Gate Check

• Vehicle registration number

• Driver Name

• Conducted on

  Date

• Prepared by Transport Manager
• Location
  Address

• Odometer reading

Daily Gate Check Form

• Name of Driver

• Does the driver have CPC card with him?

  No

  Yes

  N/A

• Are doors and locks working?

  No

  Yes

  N/A

• Are wipers and washers working?

  No

  Yes

  N/A

• Is the Tachograph and speedometer working?

  No

  Yes

  N/A

• Is the interior lights working?

  No

  Yes

  N/A

• Locker - condition and security?

  Good

  Fair

  Poor

  N/A

• Is steering, horn and driving controls working?

  No

  Yes

  N/A

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

  No

  Yes

  N/A

• Mirrors- condition and security

  No

  Yes

  N/A

• Glass condition and security?

  No

  Yes

  N/A

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

  No

  Yes

  N/A

• Is hydraulic system working ?

  No

  Yes

  N/A

• Battery secured and easy accessible?

  No

  Yes

  N/A

• Defect logged and Supervisor informed?

• Tyres and Wheel Fixings

  No

  Yes

  N/A

• Defect logged and Supervisor informed?

• VTG plating displayed in the cab

  No

  Yes

  N/A

• Are brake lights working?

  No

  Yes

  N/A

• Defect logged and Supervisor informed?

• Lights/ indicators/ stop lamps are working?

  No

  Yes

  N/A

• Defect logged and Supervisor informed?

• Are the reflectors working?

  Select No Yes N/A

  • No
  • Yes
  • N/A

• Defect logged and Supervisor informed?

• Both number plates are in good condition and secured?

  No

  Yes

  N/A

• Is there excessive smoke from exhaust?

  No

  Yes

  N/A

• Is there any body damage causing danger to other road users ?

  No

  Yes

  N/A

Driver signature

• Signature

  Sign