Country & Business India, Delivery

No.& Concerns : F01 (OCP-005) & OHS Vehicle Inspection Form

Issue Date & Version 14/12/2014, RE-02

OHS VEHICLE INSPECTION FORM

Name of the Travel Company: MSSUPPORT
Vehicle Registration No. & Driver Name: RJ14TD3277 & NARESH POONIA
Date of Inspection & Inspection conducted by: 30-08-2019 & DEEPAK SINGH
S. No. Vehicle (To be filled by driver) Yes No. Remarks
1 Engine oil level correct? YES
2 Automatic transmission oil level correct? YES
3 Water level in radiator overflow tank correct? YES
4 Brake hydraulic fluid level correct? YES
5 Power steering fluid level correct? YES
6 Tyre pressures correct (including spare)? YES
7 Headlights operational? YES
9 Tail/brake/reverse lights, indicators, wipers, washers all operational? YES
10 Any damage for which action has not been taken to fix? NO
11 Required maintenance services up to date? YES
12 Reverse horn in operation? YES
13 Battery water level correct? YES
14 Seat belt Buckle (Available/Working Fine) on Front/Rear seat? YES
FIRST AID KIT
1 Fully stocked and products within expiry? YES
FIRE EXTINGUISHER (if supplied)
1 Within charge limits and has been maintained within last six months? YES
Tools & Equipment
1 In good order and operational Electrical leads in good order and current tag? YES
PPE for Driver
1 Shoe ( foot cover) & Waist fluorescent jacket YES
Training and Behaviour of Driver
1 Type of Driving Course and Date YES 04/06/2017
2 Certificate of training Available? YES 03/06/2017
3 Mobile not used while driving YES
4 Seat Belt used while driving YES
5 No Rash Driving/over speeding done by the driver YES
6 Vehicle clean? YES
7 Vehicle used is commercial one with all relevant paper? YES
Any other feedback

Page-1 Document Owner & Department Controlled

Services OHS Department