Fill out Daily Vehicle Inspection Checklist

Daily Vehicle Inspection Report

This form is to be completed at the commencement of each shift, PRIOR to the vehicle being driven. (Weekly is acceptable if not attending a mine site)
Operators Name

First NameLast Name
Unit Number or Registration
Date

DayMonthYear
Date
Hour MinutesAM/PM Option
Email
example@example.com
Vehicle KM
Safety Critical Items

Safety Critical Items, if defect found, vehicle must not be operated and supervisor contacted
Steering System *
Horn*
Seat Belts*
Lighting and Indicators*
Fire Extinguishers*
Hand break*
Two Way Radio*
Reverse Alarm*
Flashing Light*
Flag*
Fluid Levels*
Operation of Doors*
Visible Unit ID # and High Visibility striping *
First Aid Kit*

General Items

General Items If general defect found, can repair wait until next service, if in doubt contact management
Seat mount and Condition
Fuel Level
Oil Leaks
Windscreen Condition
Wipers/Washers
Dashcam Operating and Un-Obstructed (if fitted)
Air Conditioner
Vehicle Damage
Water Leaks
Tyres (Confirm that Tyres are at recommended KPA/PSI
Tow Hitch
Wheel Nut Indicators
Gauges
Please attach photo of defects

Cancelof
Notes or comments
Acknowledgement
I hereby acknowledge that I have provided full and accurate information, and accept the terms and conditions of the company vehicle policy. I understand that I am obligated to report any vehicle damage that occurs whilst I am in control of any company vehicle. I also understand that I must adhere to all road rules, and that infringement notices received whilst I am in control of a company vehicle are my responsibility.
Signature
Should be Empty:

Daily Vehicle Inspection Report