Check Sheet - Car
Employee
Date / Time
*
/
Day
/
Month
Year
Date
Hour Minutes
AM
PM
AM/PM Option
Vehicle Details
Make / Model
*
Registration
*
Doors
*
Please Select
2
3
4
5
Colour
*
Mileage
*
Nest Mileage
*
Fuel Type
*
Petrol
Diesel
Electric
AdBlue Required
*
Yes
No
Assessor Details
Quality Assessor
*
Comments
Visual Report
Windscreen free from Chips/Cracks
*
Yes
No
Other
Details
Wipers/Washers in working order
*
Yes
No
Other
Details
Lights and Reflections in working order
*
Yes
No
Other
Details
Clean and Tidy Interior/Exterior
*
Yes
No
Other
Details
Upholstery Condition
Tyre Condition
*
Excellent
Acceptable
Needs Replacing
Front Left
Front Right
Rear Left
Rear Right
Documents
Vehicle File
Insurance Certificate
Accident Report Form
Laminated Card
Documents
Vehicle Damage
Additional details for above
*
Yes
No
Provide details
Attach Photo
*
Yes
No
Take Photo
Additional Photo
*
Yes
No
Take Photo
Additional Photo
*
Yes
No
Take Photo
Additional Photo
*
Yes
No
Take Photo
Additional Photo
*
Yes
No
Take Photo
Vehicle (Returned/Received/Checked) in condition described above :
*
Returned
Received
Routine Check
Signature
*
Full Name
*
UKSM Forms
Submit
Should be Empty: