Information
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Document No.
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Audit Title
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Client / Site
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Conducted on
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Prepared by
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Location
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Personnel
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Select date
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Rego number
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Mva number
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Branch details
- Airport
- Balcatta
- Fremantle
- perth city
- Burswood
- Geraldton
- kalgoorlie
- Esperance
- Broome
- kununurra
- admin
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Ra number =
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Excess amount
- $330
- $500
- $1100
- $2750
- $5500
- self insured
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Customer charged<br>
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Type of damage
- panel
- mechanical
- interior
- windscreen
- underbody
- other
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Area of damage
- left hand side
- right hand side
- front
- rear
- roof
- bonnet
- underbody
- engine
- gearbox
- tyre / rim
- other
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Add media
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Name of inspector
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Add signature
