JI Delivery Vehicle Inspection Form - Weekly

• Conducted on

  Date

• Vehicle inspection done by:

• Select Cambridge Launceston Devonport

  • Cambridge
  • Launceston
  • Devonport

Vehicle details

• Take a picture of the rego

  Media

• No

  Yes

• Odometer

• Select date

  Date

• Drivers name

House keeping

• Washed?

  Yes

  No

  N/A

• Panel damage evident?<br>

  Yes

  No

  N/A

• Tyres blackened?

  No

  Yes

• Cabin cleaned (floors, dashboard and console)?

  Yes

  No

  N/A

• Cargo area cleaned?

  Yes

  No

  N/A

• Windows cleaned?

  Yes

  No

  N/A

• Signage in good order?

  Yes

  No

  N/A

Maintenance

• Headlights.

  Yes

  No

  N/A

• Brake/ tail / reverse / registration lights

  Yes

  No

  N/A

• Indicators.

  Yes

  No

  N/A

• Oil and water levels

  Yes

  No

  N/A

• Power steering fluid

  Yes

  No

  N/A

• Brake fluid

  Yes

  No

  N/A

• Windscreen fluid

  Yes

  No

  N/A

• Tyres- correct pressure ?

  Yes

  No

  N/A

Driver acknowledgement

• I agree with the above assessment. I acknowledge it is a condition of my employment to undertake the following weekly duties ( more regularity if required).

• I accept responsibility for any required actions noted by the transport co-ordinator as a result of the weekly check. I also accept financial responsibility for any damage caused to the above vehicle by not undertaking any of the required actions.

• Signed - (Driver)

  Sign

• Signed - (Transport Co-ordinator)

  Sign