PK AGRO-INDUSTRIAL PRODUCTS (M) SDN BHD

SHE & En VEHICLE INSPECTION

Vehicle and User Information

Reg Number Driver Name Phone No

License Class Expired Date Date Join

Home Address

Car type Brand Model Year Made

Current mileage Engine number Business Unit

Tire Size Tire Brand Manufacturing date

External condition and body Ok Not Ok Vehicle Equipment & Tools Ok Not Ok
1. Road Tax 1.GPS
2. Plate number (JPJ) 2.Dashcam
3. Spare tire 3. Cone
4. Wiper blade 4. Emergency reflective triangle
5. Glass Squeegee 5. Torchlight
6. Condition of Front Tires 6. Rain Coat
7. Condition of Rear Tire 7.Reflective Vest
8. Side mirror 8. Fire Extinguisher
9. Rear view mirror 9.First Aid Kit
10. Engine condition 10 Glass breaker & Seatbelt cutter
11. External body condition 11. Jumper cable
12. Seat belt 12. Tire Repair kit
13.Engine Cleanliness
14. Internal cabin cleanliness

Lighting signal and tool Ok Not Ok REMARKS

1. Headlight
2. Emergency light
3. Reverse light
4. Low high beam
5. Signal
6. Back lights
7. Brake light
8. Lights in vehicle
9. Horn system
10. Brake system
11. Handbrake
12. Third brake light

Audit by SHE & En , Receive by Vehicle user, Acknowledge by B.U

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Name: Name: Name:
Date: Date: Date: