Vehicle Check | Nathan Hadfield Utilities

Work on a job must not commence until this form is completed and signed off by the relevant supervisor.

Date

Name of driver

First

Last

Registration Number

Vehicle Model

Mileage

Vehicle Checks

Please take time to closely observe the elements of the vehicle.

Indicate from the following list which elements have defects, then record the details of the defect in the box that appears below the list.

If an element is working, intact, secure and clean, then do not select it.

If an element is not working as it should be, not intact, not clean, not secure or missing, then you must select it.

Select defects

You selected amber beacons

You selected ancilliary hydraulic / electrical equipment

You selected battery

You selected bodywork

You selected brush and shovel

You selected cleanliness of the cab

You selected comms

You selected dust supression system

You selected emergency stop devices

You selected fire extinguisher

You selected first aid box

You selected fluids - coolant / water

You selected fluids - engine oils

You selected fluids - hydraulic oils

You selected fluids – windscreen washer liquid

You selected fluids – health and safety pack

You selected horn

You selected light lenses

You selected lights - brake

You selected lights - headlights (dipped)

You selected lights - headlights (high beam)

You selected lights - indicator

You selected lights - reversing

You selected lights - tail

You selected mirrors

You selected safety warning stickers / notices

You selected side lights

You selected slave bin

You selected steering

You selected toilet list

You selected vehicle number plates

You selected welfare (towels and wipes)

You selected wheels - tyre condition

You selected wheels - wheel nuts

You selected windscreen

You selected wipers

Are you using a trailer?

Yes
No

Trailer Checks

Please take time to closely observe the elements of the trailer

Indicate from the following list which elements have defects, then record the details of the defect in the box that appears below the list.

If an element is working, intact, secure and clean, then do not select it.

If an element is not working as it should be, not intact, not clean, not secure or missing, then you must select it.

Select defects

You selected body (damage)

You selected break away cable

You selected fly lead

You selected jockey wheel

You selected lights

You selected padlock and chain

You selected straps

You selected towing pin

You selected tyres

Please record any other defects observed that are not applicable to the elements listed above

I confirm that I have closely observed every element listed and used the additional space to record all defects.

Yes

Print name

First

Last

Signature

Clear Signature