Monthly Vehicle Inspection Form
Name
*
Date
*
/
Day
/
Month
Year
Date
Email
*
example@example.com
Vehicle Type
*
Please Select
Woolworths Truck
Amazon Van
J.CO Truck
Woolworths Truck Rego
*
Please Select
DA36ST
DB07RC
DB87QJ
DC14UA
DG92TY
DG97TY
DH18QJ
DH27TV
DH76TX
DI01LF
DI54DQ
DJ09DF
DJ12NM
DJ15NM
DJ16NM
DJ17NM
DJ18NM
DJ19NM
DK12KG
DK86DT
DL42KG
DL90SZ
DL90TD
DM76ML
DM99ZA
DN05ZL
DN66RV
DO28EW
DO33MO
DO35MO
DO36MO
DO38EW
DO48EW
DO59KD
DO60KD
DO65KD
DO66KD
DO67KD
DO73WJ
DO85XE
DP34HG
286HC8
J.CO Truck Rego
*
Please Select
DN41DW
DN83US
DP38LU
DQ94GM
Amazon Van Rego
*
Please Select
DL65GN
DM15CA
DM82AV
EVT70G
EWK06W
FNB24N
FVL73H
FHP30F
YLU97S
Fuel Card Rego
*
LFX Number
*
Charger Cord Present?
*
Yes
No
Other
Dashcam/Telematics Plugged & Working
*
Yes
No
Other
Phone Holder Operational
*
Yes
No
Other
Cleaning Supplies Stocked
*
Yes
No
Other
Spare Trolley Tyres
*
0
1
2
First Aid Kit
*
Yes
No
Other
Croc Grip Installed
*
Yes
No
Other
Process Notes Present
*
Yes
No
Other
CCTV Poster Present
*
Yes
No
Other
Clearance Height Sticker Present
*
Yes
No
Other
Barn Door Sticker Present
*
Yes
No
Other
Reflectors In-Tact
*
Yes
No
Other
Seatbelt Retracting
*
Yes
No
Other
Vinyl Floor In-Tact
*
Yes
No
Other
Windscreen Fluid
*
Checked and OK
Checked and topped up
Other
Fridge Service Due Date
*
/
Day
/
Month
Year
Date
Wheel Nut Indicators Correct
*
Yes
No
Other
Front Tyre Status (mm)
*
FD xx mm, FP xx mm, RD xx mm, RP xx mm - to 1 decimal place
Rear Tyre Status (mm)
*
FD xx mm, FP xx mm, RD xx mm, RP xx mm - to 1 decimal place
Spare Tyre Fitted & Usable
*
Yes
No
Other
Maintenance/Wear & Tear
*
Damages
*
Phone Holder Operational
*
Yes
No
Other
Cleaning Supplies Stocked
*
Yes
No
Other
Trolley Functional
*
Yes
No
Other
Spare Trolley Tyres
*
0
1
2
First Aid Kit
*
Yes
No
Other
Engine Oil
*
Checked and OK
Checked and needs attention
Other
Coolant Levels
*
Checked and OK
Checked and needs attention
Other
Indicator Lights
*
Checked and OK
Checked and needs attention
Other
Brake Lights
*
Checked and OK
Checked and needs attention
Other
Reverse Lights
*
Checked and OK
Checked and needs attention
Other
Windscreen Fluid
*
Checked and OK
Checked and topped up
Other
Seatbelt Retracting
*
Yes
No
Other
Wheels Status
*
Checked and OK
Checked and needs attention
Other
Any Dash Warning Symbols/Notifications?
*
Current Odometer (km)
*
Next Service Due (km)
*
Front Tyre Status (mm)
*
FD xx mm, FP xx mm, RD xx mm, RP xx mm
Rear Tyre Status (mm)
*
FD xx mm, FP xx mm, RD xx mm, RP xx mm
Spare Tyre Fitted & Usable
*
Yes
No
Other
Maintenance/Wear & Tear
*
Damages
*
Front Photo
*
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Left Side Photo
*
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Right Side Photo
*
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of
Rear Photo
*
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of
Inside Cargo Bed/Pantech Photo
*
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of
Cabin Photo
*
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of
Submit
Should be Empty: