Title Page
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Company
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Make
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Reg No.
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Model
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Fleet no.
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Body Type
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Odo reading (miles/km)
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Chassis number
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ISO week no.
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O-license & Expiry Date
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Tachograph Calibration Date
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Last 2 year test date
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Inspection Date
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Prepared by
Part 1: Inspection
INSIDE CAB
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DFT plate - condition details
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Speed limiter plate - condition details IM NO: 33
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Seat belts and supplementary restraint systems - condition IM NO: 3
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Cab floor and steps IM NO: 17
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Seats - driver seat all adjustments fully functional IM NO: 18
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Other seats and crew amenities
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Mirrors (internal) IM NO: 22
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View to front IM NO: 23
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Condition of glass (screen/windows) IM NO: 23
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Screen wipers and washers IM NO: 25
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Speedometer/tachograph - operation - seals - plaque detail IM NO: 26
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Engine tachometer
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Audible warning - horn IM NO: 27
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Driving controls IM NO: 28
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Steering wheel - free play IM NO: 30
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Steering wheel - security condition - dust covers IM NO: 30
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Steering column IM NO: 30
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Anti-theft locks
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Pressure/vacuum - warning IM NO: 34
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Pressure/vacuum - build up IM NO: 34
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Other gauges - warning devices
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Hand lever controlling mechanical & electronic park brake IM NO: 36
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Service brake pedal IM NO: 37
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Service brake - ABS/ESP/ESC/EBS warning lights (MIL) malfunction indicator lights IM NO: 38
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Hand operated brake control valves IM NO: 39
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Electrical wiring/equipment/switches IM NO: 42
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Front fog and aux lamp switches
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Panel/interior lamps and switches
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Cab heater/demister/air conditioning
CAB EXTERIOR
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Bumper (front) IM NO: 9
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Condition of wings/spray suppression (front) IM NO: 14
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Cab panels and trim, heated mirrors if fitted
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Cab security including tilt warning IM NO: 15
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Cab doors including hinges, locks IM NO: 16
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Mirrors and indirect vision devices (external) IM NO: 22
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Front lamps (side lamps) and outline markers IM NO: 63
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Headlamps - operation-aim-adjustment mechanism IM NO: 67
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Front log and spot lamps, dim/dip device and operational main beam warring light
ENGINE COMPARTMENT
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Engine & Transmission mountings IM NO: 43
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Oil leaks IM NO: 44
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Fuel tanks and systems IM NO: 45
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Exhaust Systems and Nuisance IM NO: 46
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Exhaust brake
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Radiator mounting
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Cooling system
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Fan, generator, aux belts
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Fuel pump linkage seals and EDC equipment
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Speed limiter - condition-seals-linkage IM NO: 33
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Injectors, pipes, filters
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Air intake system - turbocharger intercooler and filters
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Air compressor - exhauster - drive belts (if applicable) IM NO: 59
GROUND LEVEL
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Road wheels and hubs IM NO: 6
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Sideguards and rear underrun guards IM NO: 9
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Spare wheel carrier (and spare wheel) IM NO: 10
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Vehicle to trailer coupling IM NO: 11/12
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Condition of wings/spray suppression (rear) IM NO: 14
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Security/condition of body IM NO: 19/20
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Demountable bodies - chassis mounted equipment
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Security of body, containers and crane support legs IM NO: 19
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Other ancillary equipment .
UNDER/ALONGSIDE VEHICLE
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Chassis - condition IM NO: 41
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Electrical wiring equipment including batteries IM NO: 42
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Electrical connections for trailer IM NO: 42
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Suspension pins and bushes - condition IM NO: 48
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Suspension units, linkages & dust covers - condition IM NO: 48
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Spring units, dust covers, linkages and sub - frames - security IM NO: 48
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Shock absorbers IM NO: 48
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Wheel bearings and seals (rear)
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Stub axle and wheel bearings IM NO: 53
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Steering mechanism - Lock function IM NO: 54
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Steering alignment
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Steering gear and dust covers IM NO: 54
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Power steering and fluid level - MIL IM NO: 54
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Axle alignment
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Clutch operation
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Gearbox and bell housing
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Changing speed mechanism
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Power take-off IM NO: 57
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Final drive
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2 - Speed shift mechanism
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Differential lock - traction control
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Load transfer/axle lift device
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Transmission - drive line - mountings - dust covers IM NO: 57
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Rear marking and conspicuity markings IM NO: 62
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Rear lamps, outline markers and number plate lamp IM NO: 63
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Rear fog lamps, including warning device IM NO: 63
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Reflectors (side and rear) IM NO: 62
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Direction/hazard indicators including warning device IM NO: 66
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Side marker lamps IM NO: 63
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Stop lamps IM NO: 63
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Reversing lamps IM NO: 63
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position lamps, headlamps and warning device IM NO: 63
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Other lamps
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Paintwork and livery - condition
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Licences
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Legal writing
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Registration plates - secure, complete and legible IM NO: 1
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Other dangerous defects IM NO: 74
SMOKE EMISSION
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Engine MIL inoperative or indicating a malfunction IM NO: 5
BRAKES
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Electronic braking system/electronic stability control system - operation/warning IM NO: 38
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Hydraulic fluid level IM NO: 59
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Mechanical brake components IM NO: 59
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Drums and linings/disc and pads IM NO: 59
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Brake actuators and adjusters - dust covers IM NO: 59
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Brake systems and components IM NO: 59
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Trailer coupling, hoses and function of self sealing valves IM NO: 12
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Load sensing/anti-lock system IM NO: 59
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Air brake anti-freeze device
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Anti-lock device - operation warning IM NO: 38
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Operation of supply dump valve
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Operation of multi-circuit protection
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Additional braking devices IM NO: 58
TYRES
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Size and type of tyres, Drive axle tyres comply with calibration plaque IM NO: 26 / IM NO: 7
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Condition of tyres IM NO: 8
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TREAD WEAR & TYRE PRESSURE (strike out / amend boxes)
State – tread depth left in mm & tyre pressure in PSI -
Side: O/S
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Axle 1: State – tread depth left in mm & tyre pressure in PSI
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Axle 2: State – tread depth left in mm & tyre pressure in PSI
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Axle 3: State – tread depth left in mm & tyre pressure in PSI
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Axle 4: State – tread depth left in mm & tyre pressure in PSI
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Axle 5: State – tread depth left in mm & tyre pressure in PSI
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Axle 6: State – tread depth left in mm & tyre pressure in PSI
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Side: N/S
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Axle 1: State – tread depth left in mm & tyre pressure in PSI
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Axle 2: State – tread depth left in mm & tyre pressure in PSI
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Axle 3: State – tread depth left in mm & tyre pressure in PSI
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Axle 4: State – tread depth left in mm & tyre pressure in PSI
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Axle 5: State – tread depth left in mm & tyre pressure in PSI
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Axle 6: State – tread depth left in mm & tyre pressure in PSI
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BRAKES (State brake wear rates as a %)
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Side: O/S
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Axle 1: State brake wear rates as a %
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Axle 2: State brake wear rates as a %
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Axle 3: State brake wear rates as a %
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Axle 4: State brake wear rates as a %
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Axle 5: State brake wear rates as a %
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Axle 6: State brake wear rates as a %
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Side: N/S
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Axle 1: State brake wear rates as a %
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Axle 2: State brake wear rates as a %
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Axle 3: State brake wear rates as a %
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Axle 4: State brake wear rates as a %
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Axle 5: State brake wear rates as a %
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Axle 6: State brake wear rates as a %
BRAKE PERFORMANCE (Laden / Unladen) (Roller brake / decelerometer test)
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50* - 71 - Service Brake Performance - %
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51* - 72 - Secondary Brake Performance - %
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52* - 73 - Parking Brake Performance - %
ROAD TEST (Brake Temperature Assessment)
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Side: O/S
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Axle 1 (°C)
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Axle 2 (°C)
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Axle 3 (°C)
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Axle 4 (°C)
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Axle 5 (°C)
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Axle 6 (°C)
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Side: N/S
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Axle 1 (°C)
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Axle 2 (°C)
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Axle 3 (°C)
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Axle 4 (°C)
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Axle 5 (°C)
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Axle 6 (°C)
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Date of Braking Assessment
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Inspector Comments
Part 2: Rectification
Details of faults (If applicable)
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Action taken to rectify faults
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SIGN OFF
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I consider the above defects have been rectified satisfactorily and the vehicle is now in a safe and roadworthy condition
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Inspector (Name):
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Inspector (Signature):
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Date Signed:
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Position
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NOTE: IT IS ALWAYS THE RESPONSIBILITY OF THE OPERATOR THAT THE VEHICLE IS IN A ROADWORTHY CONDITION BEFORE BEING USED ON THE ROAD.
