EHS VEHICLE CHECK FORMAT BY USER

DATE & TIME CHECKED ON 28-JUNE-2017 AT 18.00 PM

ENGINEER NAME NUMAN KHAN

DRIVER NAME MAZHAR HUSSAIN
CAR NUMBER AUH 13701
VEHICLE CHECK NUMAN KHAN
DONE BY
Action Taken
1. VEHICLE CHECK CONDUCTED AS PER ATTACHED CHECKLIST AND SUMMARISED
Training Details BELOW
2. OBSERVATIONS NOTED IN THE CHECKLIST
3. PHOTOS ATTACHED
VEHICLE CHECKLIST
Sr.No Compliance
EHS Checking Items OK/NOT OK/NA Remarks (IF NOT OK)
1 OBD Tracker OK
EHS absolute rule fixed on car(1 for front side and 2 for
2 back OK
side)
3 Driver's license validity & vehicles Mulkiya Validity OK
4 Front row Safety Belt OK
5 Back row Safety Belt OK
6 Vehicle Tyre pressure and tyre condition OK
7 Vehicle battery condition OK
8 No warning sign on instrument cluster OK
9 Fire cylender and First Aid kit OK
10 Turning indicators OK
11 Headlight OK
12 Fog lamp OK
Vehicle fluid
13
level(Engine/Brake/Battery/Radiator/Washers) OK
14 Brake light OK
15 Sun shades OK
2 Air Bags per vehicle(Engineer has to sit on back seat in
16
case of vehicle not having 2 air bags) OK
ENGINEER NAME AND SIGNATURE: NUMAN KHAN

Vehicle Photos: Attach photo files as per below mentioned sequence and type

PHOTO CHECKLIST
Photo File shared
Sr.No Photo with Vehicle Remarks
Checklist Y/N
1 Car Photo with Number Plate Y

2 Mulkiya Front Y

3 Mulkiya Back Y

4 OBD Installed Y

5 Fire Extinguisher with Expiry Date Visible + First Aid Kit Y

6 Drive Safe Regulations -1 Y

7 Drive Safe Regulations -2 Y

8 Drive Safe Regulations -3 Y

9 Driver Air Bag Y

10 Passenger Air Bag Y

11 Speedometer Y

12 Sun Shades 1 Y

13 Sun Shades 2 Y

14 Driver With Seat Belt Y

15 Tyres Y

16 Maintenance Stickers Y
**sample photos are provided for reference on drive along with this format

Figure 1 Car Photo With Number Plate Figure 2 Mulkiya Front

Figure 3 Mulkiya Back

Figure 4 OBD Installed
 Figure 5 . Fire extinguisher with expiry date visible + First Aid
Kit Figure 6 . Drive safe regulations - 1

Figure 7 . Drive safe regulations - 2

Figure 8 Drive safe regulations - 3
 Figure 9. Driver Air Bag
Figure 10 . Passenger Air Bag

Figure 11 Speedometer Figure 12 . Sun Shades - 1

 Figure 13 . Sun Shades - 2 Figure 14 Driver with seat belt

Figure 15 Tyre
Figure 16 .Maintennace Sticker

ENGINEER NAME AND SIGNATURE:NUMAN KHAN