Title Page
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Conducted on
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Prepared by
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Location
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Name of driver
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Route number
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Storeroom location
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Vehicle Type & Registration
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Odometer reading
Item to be assessed
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Wearing Company Uniform and PPE
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Vehicle doors and safe lockable
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Any damage to vehicle
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Pictures of damage (if any)
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Van Interior & Exterior clean
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Rear of van good condition / clear
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Pictures of vehicle inside and out
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Mirrors Adjusted correctly
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Seatbelt Operational
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Vehicles lights and horn operational
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Brakes and Handbrake operational
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Any Dashboard warning lights visible
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Picture of dashboard with ignition on (check mileage is clear and visible)
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Check Windscreen for chips and cracks
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Fuel & Engine Oil check
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Radiator Coolant check
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Tyre Pressure including spare check
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Tyre depth (all 4 wheels)
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First aid box present and complete
Operator:
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Signature:
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Date: