SCAS HART - POD v1

• SCAS HART - Vehicle Daily Inspection - Pod Carrier & Polaris

• Conducted on

  Date

• Please Choose your shift

  Day

  Night

• Prepared by

• The driver is responsible in law, for ensuring that the vehicle is in a roadworthy condition (See also Operational Policy and Procedure Opp. No 10. Shift Start and End, and Change Over Procedure)

• I confirm that I have read and understood this statement and agree with it

• At the beginning of each shift or each time during shift a new vehicle is to be used, Trust drivers must check their vehicles to ensure they comply with the law.
  
  If any of the following items are not present an attempt should be made to rectify these during the checking process. If this is not possible, the vehicle should be marked as VOR.
  
  The following items form the VDI and MUST be checked:

Bodywork and number plates

• Vehicle Bodywork Clean and Intact

  Yes

  No

• Number Plates Present & Clean

  Yes

  No

Under Bonnet Checks

• Oil Levels within Max/Min

  Yes

  No

• Coolant Levels within Max/Min

  Yes

  No

• Brake Fluid Level within Max/Min

  Yes

  No

• Windscreen Washer Levels within Max/Min

  Yes

  No

Engine

• Prior to starting the engine, please fit filters to the exhaust if the vehicle is in the garage.

• Engine Started?

  Yes

  No

• Exhaust Filter Used

  Yes

  No

• Filter Number

• Give reason for not using filter

• Give reason for not starting the engine

Glass, mirrors and windscreen wash and wipers (condition and operation)

• Windscreen Washer Works

  Yes

  No

• Windscreen Wipers Intact and Working

  Yes

  No

• All glass and mirrors are clean and unobstructed

  Yes

  No

Lights (condition, cleanliness and operation)

• Headlights (static and flashing) working

  Yes

  No

• Indicators and Hazard Warning Lights working

  Yes

  No

• Brake Lights working

  Yes

  No

• Fog Lights working

  Yes

  No

• Reversing Lights (and alarm if fitted) working

  Yes

  No

• Blue Lights & Red Lights (orange where fitted) working

  Yes

  No

• Scene Lights working

  Yes

  No

Audible warning device

• Horn working

  Yes

  No

• Reason

  In Garage

  Other

• Please provide more information

• 3 Audible Sirens working

  Yes

  No

• Reason

  In Garage

  Other

• Please provide more information

Wheels and tyres Tread depth 3mm across the central ¾ section of the tyre and around the entire circumference.

• Tyre Pressure

  Correct Pressure

  Incorrect Pressure

  Visual Only Inspection

  No Inspection

• Tyre Tread Depth

  Under 3 mm Deep

  Over 3 mm Deep

Road worthiness

• Fuel Level (0.25 - 1/4 full, 0.5 - 1/2 full, 0.75 - 3/4 full, 1 - full)

• Hand/Foot Brake Test Completed

  Yes

  No

Other Items

• Vehicle Pack present

  Yes

  No

• Accident Pack Present

  Yes

  No

• Defect Book Present

  Yes

  No

• Fuel Card Present

  Yes

  No

• Garage Door Fob Present

  Yes

  No

• Vehicle based radio and aerials present and working

  Yes

  No

• Hand Portable Radio(s) present and working

  Yes

  No

Vehicle Status

• What is the status of this vehicle?

  Operational

  VOR

• Please explain why the vehicle is VOR and describe any actions taken regarding this

• Have you found Vehicle Damage

  No

  Yes

• Is this new damage?

  No

  Yes

• Describe the new Damage (location and extent)

• Is the vehicle still roadworthy?

  Yes

  No

• Add Photo of Damage found

  Media

• Describe the known damage location and extent

• SCAS Area Maps

  Yes

  No

• Other Maps

  Yes

  No

• Hampshire Map

  Yes

  No

• Vehicle Info Pack

  Yes

  No

• Vehicle Defect Book

  Yes

  No

• Duodote Pen Pack

  Yes

  No

• Smart Triage Pack

  Yes

  No

• Response Bag

  Yes

  No

• Oxygen Bag

  Yes

  No

• Fuel Card

  Yes

  No

• AED

  Yes

  No

• Polaris Secured

  Yes

  No

• Side and Rear Door Secured

  Yes

  No