Title Page

  • Site conducted

  • Conducted on

  • Prepared by

  • Make / Model

  • Registration

  • Mileage - Photo of current mileage

  • Scope of use

  • Assessment of risk associated with vehicle use completed?

  • Next service due date Known?

  • Check vehicle manual for service schedule and if required book in with LEX

  • Call LEX via the number in your handbook and confirm the date.

  • Serviced completed as required?

  • Statutory inspection or test due date(s) known? (MOT)

  • Is this due in the next 2 months?

  • What date?

  • When is this due?

  • Statutory testing / inspection completed as required? (MOT)

  • Statutory taxation / permits held and in date

  • Driving competence held by driver?

  • Tyre tread and condition

  • At least 1.6mm throughout a continuous band in the centre 3/4 of the tread and around the entire circumference of the tyre.

    IMG_0072.gif
  • Tyre pressure

  • Pressure as stated in vehicle manual

    TYre-Pressure.jpg
  • Lights and horn operational

  • Windscreen, window(s) and mirror condition

  • No chips or cracks?

  • Add media

  • Add media

  • Safety belt(s) harness condition

  • Oil/ coolant/ screen wash/ brake fluid levels

  • Body work condition

  • Please complete the last section with details

  • Vehicle cleanliness - Exterior of vehicle should be reasonably clean.<br>Interior of vehicle should have no build up of excess litter and should be in good state.

  • Interior photos

  • Exterior photos

  • Add media

  • First aid Kit (if applicable)

  • Warning signs (if applicable)

  • Add media

  • Spill Kits (if applicable)

  • Add media

  • Winter driving kit (if applicable)

  • Add media

  • Loads secured

Bodywork Check

  • Driver Side

    Driver side elevation.png
  • Is there any damage to the drivers side of the vehicle? Please photograph any damage.

  • Please evidence this

  • Passenger Side

    side elevation passanger.jpg
  • Is there any damage to the passenger side of the vehicle? Please photograph any damage.

  • Please evidence this

  • Front/Rear

    Front elevation.jpg
  • Is there any damage to the front or rear of the vehicle? Please photograph any damage.

  • Please evidence this

Sign Off

  • Please note any other observations here. e.g. Squealing, Squeaking or Grinding Noises when braking etc.

  • Add signature

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.