Title Page

  • Conducted on

  • Prepared by

  • Location
  • Select date

  • Driver's Name:

  • Vehicle Make:

  • Registration:

  • Contract/Depot:

  • Fuel Purchased - Total Value £

  • Start Time:

  • Finish Time:

  • Odometer Reading - Start:

  • Odometer Reading - End:

  • Start: Tax/O License/Plating Certificate

  • Finish: Tax/O License/Plating Certificate

  • Start: Breaks

  • Finish: Breaks

  • Start: Lights and Indicators

  • Finish: Lights and Indicators

  • Start: Seatbelts

  • Finish: Seatbelts

  • Start: Steering

  • Finish: Steering

  • Start: Tyres & Wheel Fixing

  • Finish: Tyres & Wheel Fixing

  • Start: Windows/Mirrors

  • Finish: Windows/Mirrors

  • Start: Fluid leaks e.g. Oil, Fuel, Coolant and Hydraulic

  • Finish: Fluid leaks e.g. Oil, Fuel, Coolant and Hydraulic

  • Start: Battery Security (condition)

  • Finish: Battery Security (condition)

  • Start: Emergency Stops

  • Finish: Emergency Stops

  • Start: Fuel/Oil/Water/Adblue Levels

  • Finish: Fuel/Oil/Water/Adblue Levels

  • Start: Horn

  • Finish: Horn

  • Start: Spray Suppression/Mudflaps

  • Finish: Spray Suppression/Mudflaps

  • Start: Vehicle Cleanliness

  • Finish: Vehicle Cleanliness

  • Start: Washer/Wipers

  • Finish: Washer/Wipers

  • Start: Vehicle is free of excessive engine or exhaust smoke

  • Finish: Vehicle is free of excessive engine or exhaust smoke

  • Start: Towing Unit DCU

  • Finish: Towing Unit DCU

  • Start: First Aid/Fire Kits

  • Finish: First Aid/Fire Kits

  • Start: Reflectors

  • Finish: Reflectors

  • Start: Security of Bodywork/Load

  • Finish: Security of Bodywork/Load

  • Start: Trailer Couplings & Connections

  • Finish: Trailer Couplings & Connections

  • Start: New Damage Identified

  • Finish: New Damage Identified

  • Report Defects Here: (Nil must be written here if free of defects)

  • Defects Rectified or Action Taken:

  • Repaired by Name:

  • Repaired by Signature:

  • Repairing Company:

  • Select date

  • Has the action taken above made the vehicle suitable for use?

  • Have you been stopped by the police? Advise Time/Location

  • Have you been stopped by a DVSA Traffic Officer? Advise Time/Location

  • Have you been involved in an accident/damaged the vehicle in any other way? Advise Time/Location

  • Supervisor/Line Manager Checks undertaken

  • Select date

  • Driver Signature

  • Select date

  • Supervisor/Manager Signature

  • Select date

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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.