Welbeing Wagon Monthly Checks

• Checked Date

  Date

• Prepared by

Fluids

• Wipers Working

  Yes

  No

  N/A

• Screen Wash Pump Working

  Yes

  No

  N/A

• Fuel Level

• Oil Level OK

  Yes

  No

  N/A

• Washer Fluid OK

  Yes

  No

  N/A

• Radiator Fluid OK

  Yes

  No

  N/A

Tyres

• Spare Tyre Tread

• Spare Tyre Pressure

• Front Left Pressure

• Front Left Tread

• Front Right Pressure

• Front Right Tread

• Rear Left Tread

• Rear Right Pressure

• Rear Left Tread

• Rear Left Pressure

External Lights

• Side Lights

  Pass

  Fail

  N/A

• Dipped

  Pass

  Fail

  N/A

• High Beam

  Pass

  Fail

  N/A

• Front Indicators

  Pass

  Fail

  N/A

• Rear Indicators

  Pass

  Fail

  N/A

• Brake Lights

  Yes

  No

  N/A

• Rear Lights

  Pass

  Fail

  N/A

Bodywork

• Drivers Door Working

  Yes

  No

  N/A

• Passengers Door Working

  Yes

  No

  N/A

• Gas Door Working

  Yes

  No

  N/A

• Rear Top Door Working

  Yes

  No

  N/A

• Rear Side Doors Working

  Yes

  No

  N/A

Surfaces

• Floor Clean

  Yes

  No

  N/A

• Surfaces Clean

  Yes

  No

  N/A

• Hotplate Clean and Oiled

  Yes

  No

  N/A

• Bain Marie Pots Clean

  Yes

  No

  N/A

Appliances

• Bain Marie Burner Working

  Yes

  No

  N/A

• Oven Working

  Yes

  No

  N/A

• Hob Burners Working

  Yes

  No

  N/A

• Fridge Reaching below 3oC

  Yes

  No

  N/A

Services

• All Lights Working

  Yes

  No

  N/A

• Sockets Working

  Yes

  No

  N/A

• Switches Working

  Yes

  No

  N/A

• Gas Working

  Yes

  No

  N/A

• Boiler Working

  Yes

  No

  N/A

• Water Pump Working

  Yes

  No

  N/A

• Circuit Breakers Working

  Yes

  No

  N/A

Generator

• Fuel Level

• Oil Level OK

  Yes

  No

  N/A

• Pull Start OK

  Yes

  No

  N/A

• Electric Start OK

  Yes

  No

  N/A

• Remote Start OK

  Yes

  No

  N/A

• Voltage

• Full Load Test

  Good

  Fair

  Poor

  N/A

Cables

• 13A 3pin to 16A Blue Socket

  Good

  Fair

  Poor

  N/A

• 13A 3pin Short Lead

  Good

  Fair

  Poor

  N/A

Breakdown Tools

• Spare Tyre Cover Fitted

  Yes

  No

  N/A

• Tyre Wrench

  Yes

  No

  N/A

• Jack OK

  Yes

  No

  N/A

Kitchen Tools

• Surface Wipes

  Yes

  No

  N/A

• Digital Thermometer battery OK

  Yes

  No

  N/A

• Client Materials Remaining

  None

  Some

Barriers

• Secured in place

  Yes

  No

  N/A

• Un-Damaged

  Yes

  No

  N/A