Vehicle Defect Form | F&M Hurley

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Earthworks

Vehicle Defect Report

Please take a moment to fill out the form.

Drivers Name

Vehicle / Fleet Number

Speedo / Odometer reading

Select a date

Daily Check

Wipers / Washers / Windscreen

Steering / Brakes

Fuel / Oil / Water

Tyres & Wheel Nuts

Tachograph Unit

Brakes & Hoses

Body / Wings / Load security

Lights / Reflectors / Battery

Mirrors / Indicators / Horn

Rear / Side Lights & Markers

Speed Limiter

Speedometer

Spray Suppression

ABS / EBS Warning Lights

5th Wheel Couplings Security

Excessive Engine / Smoke

Saloon Lighting *

Saloon Floor Covering *

Heating and Ventilation *

Doors & Exit *

First Aid Kit *

Passenger Seat Belts *

Glass *

Fire Extinguisher *

Emmergancy Hammer *

NIL DEFECT

* PCV / PSV Check list extras

RECORD BELOW ANY ACCIDENT HOWEVER SMALL. VEHICLE DEFECTS OR IRREGULARITIES. VEHICLE DEFECTS MUST ALSO BE REPORTED TO THE SENIOR MAINTENANCE & REPAIR ENGINEER WHO WILL INITIAL THE ORIGINAL COPY.

Action Taken

NAME

Your Signature

Thanks for submitting!

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