Information

  • Document No.

  • Conducted on

  • Prepared by

  • Location / Trip details
  • Vehicle Registration

  • Odometer Reading

  • Add signature

1. Category A - The Vehicle MUST NOT be operated until repaired

    1.1 General Condition - External
  • Lights (Beacon)

  • Whip Aerial & Flag

  • Lights (Stop, Ind, Rev)

  • Lights (Head,Park,Tail)

  • 1.2 - Under Vehicle Checks
  • Fluid Leaks

  • Build Up - Vegetation

  • Horn

  • 1.3 - Under Bonnet Checks
  • Engine Oil

  • Brake/ Steering / Clutch Oil

  • Coolant Level

  • 1.4 General Condition - Internal
  • Seats - Damage / Secure

  • Seat Belts

  • Fire Extinguisher

2. Category B Fault (Supervisor / Repairer to authorise operation & repair scheduled

    2.1 General Condition - External
  • Door Locks and Handles

  • Lights (Head, Park, Tail)

  • Lights (Stop, Ind, Rev)

  • Lights (Beacon, Flag)

  • Reverse Alarm

  • Number Plates

  • Horn

  • 2.2 Under Vehicle Checks
  • Damaged / Distorted Items

  • 2.3 Under Bonnet Checks
  • Fluid & Oil Leaks

  • Battery Restrained

  • Loose Items

  • 2.4 General Conditions - Internal
  • Instrument / Dash Lights

  • Controls

  • Windscreen / Windows

  • Windscreen Washers

  • Mirrors - Internal & External

  • A/C Heater

  • Communications devices

  • Abnormal Noises

  • Housekeeping

  • 2.5 Steering & Brakes
  • Steering Column Adjuster

  • Driver's Seat Adjuster

3. Category C Fault - Vehicle can be operated

    3.1 General Condition - External
  • Mud Flaps

  • Panel Damage

  • Wiper Blades

  • Air Intake Pre- cleaner

  • 3.2 Under Vehicle Checks
  • Build Up of Mud

  • 3.3 Under Bonnet Checks
  • Washer Fluid

  • 3.4 General Conditions - Internal
  • Cab Light

  • Accessories

  • Fuel Level

  • Cleanliness

  • First Aid Kit

  • Jack and Tools

  • Safety Triangles

  • Wheel Chocks

  • High Visibility Vest

  • Torch

  • Drinking Water

  • Vehicle Risk Assessment

  • 3.5 Steering & Brakes
  • Pedal Pad Condition

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