Road Vehicle Check (Daily - 5 days a week by Driver)

• Date and Time

  Date

• Auditor's Name

• Location
  Address

• Role of Auditor

SECTION 1.0 - ROAD VEHICLE DETAILS

• Vehicle

  Deep Cleaning South Van

  Deep Cleaning North Van

• Vehicle Registration Number

  GF69 CAE

  Peterborough Registration

• Mileage at time of Inspection

SECTION 2.0 - EXTERNAL SAFETY CHECK

• 2.1 All the tyres (including the spare) appear roadworthy, free of unusual signs of wear and of incorrect pressure.

  Compliant

  Non-Compliant

• 2.1 All the tyres (including the spare) appear roadworthy, free of unusual signs of wear and of incorrect pressure. - Reason for Non Compliance

  Tyre Wear

  Puncture

  Incorrect Pressure

  No Spare

  Other

• Specify

• Please raise an action to address and/or improve the identified issue.

• 2.2 Is the vehicle body in a safe condition with no sign of fuel, oil, or other fluid leaks?

  Compliant

  Non-Compliant

• 2.2 Is the vehicle body in a safe condition with no sign of fuel, oil, or other fluid leaks? - Reason for Non-Compliance

  Fuel Leak

  Oil Leak

  Other Fluid Leak

• Specify

• Please raise an action to address and/or improve the identified issue.

• 2.3 All warning/hazard and driving lights clear and in good working order

  Compliant

  Non-Compliant

• 2.3 All warning/hazard and driving lights clear and in good working order - Reason for Non-Compliance

  Brake Light Gone Out

  Reverse Light Gone Out

  Headlight Gone Out

  Indicator Light Gone Out

  Other

• Specify

• Please raise an action to address and/or improve the identified issue.

• 2.4 Number plates clean and clear?

  Compliant

  Non-Compliant

• 2.4 Number plates clean and clear? - Reason for Non-Compliance

  Number Plate Dirty

  Number Plate Damaged

  Other

• Specify

• Please raise an action to address and/or improve the identified issue.

• 2.5 Windscreens in good condition and not obscured/chipped or cracked

  Compliant

  Non-Compliant

• 2.5 Windscreens in good condition and not obscured/chipped or cracked - Reason for Non-Compliance

  Windscreen Obscured

  Windscreen Chipped

  Windscreen Cracked

  Other

• Specify

• Please raise an action to address and/or improve the identified issue.

SECTION 3.0 - INTERNAL SET UP

• 3.1 Loads fully contained with the vehicle and secure or correctly secured

  Compliant

  Non-Compliant

• 3.1 Loads fully contained with the vehicle and secure or correctly secured - Reason for Non-Compliance

  Untidy

  Excessive Load

  Not Secure

  Other

• Specify

• Please raise an action to address and/or improve the identified issue.

• 3.2 Seat belt in good working order

  Compliant

  Non-Compliant

• 3.2 Seat belt in good working order - Reason for Non-Compliance

  Seat Belt/s Damaged

  Seat Belt Missing

  Other

• Specify

• Please raise an action to address and/or improve the identified issue.

• 3.3 Head restraints properly adjusted to reduce the risk of neck injuries in the event of an accident

  Compliant

  Non-Compliant

• 3.3 Head restraints properly adjusted to reduce the risk of neck injuries in the event of an accident - Reason for Non-Compliance

  Head Restraint/s Damaged

  Head Restraint Missing

  Other

• Specify

• Please raise an action to address and/or improve the identified issue.

• 3.4 Sufficient fuel for the journey

  Compliant

  Non-Compliant

• 3.4 Sufficient fuel for the journey - Reason for Non-Compliance

  Insufficent Fuel

  Other

• Specify

• Please raise an action to address and/or improve the identified issue.

• 3.5 Driving mirrors clean and suitably adjusted for the driver and is the horn working correctly

  Compliant

  Non-Compliant

• 3.5 Driving mirrors clean and suitably adjusted for the driver and is the horn working correctly - Reason for Non-Compliance

  Select Driving Mirror Broken Driving Mirror Cracked/Chipped Driving Mirror Not Suitably Adjusted Horn Broken Other

  • Driving Mirror Broken
  • Driving Mirror Cracked/Chipped
  • Driving Mirror Not Suitably Adjusted
  • Horn Broken
  • Other

• Specify

• Please raise an action to address and/or improve the identified issue.

SECTION 4.0 - EQUIPMENT & LOAD

• 4.1 Wash bottles have a sufficient supply of liquid

  Compliant

  Non-Compliant

• 4.1 Wash bottles have a sufficient supply of liquid - Reason for Non-Compliance

  Wash Bottles Empty

  Wash Bottles Missing

  Other

• Specify

• Please raise an action to address and/or improve the identified issue.

• 4.2 First Aid box fitted in the vehicle and is the seal intact

  Compliant

  Non-Compliant

• 4.2 First Aid box fitted in the vehicle and is the seal intact - Reason for Non-Compliance

  First Aid Box Missing

  First Aid Box Seal Broken

  First Aid Box Missing Items

  Other

• Specify

• Please raise an action to address and/or improve the identified issue.

• 4.3 Housekeeping within both cab and the load area at the rear of the van

  Compliant

  Non-Compliant

• 4.3 Housekeeping within both cab and the load area at the rear of the van - Reason for Non-Compliance

  Select Untidy Not Clean Load Unsecure Litter / Waste Work Equipment General / Other

  • Untidy
  • Not Clean
  • Load Unsecure
  • Litter / Waste
  • Work Equipment
  • General / Other

• Specify

• Please raise an action to address and/or improve the identified issue.

SECTION 5.0 - ANY OTHER COMMENTS

• 5.1 Any Additional Comments or Issues

• Please raise an action to address and/or improve the identified issue.

SECTION 6 - REVIEW & SUBMIT

• Name and Signature

  Sign