Title Page

  • Site conducted

  • Conducted on

  • Prepared by

  • Location

Monday

  • Registration Number:

  • Mileage:

  • Driver Name (Print)

  • Signature

  • Date

  • Make & Model

Last Service &

  • Inspection Date

VEHICLE CHECKS

1. General Cleanliness

  • 2. Check all equipment safety devices

  • 3. Reverse Lights & mirrors

  • 4. First Aid Kit

HIGHWAY VEHICLES

  • 4. Amber bar/beacon working

  • 5. Chevrons fitted and clean

  • 6. Motorway Maintenance sticker visible

ENGINE COMPARTMENT

  • 7. Windscreen Wash Bottle

8. Electrical/ Mechanical Defects

  • 9. Fuel Level

TRANSMISSION

  • 10. Wheels & Tyres

  • 11. Seats and seat belt condition

  • 12. Function check horn & wipers

  • 13. Windscreen condition

  • 14. Function check all switches & gauges

Observations / Defects:

  • defects

Tuesday

  • Mileage:

  • Driver Name (Print)

  • Signature

  • Date

  • Make & Model

1. General Cleanliness

  • 2. Check all equipment safety devices

  • 3. Reverse Lights & mirrors

  • 4. First Aid Kit

HIGHWAY VEHICLES

  • 4. Amber bar/beacon working

  • 5. Chevrons fitted and clean

  • 6. Motorway Maintenance sticker visible

ENGINE COMPARTMENT

  • 7. Windscreen Wash Bottle

8. Electrical/ Mechanical Defects

  • 9. Fuel Level

TRANSMISSION

  • 10. Wheels & Tyres

  • 11. Seats and seat belt condition

  • 12. Function check horn & wipers

  • 13. Windscreen condition

  • 14. Function check all switches & gauges

Observations / Defects:

  • defects

Wednesday

  • Mileage:

  • Driver Name (Print)

  • Signature

  • Date

  • Make & Model

1. General Cleanliness

  • 2. Check all equipment safety devices

  • 3. Reverse Lights & mirrors

  • 4. First Aid Kit

HIGHWAY VEHICLES

  • 4. Amber bar/beacon working

  • 5. Chevrons fitted and clean

  • 6. Motorway Maintenance sticker visible

ENGINE COMPARTMENT

  • 7. Windscreen Wash Bottle

8. Electrical/ Mechanical Defects

  • 9. Fuel Level

TRANSMISSION

  • 10. Wheels & Tyres

  • 11. Seats and seat belt condition

  • 12. Function check horn & wipers

  • 13. Windscreen condition

  • 14. Function check all switches & gauges

Observations / Defects:

  • defects

Thursday

  • Mileage:

  • Driver Name (Print)

  • Signature

  • Date

  • Make & Model

1. General Cleanliness

  • 2. Check all equipment safety devices

  • 3. Reverse Lights & mirrors

  • 4. First Aid Kit

HIGHWAY VEHICLES

  • 4. Amber bar/beacon working

  • 5. Chevrons fitted and clean

  • 6. Motorway Maintenance sticker visible

ENGINE COMPARTMENT

  • 7. Windscreen Wash Bottle

8. Electrical/ Mechanical Defects

  • 9. Fuel Level

TRANSMISSION

  • 10. Wheels & Tyres

  • 11. Seats and seat belt condition

  • 12. Function check horn & wipers

  • 13. Windscreen condition

  • 14. Function check all switches & gauges

Observations / Defects:

  • defects

Friday

  • Mileage:

  • Driver Name (Print)

  • Signature

  • Date

  • Make & Model

1. General Cleanliness

  • 2. Check all equipment safety devices

  • 3. Reverse Lights & mirrors

  • 4. First Aid Kit

HIGHWAY VEHICLES

  • 4. Amber bar/beacon working

  • 5. Chevrons fitted and clean

  • 6. Motorway Maintenance sticker visible

ENGINE COMPARTMENT

  • 7. Windscreen Wash Bottle

8. Electrical/ Mechanical Defects

  • 9. Fuel Level

TRANSMISSION

  • 10. Wheels & Tyres

  • 11. Seats and seat belt condition

  • 12. Function check horn & wipers

  • 13. Windscreen condition

  • 14. Function check all switches & gauges

Observations / Defects:

  • defects

Saturday

  • Mileage:

  • Driver Name (Print)

  • Signature

  • Date

  • Make & Model

1. General Cleanliness

  • 2. Check all equipment safety devices

  • 3. Reverse Lights & mirrors

  • 4. First Aid Kit

HIGHWAY VEHICLES

  • 4. Amber bar/beacon working

  • 5. Chevrons fitted and clean

  • 6. Motorway Maintenance sticker visible

ENGINE COMPARTMENT

  • 7. Windscreen Wash Bottle

8. Electrical/ Mechanical Defects

  • 9. Fuel Level

TRANSMISSION

  • 10. Wheels & Tyres

  • 11. Seats and seat belt condition

  • 12. Function check horn & wipers

  • 13. Windscreen condition

  • 14. Function check all switches & gauges

Observations / Defects:

  • defects

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