dj 1 PRE-OPERATIONAL INSPECTION OF VEHICLES

Work Area: Date: Plate:

Validity of SOAT Mileage:
Driver: License in force and in your possession nNO
YES
NO. FAULT CODE B M NP NO. FAILURE CODE B M NP

1 P.Q.S. extinguisher. 20 Sist. Address

2 Horn 21 Sist. Transmission

3 Roll bar 22 Clutch

4 Safety belt 23 Condition of tires and rims

5 Wedges / Tacos 24 Doors and plates

6 Windscreen washer water level 25 Window and door handles

7 Brake condition 26 Glass and windshield

8 High and low beam status 27 Seats Status

9 Status of flashing lights 28 Back-up alarm

10 Condition of fog lights 29 Bumper

Pirate lighthouse status Bodywork / railing

11 30
Condition and operation of Circulator, Operation of temperature, oil and fuel
12 beacon and pole 31 gauges

13 Mirrors (external and internal) 32 Pedal operation

Operation and condition of
14 Jack, bar, wheel wrench, spare tire. 33 windshield wipers

15 First aid kit, triangle 34 General cleaning of the vehicle

16 Ownership Card 35 Towing cable

Internal pass, triang mina, declar.
17 Tools 36 Battery cable
Technical review, mandatory
18 insurance 37 Horn

19 Company logo and internal number 38 Wheel wrench (lock)

Operational Vehicle Non-Operating Vehicle

Name, Signature and ID of Name, Signature and DNI

Inspecting Party Supervisor / Ing. Prevention:

11111
E 1/2 F

.. . A □ -i Remarks:

B E ----n f_/E A 0

- NA -/-,
FAULT CODE: B = GOOD M = BAD R REGULAR NP = DOES NOT OWN OPERATIONAL YES NO