Version 2 DRIVERS WEEKLY JOURNEY LOG & CHECK LIST (Return to Line Manager at end of week) Vehicle Name/Type ___________________ Fuel Card No _______________________ Vehicle Registration ________________ Department _______________________ Fuel Type Diesel/Petrol/Electric/Other Mileage ___________________________ ALL VEHICLE USE MUST BE FOR APPROVED UNIVERSITY BUSINESS ONLY Date Time Start Mileage End Start End Journey Details Fuel In (Litres) Driver Name Daily Check Complete Signature Daily Checks - All lights working; Tyres safe and legal; Windscreen undamaged and clear to drive; Bodywork and trim secure; Tail lifts, refrigeration, winches etc operate effectively. ANNEX B The following vehicle checks are to be undertaken on a weekly basis for use of the first working day. Date of Check: ___________________________ Name: ______________________________________________ Mark each item as: X Satisfactory Defective/Missing Fluids Lights/Electric Engine Oil Brake Clutch Power Steering Indicators Side Lights Headlights (Dipped) Headlights (Main) Door/Wing Mirrors Wiper Blades Screen Washers Tyre Pressure Auto Transmission Screen Wash Fuel (Min ¼ full) Coolant Number Plate Reversing Warning Lights Horn Tyre Wear Tyre Damage Spare Wheel Cleanliness of number plate, windows, lights Security of roof-rack, tail lift, winch, refrigeration etc Door Locking Windscreen Wipers Battery Comments: Damage noted, repairs due etc Mark on diagram any damage and date noted External Condition N/A Not Applicable Internal Condition Seat Belts First Aid Kit Fire Extinguisher Head Restraint Adjustment Torch Warning Triangle General Bodywork Road Fund Licence A copy of the ‘Motor Incident Report Form’