Eazi Empi Truck inspection

• Document No.

• Conducted on

  Date

• Prepared by

• Personnel

• Date and Time

  Date

VEHICLE DETAILS

• Registration Number

• Fleet / Trailer Number

• Odometer Reading at Inspection

• Driver's Name

• Is the Vehicle Defect Free?

  YES

  NO

DEFECT LIST. Yes = Safe. No = Defect.

• Drivers License

  Yes

  No

  N/A

• Operator Card

  Yes

  No

  N/A

• COF/License expiry date<br>

  Yes

  No

  N/A

• Internal cab cleaning and defect

  Yes

  No

  N/A

• Pedal rubbers fitted and also check for wear

  Yes

  No

  N/A

• Windscreen (check for cracks)

  Yes

  No

  N/A

• Wiper Blades

  Yes

  No

  N/A

• Wipers operational

  Yes

  No

  N/A

• All mirrors

  Yes

  No

  N/A

• Truck tractor oil leaks

  Yes

  No

  N/A

• Trucks tractor oil level leaks

  Yes

  No

  N/A

• Truck tractor oil level (if topped up how much)

  Yes

  No

  N/A

• Truck tractor water level

  Yes

  No

  N/A

• Fuel tank cap

  Yes

  No

  N/A

• Fuel tank leaks

  Yes

  No

  N/A

• Fuel tank rubber bases and bracket

  Yes

  No

  N/A

• Hooter

  Safe

  At Risk

  N/A

• Reverse Buzzer

  Yes

  No

  N/A

• External front light indicators and fog lights

  Yes

  No

  N/A

• Grease on 5th wheel and roller chassis

  Yes

  No

  N/A

• Hydraulic cylinders / pipes for leaks and wear

  Yes

  No

  N/A

• Rear chevron board

  Yes

  No

  N/A

• Rear lights (indicators park and brake lights)

  Yes

  No

  N/A

• Winch and winch cable

  Yes

  No

  N/A

• Number plate and number plate light

  Yes

  No

  N/A

• Wheel nuts and wheel nut indicators

  Yes

  No

  N/A

• Reflective tape around vehicle

  Yes

  No

  N/A

• Mudflaps secure

  Yes

  No

  N/A

• Tires (check pressure and wear)

  Yes

  No

  N/A

• Hydraulic oil tank and oil level

  Yes

  No

  N/A

• Correct PPE

  Yes

  No

  N/A

• Spare wheel and jack wheel spanner

  Yes

  No

  N/A

• Warning triangles

  Yes

  No

  N/A

• Safety harness

  Yes

  No

  N/A

• Additional Information

SIGNATURES

• Signature of Driver

  Sign

• Signature of manager

  Sign