Van Inspection Sheet
Name:
*
Please Select
Audrius Sprainaitis
Wojciech Chudyga
Dorian Mihali
Dainius Zemaitis
Emilian Cercelaru
Edgaras Bruzas
Cosmin Nicolae
Van Registration
*
Please Select
232-D-26064 (Staria)
182-D-172527 (NV400)
172-D-22935 (NV400)
152-D-8 (NV200)
171-D-18027 (NV400)
212-D-9220 (Trafic)
212-D-24180 (Boxer)
241-D-26990
241-D-30777
Date
*
-
Day
-
Month
Year
Date
Service Due
*
Yes
No
Brake Oil Level
*
Fine
Low
Radiator Water Level
*
Fine
Low
Engine Oil Level
*
Fine
Low
Tyre Pressure
*
Fine
Low
Tyre Thread Depth
*
Fine
Worn
CVRT/DOE Due Date
*
-
Day
-
Month
Year
Date
Tax Expiry Date
*
-
Day
-
Month
Year
Date
Defects
PPE Inspection
*
All of my PPE in good condition
All of my passengers PPE is in good condition
My PPE needs replacing (Describe below)
My passangers PPE needs replacing (Describe below)
Passenger Name
*
Please Select
None
Audrius Sprainitis
Eddie Shiels
Lukasz Dudek
Raul Sasu
Ronan Hayes
Ryszard Duda
Wojciech Chudyga
Andrei Moldovan
Vasile Ciocan
Gabriel Ciocan
Dorin Mihali
Defective PPE
Please list only PPE that needs replacing
Submit
Should be Empty: