Information

  • Document No.

  • Audit Title

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

Section 1 - Details

  • Drivers Name David Mills

  • Vehicle Make and Model Ford Transit Connect

  • Registration BN11 YAD

  • Mileage 93753

  • Name of person carrying out inspection David Mills

  • Date and Time 22/01/2015 14:00

Section 2 - Vehicle Condition

Tyres / Wheels

  • 2.1 Tyre Condition (Min 1.6mm Tread)<br>Yes to all

  • 2.2 Tyre Pressure<br>Yes to all

  • 2.3 Cracks and Cuts<br>No to all

  • 2.4 Spare Tyre

Engine Compartment

  • 2.5 Battery<br>Working

  • 2.6 Loose Hoses / Wiring<br>No

  • 2.7 Oil Level<br>Ok

  • 2.8 Coolant Level<br>Ok

  • 2.9 Brake Fluid Level<br>Ok

Cab / Operation

  • 2.10 Lights<br>Working

  • 2.11 Indicators<br>Working

  • 2.12 Windscreen<br>Working

  • 2.13 Seat Belts<br>Working

  • 2.14 Steering<br>Working

  • 2.15 Brake Operation<br>Working

  • 2.16 Horn<br>

  • 2.17 Upholstery damage? <br>No

  • 2.18 Roof lining damage?<br>No<br>

External Bodywork

  • List any Damage and add photographic Evidence to support

  • External Bodywork
  • Description of Damage

  • Photographic evidence

Section 3 - Storage of Materials & Equipment

Materials and Equipment

  • 3.1 Housekeeping

  • 3.2 Are all tools and materials secured?

  • 3.3 Gas Cylinders, Secured correctly and Vehicle correctly signed

  • 3.4 Hazardous Substances correctly stored according to COSHH Information sheet?

  • 3.5 Stepladders

  • 3.6 Harness & Lanyards

  • 3.7 Roof Rack Security<br>Safe

  • 3.8 Fire Extinguisher in date and fully charged?

  • 3.9 First Aid Kit present in date and fully stocked?<br>Yes

Section 4 - Documentation

Documents

  • 4.1 Driver hold a valid Drivers Licence<br>Yes

  • 4.2 Tax Disk Present and in date?<br>N/A - yes

  • Service Log Book Present and filled in?<br>Yes

  • Signature of Inspector David Mills

  • Signature of Driver David Mills

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