IGC - Network Delivery- Daily Vehicle Inspection

• Prepared by (Employee Name)

• Employee No.

• Conducted on

  Date

• I confirm I am free from the influence of drugs or alcohol

  Yes

  No

  N/A

• I confirm I am physically and mentally fit for duty

  Yes

  No

  N/A

• I confirm I am carrying a current drivers licence with no suspension or disqualification

  Yes

  No

  N/A

• I confirm I have not been working longer than 12 hours before driving

  Yes

  No

  N/A

• Plant number

Check List

• When "At Risk" is selected option to add comments and photo is enabled

• Tyres in good condition (with adequate depth of tread and undamaged side walls)

  Safe

  At Risk

  N/A

• No evidence of fluid leaks underneath the vehicle (oil, water etc.)

  Safe

  At Risk

  N/A

• Check Ignition Key (Bent, Worn etc)<br>

  Good

  Fair

  Poor

  N/A

• Check Windscreen integrity (cracks/chips)

  Safe

  At Risk

  N/A

• Check Windshield Wipers / Washers (front and rear)

  Safe

  At Risk

  N/A

• Visual Inspection for Exterior Damage <br>(Recommend taking pic of any vehicle damage and report to Fleet and Plant)

  Good

  Fair

  Poor

  N/A

• Check Seatbelts are operational and not damaged

  Safe

  At Risk

  N/A

• Check Mirrors for Damage and Adjustments

  Safe

  At Risk

  N/A

Signature

• Add signature

  Sign