Signing Off Sheet — Summerhill

Bus no.

Route

Date of duty

Garage

Tap anything not satisfactory

Assault Screen Bell Brakes Cutting out Demisters Destination Doors Exhaust smoke Fuel/Oil Leaks Fumes Gears Handrails Heaters Horn Lights: Exterior Lights: Interior Mirrors Overheating PA System Pulling bad Radio Seat: Driver's Seat: Passenger's Safe Speedo Steering Suspension Windscreen Ticket Equipment Tyres Wheels/Fixings Wipers Accessibility Ramp Other

Leave everything untapped if the bus is clean. Use the box below to say what's wrong with anything you flag.

Accessibility ramp

Is the ramp working?

Yes No

Nature of complaint

Say what happened, when, and whether it's still happening.

Photos (up to 4 — replaces the diagram on the back of the paper sheet)

Driver sign-off

Staff no. or name

Time on

Time off

Signature

Sign here with your finger

Before you send

In my opinion this bus should not go back out until it's looked at

Ticking this flags the sheet as urgent for the inspector.

Tap anything not satisfactory

Accessibility ramp

Nature of complaint

Driver sign-off

Before you send

Select bus type

Select route