• Document No.

  • Vehicle Registration

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel


  • Is the vehicle serviced according to schedule?

  • Is the engine in good working condition?

  • Is the water level correct?

  • Is the oil level correct?

  • Is the vehicle free of leaks?

  • Is the windscreen washer fluid topped up?


  • Are tyres at the correct pressure?

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

Vehicle Body and Parts

  • Is there any new damage to the vehicle body?

  • Is the outside of the vehicle clean enough (hygiene)?

  • Are windows clean?

  • Are the windscreen wipers effective?

  • Is the interior of the vehicle clean?

Safety Equipment

  • Are fire extinguishers present and tagged/current?

  • Is the amber flashing beacon operational?

  • Is the first aid kit fully stocked?

  • Is the safety whip/flag present?

  • Is the reverse quacker operational?

  • Is the hand brake working efficiently?


  • Are the headlights working (high/low)?

  • Are the indicators working?

  • Are the reverse lights working?

  • Are the brake lights working?

  • Are the park lights working?

  • Are the tail lights working?

  • Are the hazard lights working?

List any other action items that need to be corrected

  • List any other action items that need to be corrected


  • Two-way radios

  • Alcoa radio

Vehicle Stocks

  • Tape

  • Metholated spirits

  • Pick/Mattock

  • Sample bags

  • Cable ties

  • Metal tags

  • Cardboard tags

  • Sample book

  • Pen

  • Hygeine signs

  • Nails

Emergency Items

  • Recovery strap

  • Recovery tracks

  • SPOT Satellite GPS Messenger


  • Employee 1

  • Employee 2 (if applicable)

  • Employee 3 (if applicable)

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.