Vehicle Health Check

• Client / Site

• Conducted on

  Date
• Location
  Address

• Vehicle Reg

• Make & model

Vision

• Front windscreen wipers and washers

  Yes

  No

  N/A

• Front windscreen

  Yes

  No

  N/A

• Rear windscreen wipers and washers

  Yes

  No

  N/A

• Rear window

  Yes

  No

  N/A

• Side windows

  Yes

  No

  N/A

• Doors

  Yes

  No

  N/A

• Wing mirrors

  Yes

  No

  N/A

Wheels & Tyres

• Front Tyre Tread

• Rear Tyre Tread

• Brake connectors

  Yes

  No

  N/A

• Steering mounting

  Yes

  No

  N/A

• Wheel bearings

  Yes

  No

  N/A

• Front axle pins

  Yes

  No

  N/A

• Handbrake function

  Yes

  No

  N/A

• Brake pedal assembly

  Yes

  No

  N/A

• Master cylinder

  Yes

  No

  N/A

• Power steering unit

  Yes

  No

  N/A

• Pipe work & fittings

  Yes

  No

  N/A

Lights

• Headlights

  Yes

  No

  N/A

• Front side lights

  Yes

  No

  N/A

• Rear side lights

  Yes

  No

  N/A

• Front indicators

  Yes

  No

  N/A

• Rear indicators

  Yes

  No

  N/A

• Function of lights

  Yes

  No

  N/A

• Indicator fixings

  Yes

  No

  N/A

• Brake lights

  Yes

  No

  N/A

• Registration plate lights

  Yes

  No

  N/A

• Reversing light

  Yes

  No

  N/A

• Horn

  Yes

  No

  N/A

• Hazard warning

  Yes

  No

  N/A

Miscellaneous

• Engine oil level

  Yes

  No

  N/A

• Transmission oil level and filters

  Yes

  No

  N/A

• Coolant level

  Yes

  No

  N/A

• Radiator cap

  Yes

  No

  N/A

• Radiator / oil cooler / air conditioning condenser cleanliness

  Yes

  No

  N/A

• Fuel filters

  Yes

  No

  N/A

• Air filters

  Yes

  No

  N/A

• Cab filters

  Yes

  No

  N/A

• Fan belts

  Yes

  No

  N/A

• Fuel tank cap

  Yes

  No

  N/A

• Fuel leaks

  Yes

  No

  N/A

• Oil leaks

  Yes

  No

  N/A

• Coolant leaks

  Yes

  No

  N/A

• Battery levels

  Yes

  No

  N/A

• Battery fixings

  Yes

  No

  N/A

• Gear selector systems

  Yes

  No

  N/A

• Clutch pedal function

  Yes

  No

  N/A

• Exhaust system and fixings

  Yes

  No

  N/A

Declaration

• Enter date and time

  Date

• Name and signature of competent person carrying out inspection

  Sign