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MOTOR VEHICLE DAILY INSPECTION CHECKLIST

NAME / OPERATOR VEHICLE NUMBER

LOCATION / SITE VEHICLE TYPE

Date Started Date End


CHECK THE FOLLOWING
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15

1. Engine
A Clean
B Radiator Water
C Oil Level
D Brake Fluid Level
E Hoses (leaks/condition)
F Engine Coolant
G Fan Belt
2 Tyres
A Condition Of Tyres, Pressure
3 Spare Wheel
A Jack
B Wheel Spanner
C Fire Extinguisher
4 Windscreen
A Windows
B Intact windshields with no cracks
C Reflectors
D Number Plates (Front & Back)
5 Lights
A Head, Tail, Reverse, Park, Stop,
Warning
6 Brakes
A Oil Level
B Foot And Handbrake / Park Brake
7 General
A Rear View Mirrors
B Seat Belts In Good Order
C Horn (Front)
D Horn (Reverse)
E Lubrication Adequate
F Switches In Working Order
G Gauges In Working Order
H Hoisting Mechanisms Working
I Compartment Seat Good
J Greasing All Points
K Insurance
Driving License of Driver/Operator
L
M Suction Hose pipes
N Jetting hose pipes
O Jetting control electrical panel
P Inspect nozzle’s
8 Driver Daily Signature

Driver Signature : Contractor Signature: Safety Officer Signature:


Prepared Approved by: Element 2.9 Page No: Page 2 of 2 Revision 00
by: Reference No: No:

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