Information
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Date
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Shift: Day or Night Shift:
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Registration Number:
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Make Of Vehicle:
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Km Reading
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Fuel Level:
Inspected By:
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Inspector Name & Surname:
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Signature:
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Valid Insurance, Road Tax & Fitness Certificates:
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First Aid Kit
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First Aid Kit Seal Numbers:
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Jack & Wheel Spanner
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Tri-Angles:
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Fire Extinguisher
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Head Lights Working:
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Park Lights Working:
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Indicator Lights Working:
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Front Seat Belts:
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Passenger Seat Belts Back:
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Spare Tyre:
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Tyre Conditions:
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Windscreen:
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Wipers Working:
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Trailer Female Plug Intact:
Engine
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Oil Level Checked:
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Radiator Water Level Checked:
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Brake Fluid Level Checked:
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Transmission Fluid Checked:
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Wiper Water Checked:
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Battery Intact:
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Battery Terminals Fastened:
Vehicle Body:
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Visible Damages:
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Description:
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Visible Scratches:
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Description:
Drivers Particulars:
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Drivers Name & Surname:
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Drivers Company Number:
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Does the Driver have a valid Drivers License?
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Driver Tested for Alcohol:
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Alcohol Test Result:
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Drivers Safety Talk Attended:
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Date & Time:
Driver`s Declaration: Driver informed to:
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Driving to Road conditions:
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Do not over speed.
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Do not overlaod.
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Driver is responsible for passengers to wear seatbelts.
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Date & Time:
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Name & Surname:
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Signature: