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VEHICLE INSPECTION CHECKLIST

VEHICLE Start km Date N0-GO ITEMS Brakes Tyre condition Lights Hand Brake Indicators Seat belt REPORTABLE ISSUES Fuel Brake fluid Oil level Water level Documents WEEKLY CHECK REQUIRED Hooter & Reverse hooter Wipers Body work Mirrors Windscreen Air conditionner Two Triangles Spare wheel Jack / Tools Fire Extinguisher Rotating light Whip flag First-aid kit Riv Logo 2-way Radio Reflective vest Environmental spill kit 1 2 3 4 5 6 7 8 9 10 11 12 13 REGISTRATION PLATE NO. DRIVER'S NAME Dpt MONTH 26 27 28 29 30

End km
14 15 16 17 18 19 20 21

Next service km
22 23 24 25

Date

Date

Date

Date

Driver signature
All drivers must fill in the checklist daily before using the vehicle Speed limit as indicated by signs are NOT to be exceeded. Please keep your vehicle clean Report and fix all defects immediately before using the vehicle Hand in the checklist sheet to the HSE department at the end of each month Comments: ____________________________________________________________ ____________________________________________________________ ____________________________________________________________ __________________________________

Report and fix all defects immediately before using the vehicle Hand in the checklist sheet to the HSE department at the end of each month

____________________________________________________________ __________________________________

31

__________ __________ __________

__________

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