GLC - Minibus Safety

• Document No.

• Please select registration of vehicle:-

  Select PTY WHZ

  • PTY
  • WHZ

• Current mileage:-

• Conducted on

  Date

• Please select weather conditions:-

  Select Wet Dry Fog Frost Snow

  • Wet
  • Dry
  • Fog
  • Frost
  • Snow

• Inspected by

External checks

• Are body panels including bumpers free from damage?

  Yes

  No

  N/A

• Are front headlamps and tail lights clean and free from cracks?

  Safe

  At Risk

  N/A

• Do the tyres show signs of wear? Are tyre treads within legal limits?

  Safe

  At Risk

  N/A

• Are mirrors clean and free from cracks?

  Safe

  At Risk

  N/A

• Is the windscreen clean and damage free?

  Yes

  No

  N/A

• Are windscreen Wipers present and in good working condition?

  Yes

  No

  N/A

Mechanical safety checks

• Foot brake & hand brake checked:

  Safe

  At Risk

  N/A

• Brake fluid levels checked:

  Safe

  At Risk

  N/A

• Water levels checked:

  Safe

  At Risk

  N/A

• Windscreen washer level checked:

  Safe

  At Risk

  N/A

• Oil level checked:

  Safe

  At Risk

  N/A

Internal safety checks

• Seat belts in safe working order?

  Safe

  At Risk

  N/A

• Fire extinguishers present and showing correct pressure?

  Safe

  At Risk

  N/A

• First aid kit present and complet?

  Yes

  No

  N/A

• Doors in good working order?

  Safe

  At Risk

  N/A

• Seats and cosmetic panels in safe condition?

  Safe

  At Risk

  N/A

• Internal mirror and widows in good condition?

  Safe

  At Risk

  N/A

Other details

• Breakdown details available in case of breakdown?

  Yes

  No

  N/A

• Vehicles technical details available to driver? I.e. Height, weight etc.

  Yes

  No

  N/A

• Fuel levels at the time of inspection?

  Full

  3 Quarters Full

  Half Full

  1 Quarter Full

  Empty

• Is the minibus free from rubbish?

  Yes

  No

  N/A

• Please sign: -

  Sign