MX69 MXE

  • Site conducted

  • Prepared by

  • Location

Monday

  • Mileage:

  • Driver Name (Print)

  • Signature

  • Date

VEHICLE CHECKS

1. General Cleanliness

  • 2. Check all equipment safety devices

  • 3. Reverse Lights & mirrors

  • 4. First Aid Kit

HIGHWAY VEHICLES

  • 4. Amber bar/beacon working

  • 5. Chevrons fitted and clean

  • 6. Motorway Maintenance sticker visible

ENGINE COMPARTMENT

  • 7. Windscreen Wash Bottle

8. Electrical/ Mechanical Defects

  • 9. Fuel Level

TRANSMISSION

  • 10. Wheels & Tyres

  • 11. Seats and seat belt condition

  • 12. Function check horn & wipers

  • 13. Windscreen condition

  • 14. Function check all switches & gauges

Observations / Defects:

  • comments/defects

Tuesday

  • mileage

  • driver name

  • signature

  • date

  • Check all equipment safety devices

  • Reverse lights and mirrors

  • First aid kit

  • Amber Bar/Beacon working

  • Chevrons fitted and clean

  • Motorway maintenance sticker visible

  • windscreen wash bottle

  • Fuel level

  • Wheels and Tyres

  • Seats and seat belt condition

  • Function check Horn and wipers

  • windscreen condition

  • Function check all switches and gauges

  • Comments/defects

Wednesday

  • mileage

  • Driver Name

  • Signature

  • Date

  • Check all equipment safety devices

  • Reverse lights and mirrors

  • First aid kit

  • Amber Bar/Beacon working

  • Chevrons fitted and clean

  • Motorway maintenance sticker visible

  • Windscreen wash bottle

  • Fuel level

  • Wheels and tyres

  • Seats and seat belt condition

  • Function check horn and wipers

  • Windscreen condition

  • Function check all switches and gauges

  • comments/defects

thursday

  • Mileage

  • driver name

  • Signature

  • Date

  • Check all equipment safety devices

  • Reverse lights and mirrors

  • First aid kit

  • Amber bar/Beacon working

  • Chevrons fitted and clean

  • Motorway maintenance sticker visible

  • Windscreen wash bottle

  • Fuel level

  • Wheels and tyres

  • Seats and seat belt condition

  • Function check Horn and wipers

  • Windscreen condition

  • Function check all switches and gauges

  • Comments/defects

Friday

  • mileage

  • Driver name

  • Signature

  • Date

  • Check all equipment safety devices

  • Reverse lights and mirrors

  • First aid kit

  • Amber Bar/Beacon working

  • Chevrons fitted and clean

  • Motorway maintenance sticker visible

  • Windscreen wash bottle

  • Fuel level

  • Wheels and Tyres

  • Seats and seat belt

  • Function check all switches and gauges

  • Comments/defects

Saturday

  • mileage

  • driver name

  • signature

  • date

  • Check all equipment safety devices

  • Reverse lights and mirrors

  • First aid kit

  • Amber Bar/Beacon working

  • Chevrons fitted and clean

  • Motorway maintenance sticker visible

  • windscreen wash bottle

  • Fuel level

  • Wheels and Tyres

  • Seats and seat belt condition

  • Function check Horn and wipers

  • windscreen condition

  • Function check all switches and gauges

  • Comments/defects

Sunday

  • mileage

  • driver name

  • signature

  • date

  • Check all equipment safety devices

  • Reverse lights and mirrors

  • First aid kit

  • Amber Bar/Beacon working

  • Chevrons fitted and clean

  • Motorway maintenance sticker visible

  • windscreen wash bottle

  • Fuel level

  • Wheels and Tyres

  • Seats and seat belt condition

  • Function check Horn and wipers

  • windscreen condition

  • Function check all switches and gauges

  • Comments/defects

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.