Vehicle assessmentNot saved online

Collection condition report

Complete each section, then compile a clear report to share or print.

Started—StorageThis device only

Step 1 of 6Vehicle17% complete

01 · Vehicle details

Identify the vehicle and journey

These details will be arranged into the final assessment report.

Required fields

Driver nameAssessment dateVehicle makeModelRegistration numberColourYear OptionalOdometer reading

Cospharm FleetCare

Vehicle assessment report

Collection assessment

Condition clear

Vehicle and assessment details

Driver

Assessment date

Vehicle make

Model

Registration number

Colour

Year—

Odometer reading0 km

Safety equipment

First-aid kitMissing

ToolboxMissing

JackMissing

Spare wheelMissing

Warning triangleMissing

Wheel spannerMissing

Interior condition

Front carpet

Rear carpet

Front seat

Rear seat

Headliner

Door panels

Tyres, rims & function

Front right

Front left

Rear right

Rear left

Spare

Vehicle operationalNo

Difficulty startingNo

Exterior condition & damage location

Numbered markers correspond with the recorded damage table.

None recorded

Vehicle condition report diagram showing front, rear, top, left and right exterior views

Front viewVehicle left sideTop viewRear viewVehicle right side

Exterior inspected — no damage recorded.

Damage codes: B Bent · BR Broken · CH Chip · CR Cracked · D Dented · M Missing · PT Pitted · R Rusty · RU Rubbed · S Scratch · HS Hairline Scratch · ST Stained · T Torn

Driver declaration · completed

I VERIFY THAT THIS IS AN ACCURATE ASSESSMENT OF THIS VEHICLE UPON COLLECTION/RETURN.

Driver name

Date

Signature

Assessor verification · complete after physical inspection

I VERIFY THAT THIS IS AN ACCURATE ASSESSMENT OF THIS VEHICLE UPON COLLECTION/RETURN.

☐ Assessment confirmed☐ Differences noted in remarks

Assessor name

Date

Signature

Remarks / corrections