Title Page
- Vehicle
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Conducted on
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Prepared by
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Add location
Answer the following questions
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Your position in the company
Vehicle Details
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Road Tax Due Date:
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MOT Due Date:
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Mileage:
Inspect Condition of
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Is the oil level correct?
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Reason/Comment
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Is the screen washer level correct
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Reason/Comment
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Are the screen washer jets operational?
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Reason/Comment
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Is the radiator water level correct?
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Reason/Comment
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Is the brake fluid level correct?
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Reason/Comment
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Are the battery terminals in good condition?
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Reason/Comment
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Are the lights operational?
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Reason/Comment
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All indicators operational?
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Reason/Comment
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Wipers operational?
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Reason/Comments
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Are the reflectors operational?
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Reason/Comment
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Is the windscreen in good condition
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Reason/Comment
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Are the mirrors in good condition
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Reason/Comment
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Is the handbrake operational
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Reason/Comment
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Is the foot bake operational
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Reason/Comment
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Is the roof rack sound and secure
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Reason/Comment
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Are the tow bar socket electrics operational
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Reason/Comment
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Tyre Condition {inc. spare} in place and secure
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Reason/Comment
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Tyre Pressure {inc. spare} in place and secure
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Reason/Comment
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Wheel Nuts in place and secure
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Reason/Comment
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Jack & Wheel Wrench operational
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Reason/Comment
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Spare Wheel available
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Reason/Comment
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Body Work in good Condition
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Reason/Comment
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Cab in good Condition
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Reason/Comment
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Storage Area in good Condition
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Reason/Comment
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Inside Cleanliness ok
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Reason/Comment
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Outside Cleanliness ok
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Reason/Comment
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First Aid Kit available
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Reason/comment
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First aid Bag/Box Sealed
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Reason/Comment
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Fire Extinguisher available and not discharged
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Reason/Comment
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Breakdown Hazard Signage available
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Reason/Comment
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Breakdown Hiviz Jackets available
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Reason/Comment
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“No Smoking” signage in Van affixed and prominent
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Reason/Comment
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Radio operational
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Reason/Comment
Company Vehicles are classed as work equipment and must be routinely checked on a weekly basis and/or by any “New Driver” when requested to drive the vehicle
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Signed