Information

  • Inspected by:

  • Registration Number

  • Submitted To:

  • Conducted on

SAFETY

  • Torch available?

  • First Aid kit is complete and items within the expiration date?

  • Fire extinguisher mounted with current inspection tag?

  • Reflective Clothing?

INTERIOR OF VEHICLE

  • Interior clean from litter & dirt?

  • Instrument panel is indicating properly?

  • Windshield and mirrors clean and free from cracks?

EXTERIOR & MECHANICAL

  • Spare light bulbs?

  • Hoses?

  • Brakes? (Pedal Pressure)

  • Lubricant level OK?

  • Coolant level OK?

  • Break fluid level OK?

  • Power steering fluid OK?

  • Visible Fluid Leaks?

  • Hazard warning lights?

  • Reversing light?

  • Break lights?

  • Headlights?

  • Rear lights?

  • Indicator signals?

  • Horn?

  • Steering & Alignment?

  • Tyres & Pressure?

  • Windshield/Wiper Blades/Fluid?

  • Fuel Level?

  • Recorded Kilometers:

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.