Title Page

  • HGV

  • Conducted on

  • Driver

  • Document No.

  • Prepared by

  • Location

Vehicle Information

  • Vehicle Registration

  • Vehicle Model

  • Vehicle Make

  • VIN / Motor Number

  • Odometer / Milage Reading

Vehicle Inspection

  • Windscreen free from damage?

  • Front Lights free from damage?

  • Front Bumpers and bodywork / paintwork in good condition?

  • Drivers Side - Tyres both front and rear in good condition and roadworthy with acceptable pressure and tread?

  • Drivers Side bodywork / paintwork in good condition from front to rear?

  • Rear Lights are free from damage?

  • Rear Doors, Bumpers bodywork/paintwork in good condition?

  • Passenger Side - Tyres both front and rear in good condition and roadworthy with acceptable pressure and tread?

  • Passenger Side bodywork / paintwork in good condition from front to rear?

  • Is the exterior of the vehicle clean?

  • Is inside the vehicle in a clean and tidy condition?

  • Is there a First Aid Kit on board?

  • Is there a Fire Extinguisher on board?

  • Is the back of the vehicle In a reasonable condition?

  • Are all seat belts in good working order?

  • Are any warning lights illuminated on dash?

  • Are all vehicle front lights working?

  • Are all vehicle stop/brake lights working?

  • Are all vehicle indicators working?

Maintenance Check

  • Are windshield washers in working order, with water filled?

  • Are engine oil levels within acceptable ranges?

  • Are coolant levels within acceptable ranges?

  • Are brake fluid levels within acceptable ranges?

  • Are transmission fluid levels within acceptable ranges?

  • Is battery working and the vehicle starts?

  • Does the car horn function correctly?

  • Are all doors and door locks operational?

  • Is the air conditioning operational?

  • Is the vehicle free of grease leaks?

  • Is the vehicle free of fuel leaks?

  • Are the emergency and/or hand brakes operational and in good condition?

  • Are the vehicle power brakes operational and in good condition?

Documentation Check

  • Owner and/or Operation Manual present in vehicle?

Sign off

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

  • Inspector Name and Signature

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