Information

Monthly Check List

  • Check List Completed By

  • Campus

  • Vehicle Make

  • Vehicle Model

  • Registration Number

  • Kilometers

  • Conducted on

Service

  • Is the vehicle due for a service

  • If yes what service eg. 15,000klm

Oils & Fluids

  • Oil

  • Radiator Fluid

  • Transmission Fluid

  • Brake Fluid

  • Windscreen Washer Fluid

Lights

  • Left park light

  • Right park light

  • Left headlight low beam

  • Right headlight low beam

  • Left headlight high beam

  • Right headlight high beam

  • Left front blinker

  • Right front blinker

  • Left front guard blinker

  • Right front guard blinker

  • Left rear blinker

  • Right rear blinker

  • Reverse lights

  • Brake lights

  • Number plate lights

Windscreen

  • State of windscreen

Mirrors

  • Interior mirror

  • Left mirror

  • Right mirror

Tyres

  • Left front tyre

  • Right front tyre

  • Left rear tyre

  • Right rear tyre

  • Spare tyre

Horn

  • Horn

Cleanliness of Vehicle

  • Interior

  • Exterior

Vehicle Damage

  • If damage is found please fill in a vehicle damage report

  • Signature of person completing report

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.