Vehicle Status - Cathodic

Name *

First

Last

Vehicle Mileage *

Vehicle Reg *

Date of Completion

What type of Vehicle do you Drive *

Electric
Petrol or Diesal
Hybrid

Fluid Levels

Please confirm whether the following fluid levels are within the manufacturer's specifications. For further information regarding these levels, please consult the vehicle handbook.

Fuel level

To the nearest Quarter

Engine Oil Level

Yes
No

Brake Fluid Level

Yes
No

Radiator Fluid Level

Yes
No

Battery Water Level

Yes
No

Current Battery %

Windscreen Washer Fluid Level

Yes
No

Lights

Please confirm the following lights are in good working condition.

Headlights (High Beam)

Yes
No

Headlights (Low Beam)

Yes
No

Number Plate

Yes
No

Reversing Lights

Yes
No

Cabin Interior Lights

Yes
No

Brake Lights

Yes
No

Hazard Warning Lights

Yes
No

Indicator Lights *

Yes
No

Driver Adjustments

Please confirm that the following adjustments are able to be made.

Driver's Seat

Yes
No

Rear View Mirror

Yes
No

Wing Mirrors

Yes
No

Pedals

Please confirm the following:

Foot brake is able to hold and stop the vehicle smoothly

Yes
No

Parking brake is able to hold the vehicle when parked

Yes
No

Clutch and gears shift smoothly and without jerking

Yes
No

Tyres

Please confirm the following:

Tyres are inflated, have adequate tread and are free of excessive wear or damage

Yes
No

Wheel nuts are all present and securely fastened

Yes
No

Tyres have adequate tread

Yes
No

Spare tyre is inflated and free of cracks

Yes
No

Have the tyre pressures been checked in the last two weeks?

Yes
No

Other checks

Please confirm the following:

Seat belts are working and free of damage

Yes
No

Mirrors are clean and free of damage

Yes
No

Doors and locks operate correctly

Yes
No

Dashboard or Screen control panel is fully operational (warning lamps and screens)

Yes
No

Steering Wheel moves smoothly

Yes
No

Horn is loud and clear

Yes
No

Hydraulic systems are operating smoothly and without leaks

Yes
No

All loads (if any) are secured

Yes
No

First aid kit is present and fully-stocked

Yes
No

Are all Items in date?

Yes
No
Unsure

Are all items in Date?

Is the bodywork (including tyres) in a good condition i.e. Dint / Scratch free *

Yes
No

Is your car running the latest Software Version?

Yes
No
Unsure

Is your home charge point free from obstructions and working as expected

Yes
No

If you have answered "No" to any questions on this checklist, please give details below:

Please Provide any photos where damage is present:

This includes both bodywork, tyres and interior of van

Rear of vehicle

Drag & Drop Files, Choose Files to Upload You can upload up to 2 files.

Left-hand side of vehicle