Title Page

  • Vehicle Number

  • Odometer reading

  • Conducted on

  • Prepared by

  • Personnel


Under Bonnet

  • Brake Fluid Level

  • Power Steering Oil Level

  • Coolant Level

  • Belts Condition

  • Radiator Hoses

  • Battery Condition

  • Any Abnormalities

Underneath Vehicle

  • Diff Oil

  • Driveshaft Condition

  • Transmission Fluid Level

  • Suspension Condition

  • Any Abnormalities


  • Air Filter Replaced

  • Oil Filter Replaced

  • Fuel Filter Replaced

  • Engine Oil Replaced


  • LH Front

  • RH Front

  • LH Rear

  • RH Rear

  • Park Brake Adjustment

  • Brake Hose Condition


  • Steering Hoses

  • Ball Joint/Linkages

Sign off

  • Any Notes

  • Add signature

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