VEHICLE SPOT CHECK

• Team

  Select BLUE OFFICE / POOL ORANGE PURPLE WHITE RED

  • BLUE
  • OFFICE / POOL
  • ORANGE
  • PURPLE
  • WHITE
  • RED
• Location seen
  Address

• Report conducted by

• Conducted on

  Date

General Information

• J Number

• Odometer Reading

• Number of seats

• GVW

• Insurance disc displayed

  Yes

  No

  Not in use

• If J not on printed on disc photo of insurance disc

  Media

• Driver Name & Number

• Driver ID number displayed

  Media

• Has daily vehicle check been completed?

  Yes

  No

  Not in use

Inspection

LIGHTING DEVICES

• Head lights

  OK

  Needs Repair

  Not Applicable

  Repaired

• Brake lights

  OK

  Needs Repair

  Not Applicable

  Repaired

• Rear lights

  OK

  Needs Repair

  Not Applicable

  Repaired

• Dash lights

  OK

  Needs Repair

  Not Applicable

  Repaired

• Side marker lights

  OK

  Needs Repair

  Not Applicable

  Repaired

• Turn indicators

  OK

  Needs Repair

  Not Applicable

  Repaired

SAFETY EQUIPMENT

• Seat belts available and working

  OK

  Needs Repair

  Not Applicable

  Repaired

• Fire extinguisher

  OK

  Needs Repair

  Not Applicable

  Repaired

• First Aid Kit

  OK

  Needs Repair

  Not Applicable

  Repaired

SAFE LOADING & HANDLING

• Cargo Barrier Protection against shifting cargo in place

  OK

  Needs Repair

  Not Applicable

  Repaired

• Load Restraint Straps

  OK

  Missing

  Needs Repair

  Not Applicable

• Photo of load area

  Media

TYRES

• Condition

  OK

  Needs Repair

  Not Applicable

  Repaired

• Air pressure

  OK

  Needs Repair

  Not Applicable

  Repaired

WINDSCREEN AND WINDOWS

• Glass free of cracks, discoloration

  OK

  Needs Repair

  Not Applicable

  Repaired

• Windscreen wash fluid full, blades streak free

  OK

  Needs Repair

  Not Applicable

  Repaired

DAMAGE, CONDITION & CORROSION

• Front of Vehicle

  Select No Dents/Scratches Medium Dent(s) - 10cm size Major Distortion(s) - greater than 500cm size Significant Damage

  • No Dents/Scratches
  • Medium Dent(s) - 10cm size
  • Major Distortion(s) - greater than 500cm size
  • Significant Damage

• Front Passenger Side - Quarter Panel including front Passenger Door

  Select No Dents/Scratches Medium Dent(s) - 10cm size Major Distortion(s) - greater than 500cm size Significant Damage

  • No Dents/Scratches
  • Medium Dent(s) - 10cm size
  • Major Distortion(s) - greater than 500cm size
  • Significant Damage

• Rear Passenger Side - From Front door back

  Select No Dents/Scratches Medium Dent(s) - 10cm size Major Distortion(s) - greater than 500cm size Significant Damage

  • No Dents/Scratches
  • Medium Dent(s) - 10cm size
  • Major Distortion(s) - greater than 500cm size
  • Significant Damage

• Rear of Vehicle

  Select No Dents/Scratches Medium Dent(s) - 10cm size Major Distortion(s) - greater than 500cm size Significant Damage

  • No Dents/Scratches
  • Medium Dent(s) - 10cm size
  • Major Distortion(s) - greater than 500cm size
  • Significant Damage

• Rear Drivers Side - From Front Door Back

  Select No Dents/Scratches Medium Dent(s) - 10cm size Major Distortion(s) - greater than 500cm size Significant Damage

  • No Dents/Scratches
  • Medium Dent(s) - 10cm size
  • Major Distortion(s) - greater than 500cm size
  • Significant Damage

• Front Drivers Side - Quarter Panel including Drivers Door

  Select No Dents/Scratches Medium Dent(s) - 10cm size Major Distortion(s) - greater than 500cm size Significant Damage

  • No Dents/Scratches
  • Medium Dent(s) - 10cm size
  • Major Distortion(s) - greater than 500cm size
  • Significant Damage

• Driver Controls Damaged?

  Pass

  Fail

  N/A

• Interior Components all present and damage free

  Pass

  Fail

  N/A

• Condition of doors. Can they all be opened from inside and outside?

  Pass

  Fail

  N/A

• Condition of seats and seat padding

  Pass

  Fail

  N/A

CLEANLINESS

• Body/Panels

  Excellent

  Good

  Average

  Poor

  High Risk

• Exterior Windows

  Excellent

  Good

  Average

  Poor

  High Risk

• Exterior Mirrors

  Excellent

  Good

  Average

  Poor

  High Risk

• Interior upolstery

  Excellent

  Good

  Average

  Poor

  High Risk

• Interior Floor

  Excellent

  Good

  Average

  Poor

  High Risk

• Interior Dash

  Excellent

  Good

  Average

  Poor

  High Risk

• Interior Mirrors

  Excellent

  Good

  Average

  Poor

  High Risk

• Rubbish Present

  Clean

  Dirty

• Build up of dirt / ground / dust present

  Clean

  Dirty

• Handwash drums, soap and towels present

  Yes

  No

  N/A

SUMMARY

• List any other conditions which may prevent safe operation of this vehicle

• Enter any other observations

• Rate the overall condition of the vehicle

  Excellent

  Good

  Average

  Poor

  High Risk

Recommendations

• Enter recommendations here

• Refer to:

  Select N/A Mechanic [Immediate, repairable fault] Farm / Team / Line Manager [Vehicle needs to be reviewed] Engineering Manager [Vehicle to be removed from use immediately]

  • N/A
  • Mechanic [Immediate, repairable fault]
  • Farm / Team / Line Manager [Vehicle needs to be reviewed]
  • Engineering Manager [Vehicle to be removed from use immediately]

COMPLETION

• Full Name and Signature of Inspector

  Sign