SHIVGANGA DRILLERS LIMITED
MONTHLY VEHICLE & EQUIPMENT CHECKLIST
Vehicle Type  :  
Date  :  
Reg. Number:  
Driver Name  :  
Owner          :  
Driver Mobile No.  :  
Sr No Description STATUS REMARKS
Yes No
1 Driving License (Docs with driver) Expiry Date:  
2 Registration Certificate (Docs at Vehicle) Expiry Date:  
3 Insurance (Docs at Vehicle) Expiry Date:  
4 Fitness (Docs at Vehicle) Expiry Date:  
5 PUC (Docs at Vehicle) Expiry Date:  
6 Last Service (Docs at vehicle) Date/KM:  
7 Fire Extinguishers  
Lights
8 Full Beam/ Dim
9 Parking Light
10 Indicators
11 Reverse Light
12 Screen Wipers with water facility
13 Safety Belt
14 Tires condition
15 Spare Tires at place
16 Number plate is as per RTO guidelines
17 Emergency Number Sticker
18 First aid box
19 Tools/ Jack
20 Hazard Warning Triangle
21 Side mirrors
22 Tires PSI mark
23 Housekeeping inside the vehicle
24 Brake
25 Hand Brake
26 Horn
27 Air Conditioner
28 Covered Battery
29 Age of Battery
30 Health Certificate of Driver
SIGNATURE: \ 
SIGNATURE: \ 
DRIVER:  ____________________________________________
INSPECTED BY:  
RIG MANAGER / TOOL PUSHER SIGNATURE:  
Issue No.1
Revision: 0
Doc:SGD/QHSE/F/3.13