Weekly vehicle check
First Name
Last Name
Phone
*
Email
*
Vehicle Reg
*
Lights & indicators working
YES
NO
Action points required (Lights)
*
Explain more
Mirrors and windscreen intact & clean
YES
NO
Action points: Mirrors & Windscreen
*
Explain more
Wipers and wash fluid OK
YES
NO
Action points: Wipers & Wash Fluid
*
Explain more
Dashboard warning lights and horn functional
YES
NO
Action points: Dashboard warning lights & Horn
*
Explain more
Brakes (service & parking) working smoothly
YES
NO
Action points: Brakes working
*
Explain more
Tyres have legal tread depth (≥ 1.6 mm) & no visible damag
YES
NO
Action point: Tyres not legal tread
*
Explain more
Engine oil, coolant, washer fluid, brake fluid levels OK
YES
NO
Action point: oil, coolant, washer fluid, brake fluid
*
Explain more
Fuel cap secure and no visible leaks
YES
NO
Action points: Fuel cap
*
Explain more
Battery secure, clean, no leaks
YES
NO
Action points: Battery
*
Explain more
Doors and bodywork secure/no sharp edges
YES
NO
Action points: Doors & Bodywork
*
Explain more
Seatbelts intact and functioning
YES
NO
Action points: Seatbelts not working
*
Explain more
Driver Declaration:
*
Clear
I confirm that all the above checks have been performed carefully and honestly. Any faults have been reported verbally in addition to this form submission, and if necessary, the vehicle has not been used until corrected.
Submit inspection report