VEHICLE INPSECTION SHEET ETHEMBA

• Company Name

  Select

• Date of Inspection

  Date

• Inspection Done By (Driver)

• Location
  Address

• Vehicle

  Select

• Vehicle License Expiry Date

  Date

• Current Kilomoter Reading

• Next Service Due (Km)

EXTERIOR

• Exterior of Vehicle Clean

  Yes

  No

• Any new EXTERIOR Damages since previous inspection? (Photo + Description)

  No

  Yes

• Please indicate on Drawing where the damage is located on the Vehicle

  No

  Yes

• Are the front lights, lenses and reflectors damaged or dirty?

  No

  Yes

• Can the damage be repaired or if dirty cleaned?

  Yes

  No

• Windscreen or any other Windows damaged?

  No

  Yes

• Tyre Inflated properly?

  Yes

  No

• Tyre tread within legal limits (Min 1mm) and no visible damage. (Photo + Description)

  Yes

  No

• Spare Wheel & Tools for changing wheel Present and in good condition

  Yes

  No

• Engine Oil, Coolant Level and Washer Fluid Checked and Filled

  Yes

  No

• Any Fluid Leaks discovered (Photo + Description)

  No

  Yes

INTERIOR

• Any new INTERIOR Damages since previous inspection?

  No

  Yes

• Interior of Vehicle clean

  Yes

  No

• Any Warning Lights visible?

  No

  Yes

• Fuel level

  Empty

  1/4

  1/2

  3/4

  Full

• Headlights (high/low beam) operational

  Yes

  No

• Hooter, Hazard Lights, Reverse Lights and Turning signals (left & right) operational

  Yes

  No

• Wiper Blades clean and operational (Front & Rear)

  Yes

  No

• Mirrors Functioning and are clean

  Yes

  No

• Can you repair the damage or Clean the Mirros?

  Yes

  No

• Seat Belt Functions correctly

  Yes

  No

• Can you repair the Seat Belt?

  Yes

  No

• Brake and Hand Brake functioning

  Yes

  No

  Please Check

• Is the vehicle still Safe to use?

  Yes

  No

AGREEMENT

• I have personally inspected the vehicle above and have found it to be in the condition listed above. I am unaware of any reason for concern. I accept that the vehicle is in the condition as described in the previous inspection.

  I have

  I Have Not

• Driver Signature

  Sign

• Assisted By

  Select

• Assitant Signature

  Sign