Information
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Audit Title
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Document No.
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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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Take a picture of the vehicle beingn
VEHICLE DESCRIPTION
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Driver details
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Make of vehicle
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Registration number
EXTERIOR LIGTING (Take photo's of any damage)
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The high and low beams are operational.
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The left and right tail lights are operational.
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The left and right front turn signals are operational.
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The left and right rear turn signals are operational.
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The left and right break lights are operational.
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The front and back license plate lights are operational.
EXTERIOR BODY AND GLASS (Take photo's of any noted damage)
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The windshield is free of cracks and chips larger than a 10c piece.
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The front hood, grill and bumper are free of damage.
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The left mirrors are adjustable and free of damage.
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The left fender is free of damage.
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The left door is free of damage.
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The left side is free of damage.
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The left side windows are free of cracks and chips.
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The rear window is free of cracks and chips.
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The rear of the vehicle and bumper are free of damage.
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The right side is free of damage.
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The license disc is current and not expired (note the expiry date).
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The right side windows are free of cracks and chips.
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The right door is free of damage.
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The right front fender is free of damage.
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The right mirror is adjustable and free of damage.
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The vehicle is clean and free of road grime and dirt.
TYRES
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The front driver tire is in a good condition with no visible signs of damage.
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The rear driver tire is in a good condition with no visible signs of damage.
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The rear passenger tire is in a good condition with no visible signs of damage.
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The front passenger tire is in a good condition with no visible signs of damage.
INTERIOR
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The driver seat belt is in a good condition.
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The windshield wipers are functioning and in a good condition.
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The windshield washer fluid level is acceptable and the washer is operational.
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The heater and defroster are operational.
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The airconditioning is operational.
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The dashboard lights are operational.
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All the gages are operational and show within the acceptable ranges.
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The interior compartment lights are operational.
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The interior is clean and free of loose objects.
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The passenger seat belts are operational.
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The passenger seats are in a good and clean condition.
ADR BAG
SIGNATURES
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Signature of inspector
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Signature of driver / responsible person
SUMMARY
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Final comments / conclusio