Utility Vehicle Inspection Report

• Conducted on

  Date

• Driver

  Juandre Louw

  Stanley Chiyasa

  Dylan Fouche

  Petrus Matlou

  Wimpie Pretorius

Vehicle Information

• Vehicle Registration

• Odometer / Milage Reading

External Check

• Windscreen free from damage?

  Yes

  No

  N/A

• Front Lights free from damage?

  Yes

  No

  N/A

• Front Bumpers and bodywork / paintwork in good condition?

  Yes

  No

  N/A

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

  Yes

  No

  N/A

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

  Yes

  No

  N/A

• Rear Lights are free from damage?

  Yes

  No

  N/A

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

  Yes

  No

  N/A

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

  Yes

  No

  N/A

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

  Yes

  No

  N/A

• Canopy free from Damage

  Yes

  No

  N/A

• Canopy Functioning Properly

  Yes

  No

  N/A

• Is the exterior of the vehicle clean?

  Yes

  No

  N/A

• Yes

  No

  N/A

Internal Check

• All Carpets Present

  Yes

  No

  N/A

• Are all seat belts in good working order?

  Yes

  No

  N/A

• Seats free of damage

  Yes

  No

  N/A

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

  Yes

  No

  N/A

• Yes

  No

  N/A

Equipment

• Jumper Cables

• First Aid Kit

• Tow Rope

• Jack

• Wheel Spanner

• Radio

  Pass

  Fail

  N/A

• Yes

  No

  N/A

Maintenance Check

• Engine Oil

  Yes

  No

  N/A

• Coolant

  Yes

  No

  N/A

• Brake Fluid

  Yes

  No

  N/A

• Clutch Fluid

  Yes

  No

  N/A

• Power Steering Fluid

  Yes

  No

  N/A

• Windscreen Washer Fluid

  Yes

  No

  N/A

• Windscreen Wipers Working

  Yes

  No

  N/A

• Are all vehicle stop/brake lights working?

  Yes

  No

  N/A

• Are all vehicle front lights working?

  Yes

  No

  N/A

• Are all vehicle indicators working?

  Yes

  No

  N/A

• Reverse lights working?

  Yes

  No

  N/A

• Comments

• Yes

  No

  N/A

Defect and Damage Log

• Please log all damages and defects noted on the vehicle

  Media
Defect

• What type of defect is this individual defect?

• Briefly describe this defect

• Attach photos of this defect (if applicable)

  Media

• Yes

  No

  N/A

General Comments

• Any further comments or recommendations arising from this inspection?

• Add any additional relevant photos

  Media

• Have all required corrective actions been added as Actions to this inspection?

  Yes

  No

  N/A

• Please add any corrective actions to the appropriate questions above before completing this report
  

• Yes

  No

  N/A

Sign Off

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

• Confirmed by Driver

  Juandre Louw

  Stanley Chiyasa

  Dylan Fouche

  Petrus Matlou

  Wimpie Pretorius

• Yes

  No

  N/A