Vehicle Check Sheet

• Document No.

• Conducted on

  Date
• Location
  Address

• Take a picture of the vehicle including interior (front, rear and boot).

  Media

VEHICLE DESCRIPTION

• Driver details

• Make of vehicle

• Registration number

• Odometer reading

EXTERIOR LIGHTING (Take photo's of any damage)

• The high and low beams are operational.

  Yes

  No

  N/A

• The rear lights are operational.

  Yes

  No

  N/A

• The front and rear indicators are operational.

  Yes

  No

  N/A

• The break lights are operational.

  Yes

  No

  N/A

EXTERIOR BODY AND GLASS (Take photo's of any noted damage)

• The windscreen is free of cracks and chips

  Yes

  No

  N/A

• The engine hood, grill and bumper are free of damage.

  Yes

  No

  N/A

• The side mirrors are adjustable and free of damage.

  Yes

  No

  N/A

• All doors are free of damage.

  Yes

  No

  N/A

• The door windows are free of cracks and chips.

  Yes

  No

  N/A

• The rear window is free of cracks and chips.

  Yes

  No

  N/A

• The rear of the vehicle and boot door are free of damage.

  Yes

  No

  N/A

• The tax disc is current and not expired (note the expiry date).

  Yes

  No

  N/A

• The vehicle is clean and free of road dirt.

  Yes

  No

  N/A

TYRES

• All four tyres are in a good condition with no visible signs of damage.

  Yes

  No

  N/A

• The compressor and breakdown kit are accessible

  Yes

  No

  N/A

INTERIOR

• The seat belts are in a good condition.

  Yes

  No

  N/A

• The windshield wipers are functioning and in a good condition.

  Yes

  No

  N/A

• The windshield washer fluid level is acceptable and the washer is operational.

  Yes

  No

  N/A

• The heater and defroster are operational.

  Yes

  No

  N/A

• The airconditioning is operational.

  Yes

  No

  N/A

• The dashboard lights are operational.

  Yes

  No

  N/A

• All the gages are operational and show within the acceptable ranges when vehicle is started.

  Yes

  No

  N/A

• The interior compartment lights are operational.

  Yes

  No

  N/A

• The interior is clean and free of loose objects.

  Yes

  No

  N/A

H&S

• Do you have a first aid kit?

  Yes

  No

  N/A

• Do you have all of your PPE?

  Yes

  No

  N/A

SIGNATURES

• Signature of driver / responsible person

  Sign