Waka maintenance inspection checklist

Waka maintenance inspection checklist

Complete this form monthly for your assigned Trust waka.
Date

DayMonthYear
Date
Kaimahi name*
Enter first name / last name.
Kaimahi email*
yourname@kōhanga.ac.nz
Select your rohe or Tari Matua*
Waka registration number*
Please enter the registration number of the waka.
Waka make and model*
Please enter the waka make and model.
Current odometer reading*
Please enter the registration number of the waka.
Is the waka subject to RUC's (Road User Charges)*

YesNo
RUC's start license odometer reading*
Please enter RUC's start license odometer reading.
RUC's end license odometer reading*
Please enter RUC's end license odometer reading.
WOF and registration
Valid registration*

YesNo
Valid WOF*

YesNo
Service check
Enter the date of LAST service from the service label*

DayMonthYear
Date
Enter the date for NEXT service from the service label

DayMonthYear
Date
Odometer reading from service label*
Waka exterior condition checklist

Tyres*

Engine*

Windscreen*

	Checked - condition ok	Needs attention
Chips / cracks
Windscreen wipers

Waka body / lights *

Waka interior*

Safety equipment*

Cleanliness*

Comments
Add a comment about anything needing attention, as relevant.
Submit
If there is any damage, please complete the insurance forms promptly.

Remember, an insurance form is not required for windscreen chips/cracks – go to Novus and provide our policy number.

Review the form to ensure you have completed all relevant fields then click Submit.
Signature*

Clear
Should be Empty:

Waka exterior condition checklist