Ford Transit Courier MC65 XFM

• Site conducted

  Select

• Conducted on

  Date

• Prepared by

• Location
  Address

• Registration Number:

• Mileage:

• Driver Name (Print)

• Signature

  Sign

• Date

  Date

• Make & Model

Last Service &

• Inspection Date

  Date

VEHICLE CHECKS

1. General Cleanliness

• 2. Check all equipment safety devices

  Yes

  No

  N/A

• 3. Reverse Lights & mirrors

  Yes

  No

  N/A

• 4. First Aid Kit

  Yes

  No

  N/A

HIGHWAY VEHICLES

• 4. Amber bar/beacon working

  Yes

  No

  N/A

• 5. Chevrons fitted and clean

  Yes

  No

  N/A

• 6. Motorway Maintenance sticker visible

  Yes

  No

  N/A

ENGINE COMPARTMENT

• 7. Windscreen Wash Bottle

  Yes

  No

  N/A

8. Electrical/ Mechanical Defects

• 9. Fuel Level

  Yes

  No

  N/A

TRANSMISSION

• 10. Wheels & Tyres

  Yes

  No

  N/A

• 11. Seats and seat belt condition

  Yes

  No

  N/A

• 12. Function check horn & wipers

  Yes

  No

  N/A

• 13. Windscreen condition

  Yes

  No

  N/A

• 14. Function check all switches & gauges

  Yes

  No

  N/A

Observations / Defects:

• defects

• Mileage:

• Driver Name (Print)

• Signature

  Sign

• Date

  Date

• Make & Model

1. General Cleanliness

• 2. Check all equipment safety devices

  Yes

  No

  N/A

• 3. Reverse Lights & mirrors

  Yes

  No

  N/A

• 4. First Aid Kit

  Yes

  No

  N/A

HIGHWAY VEHICLES

• 4. Amber bar/beacon working

  Yes

  No

  N/A

• 5. Chevrons fitted and clean

  Yes

  No

  N/A

• 6. Motorway Maintenance sticker visible

  Yes

  No

  N/A

ENGINE COMPARTMENT

• 7. Windscreen Wash Bottle

  Yes

  No

  N/A

8. Electrical/ Mechanical Defects

• 9. Fuel Level

  Yes

  No

  N/A

TRANSMISSION

• 10. Wheels & Tyres

  Yes

  No

  N/A

• 11. Seats and seat belt condition

  Yes

  No

  N/A

• 12. Function check horn & wipers

  Yes

  No

  N/A

• 13. Windscreen condition

  Yes

  No

  N/A

• 14. Function check all switches & gauges

  Yes

  No

  N/A

Observations / Defects:

• defects

• Mileage:

• Driver Name (Print)

• Signature

  Sign

• Date

  Date

• Make & Model

1. General Cleanliness

• 2. Check all equipment safety devices

  Yes

  No

  N/A

• 3. Reverse Lights & mirrors

  Yes

  No

  N/A

• 4. First Aid Kit

  Yes

  No

  N/A

HIGHWAY VEHICLES

• 4. Amber bar/beacon working

  Yes

  No

  N/A

• 5. Chevrons fitted and clean

  Yes

  No

  N/A

• 6. Motorway Maintenance sticker visible

  Yes

  No

  N/A

ENGINE COMPARTMENT

• 7. Windscreen Wash Bottle

  Yes

  No

  N/A

8. Electrical/ Mechanical Defects

• 9. Fuel Level

  Yes

  No

  N/A

TRANSMISSION

• 10. Wheels & Tyres

  Yes

  No

  N/A

• 11. Seats and seat belt condition

  Yes

  No

  N/A

• 12. Function check horn & wipers

  Yes

  No

  N/A

• 13. Windscreen condition

  Yes

  No

  N/A

• 14. Function check all switches & gauges

  Yes

  No

  N/A

Observations / Defects:

• defects

• Mileage:

• Driver Name (Print)

• Signature

  Sign

• Date

  Date

• Make & Model

1. General Cleanliness

• 2. Check all equipment safety devices

  Yes

  No

  N/A

• 3. Reverse Lights & mirrors

  Yes

  No

  N/A

• 4. First Aid Kit

  Yes

  No

  N/A

HIGHWAY VEHICLES

• 4. Amber bar/beacon working

  Yes

  No

  N/A

• 5. Chevrons fitted and clean

  Yes

  No

  N/A

• 6. Motorway Maintenance sticker visible

  Yes

  No

  N/A

ENGINE COMPARTMENT

• 7. Windscreen Wash Bottle

  Yes

  No

  N/A

8. Electrical/ Mechanical Defects

• 9. Fuel Level

  Yes

  No

  N/A

TRANSMISSION

• 10. Wheels & Tyres

  Yes

  No

  N/A

• 11. Seats and seat belt condition

  Yes

  No

  N/A

• 12. Function check horn & wipers

  Yes

  No

  N/A

• 13. Windscreen condition

  Yes

  No

  N/A

• 14. Function check all switches & gauges

  Yes

  No

  N/A

Observations / Defects:

• defects

• Mileage:

• Driver Name (Print)

• Signature

  Sign

• Date

  Date

• Make & Model

1. General Cleanliness

• 2. Check all equipment safety devices

  Yes

  No

  N/A

• 3. Reverse Lights & mirrors

  Yes

  No

  N/A

• 4. First Aid Kit

  Yes

  No

  N/A

HIGHWAY VEHICLES

• 4. Amber bar/beacon working

  Yes

  No

  N/A

• 5. Chevrons fitted and clean

  Yes

  No

  N/A

• 6. Motorway Maintenance sticker visible

  Yes

  No

  N/A

ENGINE COMPARTMENT

• 7. Windscreen Wash Bottle

  Yes

  No

  N/A

8. Electrical/ Mechanical Defects

• 9. Fuel Level

  Yes

  No

  N/A

TRANSMISSION

• 10. Wheels & Tyres

  Yes

  No

  N/A

• 11. Seats and seat belt condition

  Yes

  No

  N/A

• 12. Function check horn & wipers

  Yes

  No

  N/A

• 13. Windscreen condition

  Yes

  No

  N/A

• 14. Function check all switches & gauges

  Yes

  No

  N/A

Observations / Defects:

• defects

• Mileage:

• Driver Name (Print)

• Signature

  Sign

• Date

  Date

• Make & Model

1. General Cleanliness

• 2. Check all equipment safety devices

  Yes

  No

  N/A

• 3. Reverse Lights & mirrors

  Yes

  No

  N/A

• 4. First Aid Kit

  Yes

  No

  N/A

HIGHWAY VEHICLES

• 4. Amber bar/beacon working

  Yes

  No

  N/A

• 5. Chevrons fitted and clean

  Yes

  No

  N/A

• 6. Motorway Maintenance sticker visible

  Yes

  No

  N/A

ENGINE COMPARTMENT

• 7. Windscreen Wash Bottle

  Yes

  No

  N/A

8. Electrical/ Mechanical Defects

• 9. Fuel Level

  Yes

  No

  N/A

TRANSMISSION

• 10. Wheels & Tyres

  Yes

  No

  N/A

• 11. Seats and seat belt condition

  Yes

  No

  N/A

• 12. Function check horn & wipers

  Yes

  No

  N/A

• 13. Windscreen condition

  Yes

  No

  N/A

• 14. Function check all switches & gauges

  Yes

  No

  N/A

Observations / Defects:

• defects

• Mileage:

• Driver Name (Print)

• Signature

  Sign

• Date

  Date

• Make & Model

1. General Cleanliness

• 2. Check all equipment safety devices

  Yes

  No

  N/A

• 3. Reverse Lights & mirrors

  Yes

  No

  N/A

• 4. First Aid Kit

  Yes

  No

  N/A

HIGHWAY VEHICLES

• 4. Amber bar/beacon working

  Yes

  No

  N/A

• 5. Chevrons fitted and clean

  Yes

  No

  N/A

• 6. Motorway Maintenance sticker visible

  Yes

  No

  N/A

ENGINE COMPARTMENT

• 7. Windscreen Wash Bottle

  Yes

  No

  N/A

8. Electrical/ Mechanical Defects

• 9. Fuel Level

  Yes

  No

  N/A

TRANSMISSION

• 10. Wheels & Tyres

  Yes

  No

  N/A

• 11. Seats and seat belt condition

  Yes

  No

  N/A

• 12. Function check horn & wipers

  Yes

  No

  N/A

• 13. Windscreen condition

  Yes

  No

  N/A

• 14. Function check all switches & gauges

  Yes

  No

  N/A

Observations / Defects:

• defects