RR&R Vehicle Daily Use Safety Check

• Conducted on

  Date

• Conducted by

• Location
  Address

Vehicle Information

• Vehicle Registration

  YIY30G

  YIY20G

• Odometer Reading

Pre-Start Vehicle Inspection

• Is the operators manual present in the vehicle

  Yes

  No

  N/A

• Is there an accident / incident form present in the vehicle

  Yes

  No

  N/A

• Is the vehicle free of visible fluid leaks

  Yes

  No

  N/A

• Are wheels, tyres and Jack Including Spare tyre serviceable

  Yes

  No

  N/A

• Are all windows and mirrors serviceable and free from damage

  Yes

  No

  N/A

• Are all lights functional and free from damage

  Yes

  No

  N/A

• Current Fuel level %

• Does the horn work

  Yes

  No

  N/A

• Are the Seats and Seatbelts free from damage and serviceble

  Yes

  No

  N/A

• Is there a first aid kit in the vehicle

  Yes

  No

  N/A

• Are all radios and communication devices functional

  Yes

  No

  N/A

Post-Start Vehicle Inspection

• Does the handbrake and footbrake function properly

  Yes

  No

  N/A

• Post start is the vehicle free of any dashboard warning/error signals or alarms

  Yes

  No

  N/A

Defect and Damage Log

• Please log all damages and defects noted on the vehicle

Defect

• Select the location of any defect on this vehicle

  Select General No location Bonnet / hood Bumper Fender (wing or mudguard) Grille (grill) Engine Brakes Accelerator Front Right Side Wheel Front Left Side Wheel Rear Right Side Wheel Rear Left Side Wheel Rims / Hubcap Tire / Tyre Interior (General) Front Right Side Seat Front Left Side Seat Rear Right Side Seat Rear Middle Seat Rear Left Side Seat Dashboard Electrical (General) Electrical (Entertainment / Computer) Steering Wheel Pedals Trunk / boot Front Right door Front Left door Rear Right door Rear Left door Trunk / boot door Fuel tank (inc. fuel door) Front Right Side Glass Front Left Side Glass Rear Right Side Glass Rear Left Side Glass Windshield / windscreen Other

  • General
  • No location
  • Bonnet / hood
  • Bumper
  • Fender (wing or mudguard)
  • Grille (grill)
  • Engine
  • Brakes
  • Accelerator
  • Front Right Side Wheel
  • Front Left Side Wheel
  • Rear Right Side Wheel
  • Rear Left Side Wheel
  • Rims / Hubcap
  • Tire / Tyre
  • Interior (General)
  • Front Right Side Seat
  • Front Left Side Seat
  • Rear Right Side Seat
  • Rear Middle Seat
  • Rear Left Side Seat
  • Dashboard
  • Electrical (General)
  • Electrical (Entertainment / Computer)
  • Steering Wheel
  • Pedals
  • Trunk / boot
  • Front Right door
  • Front Left door
  • Rear Right door
  • Rear Left door
  • Trunk / boot door
  • Fuel tank (inc. fuel door)
  • Front Right Side Glass
  • Front Left Side Glass
  • Rear Right Side Glass
  • Rear Left Side Glass
  • Windshield / windscreen
  • Other

• Briefly describe this defect

• Attach photos of this defect (if applicable)

  Media

General Comments

• Any notes or comments or arising from this inspection?

• Add any additional relevant photos

  Media

• Is the vehicle serviceable for use

  Yes

  No

  N/A

Sign Off

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

• Inspector Name and Signature

  Sign