Title Page
-
Site conducted
-
Vehicle Type
-
Vehicle Registration Company Owned
- WJ69ZCY
- WU17VZZ
- VU17VYW
- WA19KME
- HN16AYA
- VX09DTV
- YD06DNV
- NU66AUV
- NU66VYC
- NV67UUP
- T780KBJ
- PM04UFU
- VE62XLJ
- WJ71LWO
-
Vehicle Registration Hired
-
Mileage
-
Location
-
Prepared by
-
Conducted on
SMA Daily Vehicle Safety Check Form
INSPECTION
BRAKE SYSTEM
-
Brakes
-
Trailer Brake Hose Connections HGV only
-
Brake Fluid Level
COUPLING DEVICES
-
Electrical couplings
-
Tow bar/tow bar eye
ENGINE OPERATION
-
Fan/compressor belts if visible
-
Engine Oil Level
-
Radiator Coolant Level
-
Battery Security
EXHAUST SYSTEM
-
Exhaust pipe
-
Exhaust Fumes
FUEL SYSTEM
-
Fuel system free of visible leaks
-
Fuel tank filler cap (HGV Only)
LIGHTING DEVICES
-
Head lights
-
Brake lights
-
Tail lights
-
Dash lights
-
Turn indicators
SAFETY EQUIPMENT
-
Seat belts available and working
-
First Aid Kit
-
Fire extinguisher
-
Prominent warning signage
-
Decals / reflectors
-
Spare bulbs, fuses
-
Flashing Beacon
STEERING MECHANISM
-
Steering wheel free play
-
Power steering Fluid Level
WHEELS AND TYRES
-
Condition
-
Air pressure
WINDSCREEN
-
Glass free of cracks, discoloration
-
Wiper blades
MISCELLANEOUS
-
Clutch free play
-
Heater/defroster
-
Mirrors
-
Body
-
Tachograph
-
Spare Number Plate
SUMMARY
-
List any other conditions which may prevent safe operation of this vehicle
-
Enter any other observations
-
Rate the overall condition of the vehicle
Recommendations
-
Enter recommendations here
COMPLETION
-
Full Name and Signature of Driver
