Format Check List Vehicles Double
Format Check List Vehicles Double
Format Check List Vehicles Double
Code: SIG-F01-19-GPO
Consortium BOOKLET: VEHICLE CHECK LIST FORMAT Version: 01
(KAMonitorOyonChacayan Date: 02/01/2019
Page 1 of 1
INTEGRATED QUALITY AND SAFETY MANAGEMENT SYSTEM
DATE: VAN/TRUCK:
DRIVER:
1___________ SHIFT:
INITIAL KM: FINAL KM:
b M N/ DESCRIPTION b M N/ DESCRIPTION b M N/ DESCRIPTION
A A A
Property Card Right front headlight parking brake
SOAT Left front headlight Direction system
Tool kit Right rear headlight clutch system
emblems Left rear light Tires
Moons Right front turn signal wheel stud
Plates of the ( ) Post ( ) Left front turn signal spare tires
Gas Cap Right rear directional Windshield
radiator cap Left rear turn signal Windshield wiper blades
Oil cap Emergency lights Seat belt
Liquid Brake Cap Board lights
Belts Brake lights Hydraulic jack and lever
Rear-view mirror Living room lights wheel wrench
Right Mirror Third headlight lights Locking cleats
Left Mirror Circulin Extinguisher
Horn Safety triangle
Backup alarm First aid kit
Service brakes
OBSERVATIONS:
Signature
Name:
Good: Good M: Bad N/A: Not
applicable