Title Page
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Broadland Housing Association
NCFC
Jarrold Stand
Carrow Road
Norowich
NR1 1HU -
Location
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Inspection carried out by
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Conducted on
General Information
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Enter Drivers Name
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Enter Licence Plate Number
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Enter Mileage
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Take photo of exterior of van (front)
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Take photo of exterior of van (rear)
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Take photo of exterior of van (drivers side view)
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Take photo of exterior of van (passenger side view)
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Take photo of interior (cab area)
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Take photo of interior (storage area)
Inspection
CAB AREA
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Does the footbrake operate correctly with no excessive travel?
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Check footbrake peddle rubber is secure and intact
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Does the handbrake operate correctly with no excessive travel?
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Does the steering operate correctly with no excessive play, heaviness, noises etc.
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Describe defect:
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Do the interior cab lights work?
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Are the dashboard lights working correctly? e.g. indicator signal etc.
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Are there any warning lights/messages on the dashboard? e.g. ABS etc.
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Which lights/messages are displayed?
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Are the mirrors correctly aligned, secure and vision not obscured by damage or discolouration?
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Is there good visibility through the windscreen & windows?
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Glass free of chips/cracks, discoloration and other damage
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Describe defect/s:
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Take photo of defect/s
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Do the windscreen wipers and washers work correctly?
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Describe defect/s:
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Are the seats/seatbelts secure, function correctly & free from cuts/damage?
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Describe defect/s:
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Does the horn work correctly?
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Does the heater/demister work correctly?
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Cleanliness of cab area
EXTERIOR
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Are there excessive emissions e.g. black smoke etc?
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With the engine running, are there any visible leaks?
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Fuel cap securely fitted and the flap secure
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Bodywork condition - are there any dents/scrapes/sharp edges etc.
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Take close up photo of damage
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Take close up photo of damage
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Take close up photo of damage
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Describe damage
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Take photo of damage
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Cleanliness of exterior
LIGHTING DEVICES
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Headlights working correctly (both dipped and full beam)?
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Brake lights working correctly?
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Tail lights working correctly?
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Reverse light/s working correctly?
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Indicator lights working correctly?
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Are the number plate lights working?
TYRES/WHEELS
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Tread wear N/S/F
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Tread wear N/S/R
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Tread wear O/S/F
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Tread wear O/S/R
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Tread wear Spare
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Air pressure (do the tyres look inflated?)
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Which tyre/s look deflated?
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Tyre condition - are there any cords visible, deep cuts or damage etc?
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Describe defect/s:
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Take photo of defect on tyre
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Take photo of defect/s
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Are there any missing or insecure wheel nuts?
ENGINE FLUIDS
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Check oil level
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Check brake fluid level
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Check power steering fluid level
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Check coolant level
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Check screen wash level
STORAGE AREA
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Is the bulkhead free from damage?
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Take a photo of the damage
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Is the racking secure?
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Chemicals present
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Correct van stock (as required for job role)
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Is the flooring secure with no lifting/damage?
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Take photo of lifting/damage
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Is the plyboard lining in good condition?
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Take photo of any damage
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Do the doors (rear & side) shut securely?
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Is the interior lighting working correctly?
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Cleanliness of storage area
LADDER, PIPE TUBE & ROOF RACK INSPECTION
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Is the drop down ladder fit for use? e.g. free from damage etc.
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Describe defect:
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Is the pipe tube fit for use? e.g. lockable etc.
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Describe defect:
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Number of pipe tubes fitted to vehicle
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Are both the drop down ladder and pipe tube securely fitted to the roof rack?
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Is the roof rack securely fitted to the vehicle and free from damage?
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Describe defect:
SAFETY EQUIPMENT
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Fire extinguisher present and within inspection date
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First aid kit present (check contents and expiry date)
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Eye wash present (check expiry date)
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Non-Smoking Sign present
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Required PPE present
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Identification Card (ID) present
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Sky Guard (charged and functioning correctly)
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Needle Kit (if applicable to role)
SUMMARY
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List any other conditions which may prevent safe operation of this vehicle
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Enter any other observations
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Rate the overall condition of the vehicle
Recommendations
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Enter recommendations here
COMPLETION
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Driver - Are there any reasons you should not be driving a company vehicle? e.g. health conditions, medication etc.
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List reasons:
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Signature of Driver
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Full Name of Driver
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Signature of Inspector
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Full Name of Inspector
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Date and Time of Inspection