Daily Vehicle Checklist Template

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DAILY

VEHICLE
Presented by Business Insurance Service

Inspector Name: Date:

Inspector Signature: Vehicle Type:

VIN Number: Licence Plate Number:

Odometer Reading: Driver’s Signature:

DESCRIPTION SATISFACTORY DEFECTIVE N/A COMMENTS

Condition & function of seat belts ☐ ☐ ☐


Head restraint adjustment ☐ ☐ ☐
Mirror adjustment ☐ ☐ ☐
First-aid kit ☐ ☐ ☐
Fire extinguisher ☐ ☐ ☐
Torch ☐ ☐ ☐
Warning triangle ☐ ☐ ☐
Vehicle handbook ☐ ☐ ☐
All lights ☐ ☐ ☐
Horn ☐ ☐ ☐
Washers and wipers ☐ ☐ ☐
Brake ☐ ☐ ☐
Fuel ☐ ☐ ☐
Engine oil level ☐ ☐ ☐
Coolant level ☐ ☐ ☐
Windscreen wash level ☐ ☐ ☐
Brake/clutch fluid/ Power steering
fluid
☐ ☐ ☐

Condition of battery ☐ ☐ ☐
Oil or waste leaks ☐ ☐ ☐
Condition of windscreen wiper blades ☐ ☐ ☐
Cleanness of windscreen, windows,
mirrors, lights, number plate
☐ ☐ ☐
Security of load, trailer, roof rack ☐ ☐ ☐
Condition of tyres ☐ ☐ ☐
Availability of spare wheel and jack ☐ ☐ ☐

This checklist is of general interest and is not intended to apply to specific circumstances. It does not purport to be a comprehensive
analysis of all matters relevant to its subject matter. The content should not, therefore, be regarded as constituting legal advice and not be
relied upon as such. In relation to any particular problem which they may have, readers are advised to seek specific advice. Further, the
law may have changed since first publication and the reader is cautioned accordingly. © 2013-2015 Zywave, Inc. All rights reserved.

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