Name:
VEHICLE CHECK LIST
Place: Date:
Name of Transporter.
Vehicle No.
Type of Vehicle.
Mechanical Check Points and Status Status Remarks (If any)
Adequate Pressure in all Tyre ⃝ Ok ⃝ Not Ok
Tyre Condition ⃝ Ok ⃝ Not Ok
Wheel Chock Availability ⃝ YES ⃝ NO
Front Glass Codition ⃝ Ok ⃝ Not Ok
Rear View Mirrors are in the Correct Position ⃝ Ok ⃝ Not Ok
Horn Condition Including Back Horn ⃝ Ok ⃝ Not Ok
Head Light,Tail Light,Turn Signals,Flashers, Warning Lights ⃝ Ok ⃝ Not Ok
Seat Belts ⃝ Ok ⃝ Not Ok
Breaks Codition ⃝ Ok ⃝ Not Ok
Codition of Vehicle Carrier(Dala) ⃝ Ok ⃝ Not Ok
Availability of Tarpolin ⃝ YES ⃝ NO
Verification of Documents
Registration No.
Tax Paid Validity.
Permit Validity.
Insurance Validity.
Pollution Certificate Validity.
Description of Driver
Driver Name.
Driver Mobile No.
Driver Licence No. & Validity
Status of PPE Availability
Safety Helmet ⃝ YES ⃝ NO
Safety Shoe ⃝ YES ⃝ NO
Alcohal or any illegal drugs Observation ⃝ YES ⃝ NO
Form No: Rev:00 Effective Date: 01.04.2021
Filled & Checked By
Name:
Mobile No.
Signature: