Information

  • Rego number

  • Conducted on

  • Left Hand Side Damage Free?

  • Take photo of damaged area.

  • Select Damage Type

  • Notes.

  • Rear of Vehicle is Damage Free?

  • Take photo of damaged area.

  • Select Damage Type

  • Notes.

  • Boot Lid/Tailgate of Vehicle is Damage Free?

  • Take photo of damaged area.

  • Select Damage Type

  • Notes.

  • Right Side of Vehicle is Damage Free?

  • Take photo of damaged area.

  • Select Damage Type

  • Notes.

  • Front of Vehicle is Damage Free?

  • Take photo of damaged area.

  • Select Damage Type

  • Notes.

  • Bonnet of Vehicle is Damage Free?

  • Take photo of damaged area.

  • Select Damage Type

  • Notes.

  • Roof of Vehicle is Damage Free?

  • Take photo of damaged area.

  • Select Damage Type

  • Notes.

  • I understand that Signed by Vehicle Owner / Person Dropping Vehicle Off

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.