Vehicle Monthly Check Form
Management Vehicle/Tool Check
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Hour
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Minutes
Name
*
Barry Foster
Benjamin Crummey
Daniel Boddy
Manager Filling Out the Form
Number Plate
*
Enter Vehicle Registration
Mileage
*
Exact Readings Only (Picture Below)
Van Information Needed
Rows
YES
NO
Checked
OK
NOT
Checked
Needs
Attention
Service Requirements
Cleanliness Inside
Cleanliness Outside
Accident Sticker
NO SMOKING Sticker
Any Noises
Any Shakes
Main Beam Bulbs
Full Beams
Side Lights
Brake Lights
Rear Lights
Beacon Test
Oil Levels
Add Blu Levels
Fuel Levels (add pic below)
Brake Fluid Levels
Screen Washer Levels
Radiator Antifreeze Levels
Jack/Brace/Spare x1
Tyre Pressure/Tread 1
Front Left
Tyre Pressure/Tread 2
Front Right
Tyre Pressure/Tread 3
Rear Left
Tyre Pressure/Tread 4
Rear Right
Tyre Pressure/Tread 5
SPARE WHEEL
Van Information Pictures
Browse Files
Any Pictures to validate points above:
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of
Van Information Comments
Any further Information/Instructions/Missing Items
Tools/SLG/PPE/Contents
Rows
YES
NO
Checked
OK
NOT
Checked
Needs
Attention
GDU Cig/Charger
Power Inverter
Gate Guards 2x4
Roadworks Ahead x2
Direction Arrow L x2
Direction Arrow Rx2
Road Narrows Ahead Lx2
Road Narrows Ahead Rx2
Road Works End X1
Pit Lifter x2
No4B Hydraulic Lifter
Roller Bar x 2
Water Testing Kit x1
Large Cones x8
Tele. Pole Check Rod x1
Sand Bags x4
Umbrella x1
Tent x1
Walkie Talkies (Pair)
Lge. A Frame and Pole
Sml. A Frame and Pole
Blue Fibre Pole Ladder Lge. x1
Ladder Tie
Safety Harness x2
Lanyard x 2
Risk Assessment x 1
Pre Climb Assessment
Large First Aid VAN Kit x1
First Aid in Exp. Date
EYE Wash x 1
EYE Wash in Exp. Date
Hand Wipes x 1
Blue Roll x 1
Spill Kit x1
PPE Kit Bag x2
Vehicle Tracker
Tools/SLG/PPE Comments
Any further Information/Instructions/Missing Items
Tools/SLG/PPE Pictures
Browse Files
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of
Submit
Should be Empty: