Gate Check Inspection

• Vehicle registration number

• Conducted on

  Date

• Driver Name

• Prepared by Transport Manager
• Location
  Address

• Yes

  No

  N/A

Daily Gate Check Form

• Is the driver an approved driver for XtraMile UK Ltd

  Y

  N

• Name of the company

• What time did the driver clock in?

  Date

• Does the driver have CPC card with him?

  Yes

  No

  N/A

• Are doors and locks working?

  Yes

  No

  N/A

• The defect was logged and the supervisor was informed.

• Wipers and washers warking?

  Yes

  No

  N/A

• Defect logged and Supervisor informed?

• Is the Tachograph and speedometer working?

  Yes

  No

  N/A

• Defect logged and Supervisor informed?

• Is the interior lights working?

  Yes

  No

  N/A

• Defect logged and Supervisor informed?

• Locker - condition and security?

  Good

  Fair

  Poor

  N/A

• Defect logged and Supervisor informed?

• Is the heating and ventilation working?

  Yes

  No

  N/A

• Defect logged and Supervisor informed?

• Is steering, horn and driving controls working?

  Yes

  No

  N/A

• Defect logged and Supervisor informed?

• Are seats, seat belts in good condition and working?

  Yes

  No

  N/A

• Defect logged and Supervisor informed?

• Mirrors- condition and security

  Good

  Fair

  Poor

  N/A

• Defect logged and Supervisor informed?

• Glass condition and security?

  Good

  Fair

  Poor

  N/A

• Defect logged and Supervisor informed?

• Fuel/Oil/Water / AdBlue (leaks and level)?

  Yes

  No

  N/A

• Defect logged and Supervisor informed?

• Battery secured and easy accessible?

  Yes

  No

  N/A

• Defect logged and Supervisor informed?

• Tyres and Wheel Fixings / Markers fittes

  Yes

  No

  N/A

• Defect logged and Supervisor informed?

• Are brake lights working?

  Yes

  No

  N/A

• Defect logged and Supervisor informed?

• Lights/ indicators/ stop lamps are working?

  Yes

  No

  N/A

• Defect logged and Supervisor informed?

• Are the reflectors working?

  Select Yes No N/A

  • Yes
  • No
  • N/A

• Defect logged and Supervisor informed?

• Tractor unit- body exterior condition?

  Good

  Fair

  Poor

  N/A

• Defect logged and Supervisor informed?

• Is there excessive smoke from exhaust?

  Yes

  No

  N/A

• Defect logged and Supervisor informed?

  Yes

  No

  N/A

• Both number plates are in good condition and secured?

  Yes

  No

  N/A

• Defect logged and Supervisor informed?

• Spare/trailer number plate in the cab?

  Yes

  No

  N/A

• Defect logged and Supervisor informed?

Driver signature

• Signature

  Sign