Rosgal - Vehicle Pre-Start Check

Site conducted

• Conducted on

  Date

• Person completing check

• Location
  Address

What if I identify a Defect?

• Where a defect is identified that has the potential to result in damage or harm the equipment must not be used. You must notify a manager immediately who shall further instruct.

Internal Checks - Please indicate condition

• Mirrors & Glass

  Good

  Fair

  Poor

  N/A

• Windscreen wipers & Washers

  Good

  Fair

  Poor

  N/A

• Front view

  Good

  Fair

  Poor

  N/A

• Warnings lamps

  Good

  Fair

  Poor

  N/A

• Horn

  Good

  Fair

  Poor

  N/A

• Brakes & air-build-up

  Good

  Fair

  Poor

  N/A

• Height marker

  Good

  Fair

  Poor

  N/A

• Seatbelts

  Good

  Fair

  Poor

  N/A

External Checks

• Lights & Indicators

  Good

  Fair

  Poor

  N/A

• Fuel & oil leaks

  Good

  Fair

  Poor

  N/A

• Battery security & condition

  Good

  Fair

  Poor

  N/A

• Exhaust emissions

  Good

  Fair

  Poor

  N/A

• Security of body / wings

  Good

  Fair

  Poor

  N/A

• Tyres & wheel fixing

  Good

  Fair

  Poor

  N/A

• Brake line

  Good

  Fair

  Poor

  N/A

• Electrical connections

  Good

  Fair

  Poor

  N/A

• Security of load

  Good

  Fair

  Poor

  N/A

• Number plate

  Good

  Fair

  Poor

  N/A

• Reflectors & lights

  Good

  Fair

  Poor

  N/A

• Markers & signage

  Good

  Fair

  Poor

  N/A

• Class V & Vl Mirrors

  Good

  Fair

  Poor

  N/A

• Under run bars

  Good

  Fair

  Poor

  N/A

• Tail lift

  Good

  Fair

  Poor

  N/A

• Camera systems

  Good

  Fair

  Poor

  N/A

Signature

• Please sign to confirm that the checks made about were accurate at the time of completion.

  Sign