MACHINERY, TOOLS AND EQUIPMENT SAFETY

OHS-PR-02-10-F18 LIGHT MOTOR VEHICLE CHECKLIST

NAME / DRIVER: VEHICLE NUMBER:

DEPARTMENT / SITE: VEHICLE TYPE:

1. All the items under each step in the "ITEMS TO BE CHECKED" column must be checked by the driver on a daily basis.
2. Indicate in the column under each day “OK” or “DEF” etc. If any item in BOLD printing is defective the vehicle MAY NOT
leave the premises until the defect is corrected, and checklist is signed by the Transport Manager or Supervisor.
3. Any other item which is indicated as defective must be corrected or repaired as soon as possible
Week 1 Week 2 Week 3 Week 4
CHECK THE FOLLOWING
SU M T TU W TH SU M T TU W TH SU M T TU W TH SU M T TU W TH

1. Engine
A Radiator Water (light or gauge)
B Oil Level (light or gauge)
C Brake Fluid Level (light or gauge)
D Engine Coolant (level/condition)
E Fan Belt (tension/condition)
F Battery (light or gauge)
2 Tyres
A Condition Of Tyres, Pressure, Wheel Nuts

3 Spare Wheel
A Jack
B Wheel Spanner
C Warning Triangles
4 Windscreen
A Windows (cracked)
B Body Work
C Number Plates
D Licence Disc
5 Lights
A Head, Tail, Reverse, Park, Stop, Hazard
Warning
6 Brakes
A Foot And Handbrake / Park Brake
7 General
A Rear and Side View Mirrors
B Seat Belts In Good Order
C Hooter
E Gauges and Switches In Working Order
F Cab interior Clean
G Fire Extinguisher
8 Mileage Reading Out Km Km Km Km

9 Mileage Reading In Km Km Km Km

Driver Surname:: Initial: Signed By:

COMMENTS:
………………………………………………………………………………………………………………………………..….
……………………………………………………………………………………………………………………………………

Checked by Surname:: Initial: Signed By:

Page 1 of 2 Rev. 0 [May - 2020] OHSMS Approved Document

 2.18-F01 MOTOR VEHICLE DAILY INSPECTION

Page 2 of 2 Rev. 1 [27-Jan-2011] CRM Approved Document