Title Page
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Conducted on
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Prepared by
Basic Information
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Name of Assignee
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Designation (Role)
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Department
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Vehicle Plate Number (Indicate Conduction Sticker if None)
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Vehicle Type
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Current Mileage (Odometer - KM)
Documentation
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Is the vehicle's OR and CR within the vehicle?
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Is the vehicle's registration valid?
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Is there a manual/handbook for the vehicle present in the vehicle?
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Are there PM records of the vehicle within the vehicle?
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When was the last PM Date? (Input date)
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What is the last PM Mileage? (Input Mileage)
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Are the DFL references present within the vehicle?
Brakes
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Does the foot brake work without difficulty?
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Does the emergency brake (hand brake) work without difficulty?
Steering
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Is the steering wheel aligned with the turn of the wheels?
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Are there no difficulties when turning the steering wheel? (Yes - No problem ; No - With problem)
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Describe the problem when turning the steering wheel.
Lighting
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Are the all the lights working? (headlights, tail lights, signal lights, park lights, reverse lights)
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If NO, provide details for the lights that are NOT working.
Rims and Tires
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Are the tires free from visible cracks or any other damage? (Yes - No damage ; No - With damage)
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Are the tires inflated well? Look for any indication of a flat tire. (Yes - Inflated well ; No - Has low air pressure)
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Are the rims free from any damage? (Yes - Safe ; No - With issue)
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When was the reserve previously checked? Indicate the date you last checked the spare tire.
Mirrors and Windows
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Are the windows and mirrors okay?
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Provide the details for the window or mirror with issue/s.
Exterior and Interior Details
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Is the Exterior of the vehicle generally okay? (Yes - Okay ; No - There are issues)
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Provide details for the damaged part of the Exterior. Attach pictures in the comment section of this question.
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Are the parking sensors working properly? (Yes - No problem ; No - There is are issues)
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Do the wipers still work effectively?
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Is the Interior of the vehicle generally okay? (Yes - Okay ; No - There are issues)
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Provide details for the Interior of the vehicle with issue. Attach pictures in the comment section of this question.
DFL Accessories
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Have you received the “I am a Safe Driver” sticker?
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Have you placed the sticker in your assigned vehicle?
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If NO, please indicate the reason why.
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Have you received your vehicle Fire Extinguisher already?
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If the Fire Extinguisher in your vehicle?
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If NO, please indicate the reason why.
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Have you purchased a Tire Compressor for your assigned vehicle?
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If NO, please indicate the reason why.
Motor Vehicle Incident
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Are you recently involved in a Motor Vehicle Incident?
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Have you reported this incident to HSE?
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Have you reported this incident to the Fleet Manager?
Remarks
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Kindly indicate here if there any issues or concerns with your vehicle that are not covered by the checklist.