Light Vehicle Monthly Report

• Site conducted

  Select

• Document No.

• Conducted on

  Date

• Prepared by

• Unit Number:

• Kilometers, Hours.

• Last Service

  Select 1000 kilometer 5000 kilometer 10,000 kilometer 20,000 kilometer 30,000 kilometer 40,000 kilometer 50,000 kilometer 60,000 kilometer 70,000 kilometer 80,000 kilometer 90,000 kilometer 100,000 kilometer Other - specify

  • 1000 kilometer
  • 5000 kilometer
  • 10,000 kilometer
  • 20,000 kilometer
  • 30,000 kilometer
  • 40,000 kilometer
  • 50,000 kilometer
  • 60,000 kilometer
  • 70,000 kilometer
  • 80,000 kilometer
  • 90,000 kilometer
  • 100,000 kilometer
  • Other - specify

• Is a service required?

  Yes

  No

  N/A

Engine

• Is the water level correct?

  Yes

  No

  N/A

• Is the oil level correct?

  Yes

  No

  N/A

• Is the vehicle free of leaks?

  Yes

  No

  N/A

• Is the windscreen washer fluid topped up?

  Yes

  No

  N/A

Tyres

• Are tyres at the correct pressure?

  Yes

  No

  N/A

• Are the tyres in good condition (including spare)?

  Yes

  No

  N/A

Vehicle Body and Parts

• Is there any new damage to the vehicle body?

  No

  Yes

• Are the windscreen wipers effective?

  Yes

  No

  N/A

Safety Equipment

• Is the sattelite phone operational?

  Yes

  No

  N/A

• Is the 2 Way Radio operational?

  Yes

  No

  N/A

• Are fire extinguishers present and tagged/current?

  Yes

  No

  N/A

• Is the amber flashing beacon operational?

  Yes

  No

  N/A

• Is there a first aid kit in the vehicle?

  No

  Yes

• Is the reverse alarm operational?

  Yes

  No

  N/A

• Is the hand brake working efficiently?

  Yes

  No

  N/A

Lights

• Are the indicators working?

  Yes

  No

  N/A

• Are the headlights working (high/low)?

  Yes

  No

  N/A

• Are the reverse lights working?

  Yes

  No

  N/A

• Are the brake lights working?

  Yes

  No

  N/A

• Are the park lights working?

  Yes

  No

  N/A

• Are the tail lights working?

  Yes

  No

  N/A

• Are the hazard lights working?

  Yes

  No

  N/A

Load Safety

• Is your load restrained?

  Yes

  No

  N/A

• If towing a trailer is it suitable for the purpose, tyres, lights, chains, restraints checked.

  Yes

  No

  N/A

• Are ladders in a good/safe condition & stored correctly

  Yes

  No

  N/A

• Is your toolbox secure?

  Yes

  No

  N/A

• List any other action items that need to be corrected

Signatures

• Add signature

  Sign