HYWA INSPECTION CHECKLIST

DATE SERIAL No.

TIME AGENCY
AREA HYWA No.
AIC
HWYA OPERATOR HWYA HELPER
NAME NAME
G.P No. G.P No.
D.L No.
SL No. OBSERVATIONS OK NOT OK REMARKS
1 Brake
2 Front Light
3 Back Light
4 Front Horn
5 Back Horn
6 Tyre condition
7 Seat Belt
8 Both side Indicator condition
9 Ignition Key
10 Rear View Mirror on both side
11 Parking Brake
12 Dala Condition
13 All documents are with HWYA
14 Registration Date
15 Vehicle Fitness Validity
16 Insurance Validity
17 Road Tax Validity
18 PUC Validity
Vehicle Pass Number (SEZ Pass
19 Holder)

Name & Signature of Agency Supervisor Name & Signature of SSL-Shift I/c
 ROLLER INSPECTION CHECKLIST
DATE SERIAL No.
TIME AGENCY
AREA ROLLER No.
AIC
HYWA OPERATOR
NAME
G.P No.
D.L No.
SL No. OBSERVATIONS OK NOT OK REMARKS
1 Brake
2 Front Light
3 Back Light
4 Front Horn
5 Back Horn
6 Tyre condition
7 Seat Belt
8 Both side Indicator condition
9 Ignition Key
10 Rear View Mirror on both side
11 Parking Brake
12 All documents are with HYWA
13 Registration Date
14 Vehicle Fitness Validity
15 Insurance Validity
16 Road Tax Validity
17 PUC Validity
Vehicle Pass Number (SEZ Pass
18 Holder)

Name & Signature of Agency Supervisor Name & Signature of SSL-Shift I/c