Pre & post Trip Inspection Form - Vauxhall Movano KM23 EGC

Pre Driving Info

• Driver Name

• Conducted on

  Date

• Passesngers

  Yes

  No

• Passenger name(s)

• Purpose of journey

  Select Makro for office supplies Collection/delivery from supplier Local wholesaler for maintenance supplies Supplier/customer visit Other

  • Makro for office supplies
  • Collection/delivery from supplier
  • Local wholesaler for maintenance supplies
  • Supplier/customer visit
  • Other

• Specify

• Start Mileage

• Vehicle stored at private residence overnight?

  Select

Are the following items available on board?

• Details of breakdown service

  Yes

  No

  N/A

• First Aid kit

  Yes

  No

  N/A

• Mobile Phone

  Yes

  No

  N/A

• High visibility vest for each person

  Yes

  No

  N/A

• Fuel

  Yes

  No

  N/A

• Do you have the facility to buy more?

  Yes

  No

  N/A

• Oil

  Yes

  No

  N/A

• Coolant

  Yes

  No

  N/A

• Water

  Yes

  No

  N/A

Inspection - Visual Checks that the following items are okay

• Lights

  Yes

  No

  N/A

• Windscreen Wipers

  Yes

  No

  N/A

• Glass

  Yes

  No

  N/A

• Tyres

  Yes

  No

  N/A

• Interior condition

  Yes

  No

  N/A

• Exterior condition

  Yes

  No

  N/A

• Comments

• Roadworthiness of vehicle

  Safe

  At Risk

  N/A

Declaration

• I declare that the above mentioned vehicle has been in my care from the stated time and that all checks were carrier out prior to driving.

  Sign

Post Trip Section

• Trip complete

  Date

• Finishing mileage

• Vehicle returned
  Address

• Comments