Title Page
-
Document No.
-
Drivers Name
-
Conducted on
General
-
Vehicle Make
-
Model
-
Vehicle Rego
-
Vehicle Year
-
Odometer Reading
-
Service Due At
-
WOF Due
-
Rego Due
-
Drivers License Number
-
Expiry Date
Checklist
-
Tyres and spare
-
Why
-
2. Sun Visor
-
Why
-
3. Mirrors / blind spots
-
Why
-
4. Wipers
-
Why
-
5. Window Washer
-
Why
-
6. Headlights
-
Why
-
Stop Lights
-
Why
-
8. Indicators
-
Why
-
9. Reversing Lights
-
Why
-
10. Seat Belts
-
Why
-
11. Handbrake
-
Why
-
12. Damaged Panels
-
Why
-
13. Doors open freely
-
Why
-
14. Cleanliness of Vehicle
-
Why
-
15. Spare Key
-
Why
-
16. First Aid kit
-
Why
-
17. Accident forms / pen
-
Why
-
18. Fire Extinguisher
-
Why
-
Fire Extinguishers K.P.A
-
19. Check Oil
-
Why
Finishing
-
Driver Comments
-
I confirm that the vehicle has not been used for private purposes this month, unless it was specifically authorised and incidental to work business only.
-
Any concerns (noted above)
-
Signature
