Van Maintenance Checklist
Employee Name
First Name
Last Name
Date
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
License Plate
Fuel Level
Mileage
Van Reg
V64 WWU
DV65 AZL
WM06 OTJ
KW55 XXG
LD10 WZC
Other
Please Fill Out the Checklist
Rows
Check
Notes
Change oil and filter    Â
1
Check air filter if needed
2
Check water pump and fan bearing
3
Check all belts & tens loners
4
Brake
5
Radiator- note strength
6
Dash & Dome Lights
7
Wipers & Screenwash
8
Indicators & HeadLights
9
First aid kit
10
Torch
11
Additional Comments
Submit
Should be Empty: