Information

  • Date

  • Shift: Day or Night Shift:

  • Registration Number:

  • Make Of Vehicle:

  • Km Reading

  • Fuel Level:

Inspected By:

  • Inspector Name & Surname:

  • Signature:

  • Valid Insurance, Road Tax & Fitness Certificates:

  • First Aid Kit

  • First Aid Kit Seal Numbers:

  • Jack & Wheel Spanner

  • Tri-Angles:

  • Fire Extinguisher

  • Head Lights Working:

  • Park Lights Working:

  • Indicator Lights Working:

  • Front Seat Belts:

  • Passenger Seat Belts Back:

  • Spare Tyre:

  • Tyre Conditions:

  • Windscreen:

  • Wipers Working:

  • Trailer Female Plug Intact:

Engine

  • Oil Level Checked:

  • Radiator Water Level Checked:

  • Brake Fluid Level Checked:

  • Transmission Fluid Checked:

  • Wiper Water Checked:

  • Battery Intact:

  • Battery Terminals Fastened:

Vehicle Body:

  • Visible Damages:

  • Description:

  • Visible Scratches:

  • Description:

Drivers Particulars:

  • Drivers Name & Surname:

  • Drivers Company Number:

  • Does the Driver have a valid Drivers License?

  • Driver Tested for Alcohol:

  • Alcohol Test Result:

  • Drivers Safety Talk Attended:

  • Date & Time:

Driver`s Declaration: Driver informed to:

  • Driving to Road conditions:

  • Do not over speed.

  • Do not overlaod.

  • Driver is responsible for passengers to wear seatbelts.

  • Date & Time:

  • Name & Surname:

  • Signature:

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.