Title Page

  • Conducted on

  • Prepared by

Basic Information

  • Name of Assignee

  • Designation (Role)

  • Department

  • Vehicle Plate Number (Indicate Conduction Sticker if None)

  • Vehicle Type

  • Current Mileage (Odometer - KM)

Documentation

  • Is the vehicle's OR and CR within the vehicle?

  • Is the vehicle's registration valid?

  • Is there a manual/handbook for the vehicle present in the vehicle?

  • Are there PM records of the vehicle within the vehicle?

  • When was the last PM Date? (Input date)

  • What is the last PM Mileage? (Input Mileage)

  • Are the DFL references present within the vehicle?

Brakes

  • Does the foot brake work without difficulty?

  • Does the emergency brake (hand brake) work without difficulty?

Steering

  • Is the steering wheel aligned with the turn of the wheels?

  • Are there no difficulties when turning the steering wheel? (Yes - No problem ; No - With problem)

  • Describe the problem when turning the steering wheel.

Lighting

  • Are the all the lights working? (headlights, tail lights, signal lights, park lights, reverse lights)

  • If NO, provide details for the lights that are NOT working.

Rims and Tires

  • Are the tires free from visible cracks or any other damage? (Yes - No damage ; No - With damage)

  • Are the tires inflated well? Look for any indication of a flat tire. (Yes - Inflated well ; No - Has low air pressure)

  • Are the rims free from any damage? (Yes - Safe ; No - With issue)

  • When was the reserve previously checked? Indicate the date you last checked the spare tire.

Mirrors and Windows

  • Are the windows and mirrors okay?

  • Provide the details for the window or mirror with issue/s.

Exterior and Interior Details

  • Is the Exterior of the vehicle generally okay? (Yes - Okay ; No - There are issues)

  • Provide details for the damaged part of the Exterior. Attach pictures in the comment section of this question.

  • Are the parking sensors working properly? (Yes - No problem ; No - There is are issues)

  • Do the wipers still work effectively?

  • Is the Interior of the vehicle generally okay? (Yes - Okay ; No - There are issues)

  • Provide details for the Interior of the vehicle with issue. Attach pictures in the comment section of this question.

DFL Accessories

  • Have you received the “I am a Safe Driver” sticker?

  • Have you placed the sticker in your assigned vehicle?

  • If NO, please indicate the reason why.

  • Have you received your vehicle Fire Extinguisher already?

  • If the Fire Extinguisher in your vehicle?

  • If NO, please indicate the reason why.

  • Have you purchased a Tire Compressor for your assigned vehicle?

  • If NO, please indicate the reason why.

Motor Vehicle Incident

  • Are you recently involved in a Motor Vehicle Incident?

  • Have you reported this incident to HSE?

  • Have you reported this incident to the Fleet Manager?

Remarks

  • Kindly indicate here if there any issues or concerns with your vehicle that are not covered by the checklist.

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.