Pre-Clean Vehicle Inspection Form

• Inspected By

• Date

• Location
  Address

• Job Reference Number

Vehicle Information

• Vehicle Registration

• Vehicle Model

• Vehicle Make

• VIN / Motor Number

• Odometer / Milage Reading

Vehicle Inspection

• Do you wish to check the exterior of this vehicle in this inspection?

  Yes

  No

  N/A

External Check

• Windscreen free from damage?

  Yes

  No

  N/A

• Front Lights free from damage?

  Yes

  No

  N/A

• Front Bumpers and bodywork / paintwork in good condition?

  Yes

  No

  N/A

• Drivers Side - Tyres both front and rear in good condition and roadworthy with acceptable pressure and tread?

  Yes

  No

  N/A

• Drivers Side bodywork / paintwork in good condition from front to rear?

  Yes

  No

  N/A

• Rear Lights are free from damage?

  Yes

  No

  N/A

• Rear Doors, Bumpers bodywork/paintwork in good condition?

  Yes

  No

  N/A

• Passenger Side - Tyres both front and rear in good condition and roadworthy with acceptable pressure and tread?

  Yes

  No

  N/A

• Passenger Side bodywork / paintwork in good condition from front to rear?

  Yes

  No

  N/A

• Do you wish to check the interior of this vehicle in this inspection?

  Yes

  No

  N/A

Internal Check

• Are all seat belts in good working order?

  Yes

  No

  N/A

• Are any warning lights illuminated on dash?

  Yes

  No

  N/A

• Are all vehicle front lights working?

  Yes

  No

  N/A

• Are all vehicle indicators working?

  Yes

  No

  N/A

• Are all vehicle stop/brake lights working?

  Yes

  No

  N/A

Maintenance Check

• Do you wish to conduct a pre-clen inspection check of this vehicle?

  Yes

  No

  N/A

• What is the overall condition of the vehicle

  Good

  Fair

  Poor

  N/A

• Are all doors and door locks operational?

  Yes

  No

  N/A

• Is the air conditioning operational?

  Yes

  No

  N/A

• Is the vehicle free of grease leaks?

  Yes

  No

  N/A

• Is the vehicle free of fuel leaks?

  Yes

  No

  N/A

• Are the emergency and/or hand brakes operational and in good condition?

  Yes

  No

  N/A

General Comments

• Any further comments or recommendations arising from this inspection?

• Add any additional relevant photos

  Media

• Have all required corrective actions been added as Actions to this inspection?

  Yes

  No

  N/A

• Please add any corrective actions to the appropriate questions above before completing this report
  

Sign Off

• I, the undersigned, hereby certify that all information is accurate and that an actual inspection was conducted.

• Inspector Name

• Inspector Signature

  Sign