operational

  Yes

  No

  N/A

• License Plate Lights Operational

  Yes

  No

  N/A

• Rear Reverse Light Operational

  Yes

  No

  N/A

EXTERIOR BODY AND GLASS (Take Photos of any noted damage)

• Windshield Free of Cracks and Chips

  Yes

  No

  N/A

• Left Side Windows Free of Cracks and Chips

  Yes

  No

  N/A

• Rear WIndow Free of Cracks and Chips

  Yes

  No

  N/A

• License Plate in Position, Clean, Free of Damage

  Yes

  No

  N/A

• Right Side Windows Free of Cracks and Chips

  Yes

  No

  N/A

• Vehicle is Clean and Free of Road Grime and Dirt

  Yes

  No

  N/A

TIRES

• Front Driver Tire in Good Repair with no Visible Signs of Wear or Cracking in Sidewall

  Safe

  At Risk

  N/A

• Front Passenger Tire in Good Repair with no Visible Signs of Wear or Cracking in Sidewall

  Safe

  At Risk

  N/A

• Rear Driver Tire in Good Repair with no Visible Signs of Wear or Cracking in Sidewall

  Safe

  At Risk

  N/A

• Rear Passenger Tire in Good Repair with no Visible Signs of Wear or Cracking in Sidewall

  Safe

  At Risk

  N/A

INTERIOR

• Driver Seat Belt Operational

  Safe

  At Risk

  N/A

• Passenger Seat Belts Operational

  Safe

  At Risk

  N/A

• Windscreen Wipers Functioning Appropriately

  Yes

  No

  N/A

• Horn Functioning Appropriately

  Yes

  No

  N/A

• Interior is Clean and Free of Loose Objects

  Yes

  No

  N/A

ENGINE COMPARTMENT

• Oil Levels Adequate and Within the Minimum and Maximum Levels

  Yes

  No

  N/A

• Water Levels Adequate and Within the Minimum and Maximum Levels

  Yes

  No

  N/A

• Brake Fluid Levels Adequate and Within the Minimum and Maximum Levels

  Yes

  No

  N/A

• Windscreen Washer Fluid Functioning and Appropriately Wetting Windscreen to Clean

  Yes

  No

  N/A

• Battery In Good Visible Condition and Securely Fastened into Position

  Yes

  No

  N/A

SIGNATURES

• Please sign to confirm all appropriate checks have been completed:

  Sign