Information

  • Document No.

  • VAN

  • Date & Time (the end of the run)

DETAILS OF VEHICLE

Vehicle

  • Was the vehicle CLEAN when taken over?

  • Specify Areas/items that were in unacceptable state.

  • Photo Evidence

  • Did you clean the vehicle ? (after last run)

  • Please state reason

  • Fuel after run [ % ]

  • Phone holder is in present and functioning

NOTIFICATION OF DEFECTS

    Defect identified
  • Identified

  • Type of Defect

  • Photographic Evidence

  • Describe the Defect in Detail

ACCEPTANCE

  • Please Sign:

  • Please note, while in charge of the vehicle you have full responsibility of the safe use of this particular vehicle.

    Any damage failed to be identified prior taking charge of the vehicle might become your responsibility !

  • Would you drive this death trap again?

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.