Information

  • Document No.

  • Conducted on

  • Prepared by

  • Location
  • Rego

  • Take a photo of your licence

  • Speedo Reading

  • Next Service Due (Km)

  • Is the Toll tag present and serviceable?

  • Is the fuel card present and serviceable?

  • If unroadworthy or damaged enter details

Vehicle Operation

  • Gear stick and reverse lights

  • Enter Details

  • Door handles and locks

  • Enter Details

  • All instruments

  • Enter Details

  • Seats

  • Enter Details

  • Seat belts

  • Enter Details

  • Wipers/Washer

  • Enter Details

  • Head lights switch and operation

  • Enter Details

  • Indicators switch and operation

  • Enter Details

  • Brake Pedal and lights

  • Enter Details

  • Interior Light

  • Enter Details

  • Window Operation and all glass

  • Enter Details

Emergency Equipment

  • First Aid Kit is complete and in date

  • Enter Details

  • Fire Extinguisher is serviceable and current

  • Enter Details

Exterior

  • Signage Rack

  • Enter Details

  • Sides, Head Board, Tail Gate

  • Enter Details

  • Body work

  • Enter Details

  • Spare wheel jack & brace

  • Enter Details

  • Spare wheel

  • Enter Details

  • Tow bar, ball, coupling and electrics

  • Enter Details

  • Tyres seem to be serviceable and legal

  • Enter Details

  • Reverse Beeper

  • Enter Details

Under Bonnet

  • Bonnet Operation

  • Enter Details

  • Door handles and locks

  • Enter Details

  • Coolant Level

  • Enter Details

  • Engine Oil Level

  • Enter Details

  • Clutch Fluid Level

  • Enter Details

  • Washer Bottle Full

  • Enter Details

  • Break Fluid Level

  • Enter Details

  • Oil Leaks

  • Enter Details

Arrowboard

  • Control box is secure and buttons/switches serviceable

  • Enter Details

  • Arrowboard Raises

  • Enter Details

  • Arrowboard lowers

  • Enter Details

  • Left Arrow

  • Enter Details

  • Right Arrow

  • Enter Details

  • Wig Wags

  • Enter Details

  • Flashing Beacons

  • Enter Details

  • Oil Leaks

  • Enter Details

  • Signature

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.