Title Page
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Prepared by:
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Date:
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Registration:
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Reg due:
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Make /Model:
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COF/WOF due:
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Location:
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Current km's:
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Type:
- Car
- Station Wagon
- Van
- Ute
- Truck
- Trailer
- Forklift
- ATV
- EWP
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Tyres (pressure and tread condition) - Front /rear/spare:<br><br>
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Tyres (pressure and tread condition) - Trailer (+ jockey wheel if fitted)<br><br>
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Lights - Indicators
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Lights -head,tail,n/plate,reversing
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Lights - flashing beacon (where fitted)
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Interior - dashboard clear of loose items
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Interior - no bungee cords for tie downs
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Interior -seats
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Interior - mats and roof lining
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Interior - seat belts
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Interior - windows(operational and clean)
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Interior - LPG bottle (vertical and secure)
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Interior - First Aid kit (fully kitted out)
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Interior - Fire extinguisher (charged)
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Exterior fittings - ladder rack assembly firmly on the roof and serviceable
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Exterior fittings - ladder ties serviceable
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Exterior fittings - tent frame brackets secure
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Exterior fittings - wiper blades (free from defects)
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Exterior fittings - wing mirrors
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Exterior fittings - horn (audible)
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Exterior fittings - windows( no chips or cracks)
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Exterior fittings - equipment baskets on ATV's
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Trailer and towing attachments - tow ball /coupling (same size)
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Trailer and towing attachments - corrosion of assembly
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Trailer and towing attachments - wiring connection points
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Trailer and towing attachments - safety chain/ D Shackle
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Trailer and towing attachments - trailer brakes and fluid
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Engine compartment - engine oil/ break and P/S Fluid
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Engine compartment - coolant/ Antifreeze
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Engine compartment - windscreen washer fluid
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Engine compartment -Battery levels / Terminals
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Hydraulics (leaks) - Hiab-Palfinger /Forklift/EWP
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Hydraulics (leaks) - Booms/ Forks/ Stabilisers
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Dates defects rectified
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Please indicate any panel and paint damage to the vehicle by circling the damaged area and entering the corresponding legend number on the diagram 1= major dent 2=minor dent 3=major scratch 4=minor scratch 5=major rust 6=minor rust Signage /Paint : A=good B =Average C=Poor
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Comments
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Signature:
