CITY LIFTING GOODS VEHICLE INSPECTION

• CITY LIFTING LTD

• REGISTRATION

• ODOMETER READING

• FLEET NUMBER

• MAKE

• MODEL

• DATE OF INSPECTION

  Date

• INSPECTED BY

INSIDE CAB

• SEATS

  SATISFACTORY

  REPAIR REQUIRED

  SAFETY ITEM DEFECT

  NON APPLICABLE

• SEAT BELT SECURITY

  SATISFACTORY

  REPAIR REQUIRED

  SAFETY ITEM DEFECT

  NON APPLICABLE

• MIRRORS AND INDIRECT VISION AIDS

  SATISFACTORY

  REPAIR REQUIRED

  SAFETY ITEM DEFECT

  NON APPLICABLE

• GLASS AND DRIVERS VIEW OF THE ROAD

  SATISFACTORY

  REPAIR REQUIRED

  SAFETY ITEM DEFECT

  NON APPLICABLE

• WINDSCREEN WASHERS AND WIPERS

  SATISFACTORY

  REPAIR REQUIRED

  SAFETY ITEM DEFECT

  NON APPLICABLE

• SPEEDO/TACHOGRAPH

  SATISFACTORY

  REPAIR REQUIRED

  SAFETY ITEM DEFECT

  NON APPLICABLE

• HORN

  SATISFACTORY

  REPAIR REQUIRED

  SAFETY ITEM DEFECT

  NON APPLICABLE

• DRIVING CONTROLS SAFE AND SECURE

  SATISFACTORY

  REPAIR REQUIRED

  SAFETY ITEM DEFECT

  NON APPLICABLE

• STEERING CONTROLS

  SATISFACTORY

  REPAIR REQUIRED

  SAFETY ITEM DEFECT

  NON APPLICABLE

• SERVICE BRAKE PEDAL

  SATISFACTORY

  REPAIR REQUIRED

  SAFETY ITEM DEFECT

  NON APPLICABLE

• SERVICE BRAKE OPERATION

  SATISFACTORY

  REPAIR REQUIRED

  SAFETY ITEM DEFECT

  NON APPLICABLE

• PRESSURE/VACUUM WARNING AND BUILD UP

  SATISFACTORY

  REPAIR REQUIRED

  SAFETY ITEM DEFECT

  NON APPLICABLE

• HAND LEVER OPERATING MACHANICAL BRAKES

  SATISFACTORY

  REPAIR REQUIRED

  SAFETY ITEM DEFECT

  NON APPLICABLE

• HAND OPERATED CONTROL VALVE

  SATISFACTORY

  REPAIR REQUIRED

  SAFETY ITEM DEFECT

  NON APPLICABLE

• CAB FLOORS, STEPS, CAB INTERIOR, CAB LIGHTING HEATING AND DEMISTING LICENCES AND LEGAL WRITINGS FIRE EXTINGUISHER FIRST AID KIT

  SATISFACTORY

  REPAIR REQUIRED

  SAFETY ITEM DEFECT

  NON APPLICABLE

GROUND LEVEL AND UNDER VEHICLE

• CAB DOOR SECURITY

  SATISFACTORY

  REPAIR REQUIRED

  SAFETY ITEM DEFECT

  NON APPLICABLE

• REGISTRATION PLATE

  SATISFACTORY

  REPAIR REQUIRED

  SAFETY ITEM DEFECT

  NON APPLICABLE

• CAB SECURITY

  SATISFACTORY

  REPAIR REQUIRED

  SAFETY ITEM DEFECT

  NON APPLICABLE

• SECURITY OF BODY CONTAINERS AND CRANE SUPPORT LEGS

  SATISFACTORY

  REPAIR REQUIRED

  SAFETY ITEM DEFECT

  NON APPLICABLE

• CONDITION OF BODY

  SATISFACTORY

  REPAIR REQUIRED

  SAFETY ITEM DEFECT

  NON APPLICABLE

• EXHAUST EMISSIONS VISUAL ONLY

  SATISFACTORY

  REPAIR REQUIRED

  SAFETY ITEM DEFECT

  NON APPLICABLE

• ROAD WHEELS AND HUBS

  SATISFACTORY

  REPAIR REQUIRED

  SAFETY ITEM DEFECT

  NON APPLICABLE

• SIDE GUARDS, REAR UNDER - RUN DEVICES AND BUMPER BARS

  SATISFACTORY

  REPAIR REQUIRED

  SAFETY ITEM DEFECT

  NON APPLICABLE

• SPARE WHEEL AND CARRIER

  SATISFACTORY

  REPAIR REQUIRED

  SAFETY ITEM DEFECT

  NON APPLICABLE

• CONDITION OF CHASSIS

  SATISFACTORY

  REPAIR REQUIRED

  SAFETY ITEM DEFECT

  NON APPLICABLE

• VEHICLE TO TRAILER COUPLING

  SATISFACTORY

  REPAIR REQUIRED

  SAFETY ITEM DEFECT

  NON APPLICABLE

• TRAILER PARKING, EMERGENCY BRAKE AND AIR LINE CONNECTIONS

  SATISFACTORY

  REPAIR REQUIRED

  SAFETY ITEM DEFECT

  NON APPLICABLE

• TRAILER LANDING LEGS

  SATISFACTORY

  REPAIR REQUIRED

  SAFETY ITEM DEFECT

  NON APPLICABLE

• SPRAY SUPPRESSION WING AND WHEEL ARCHES

  SATISFACTORY

  REPAIR REQUIRED

  SAFETY ITEM DEFECT

  NON APPLICABLE

• SPEED LIMITER

  SATISFACTORY

  REPAIR REQUIRED

  SAFETY ITEM DEFECT

  NON APPLICABLE

• ELECTRICAL WIRING AND EQUIPMENT

  SATISFACTORY

  REPAIR REQUIRED

  SAFETY ITEM DEFECT

  NON APPLICABLE

• ENGINE AND TRANSITION MOUNTINGS

  SATISFACTORY

  REPAIR REQUIRED

  SAFETY ITEM DEFECT

  NON APPLICABLE

• OIL LEAKS

  SATISFACTORY

  REPAIR REQUIRED

  SAFETY ITEM DEFECT

  NON APPLICABLE

• FUEL TANK AND SYSTEM

  SATISFACTORY

  REPAIR REQUIRED

  SAFETY ITEM DEFECT

  NON APPLICABLE

• EXHAUST SYSTEM

  SATISFACTORY

  REPAIR REQUIRED

  SAFETY ITEM DEFECT

  NON APPLICABLE

• STEERING MECHANISM

  SATISFACTORY

  REPAIR REQUIRED

  SAFETY ITEM DEFECT

  NON APPLICABLE

• SUSPENSION

  SATISFACTORY

  REPAIR REQUIRED

  SAFETY ITEM DEFECT

  NON APPLICABLE

• AXLES, STUB AXLES AND WHEEL BEARINGS

  SATISFACTORY

  REPAIR REQUIRED

  SAFETY ITEM DEFECT

  NON APPLICABLE

• FIRE EXTINGUISHER

  SATISFACTORY

  REPAIR REQUIRED

  SAFETY ITEM DEFECT

  NON APPLICABLE

• TRANSMITION

  SATISFACTORY

  REPAIR REQUIRED

  SAFETY ITEM DEFECT

  NON APPLICABLE

• ADDITIONAL BRAKE DEVICES

  SATISFACTORY

  REPAIR REQUIRED

  SAFETY ITEM DEFECT

  NON APPLICABLE

• BRAKE SYSTEM AND COMPONENTS

  SATISFACTORY

  REPAIR REQUIRED

  SAFETY ITEM DEFECT

  NON APPLICABLE

• MARKERS AND REFLECTORS

  SATISFACTORY

  REPAIR REQUIRED

  SAFETY ITEM DEFECT

  NON APPLICABLE

• LAMPS

  SATISFACTORY

  REPAIR REQUIRED

  SAFETY ITEM DEFECT

  NON APPLICABLE

• DIRECTION INDICATORS AND HAZARD WARNING LIGHTS

  SATISFACTORY

  REPAIR REQUIRED

  SAFETY ITEM DEFECT

  NON APPLICABLE

• HEAD LAMP AIM

  SATISFACTORY

  REPAIR REQUIRED

  SAFETY ITEM DEFECT

  NON APPLICABLE

• SUSIES

  SATISFACTORY

  REPAIR REQUIRED

  SAFETY ITEM DEFECT

  NON APPLICABLE

• FINAL DRIVE

  SATISFACTORY

  REPAIR REQUIRED

  SAFETY ITEM DEFECT

  NON APPLICABLE

• LIFTING EQUIPMENT

  SATISFACTORY

  REPAIR REQUIRED

  SAFETY ITEM DEFECT

  NON APPLICABLE

• REAR WHEEL BEARINGS AND SEALS

  SATISFACTORY

  REPAIR REQUIRED

  SAFETY ITEM DEFECT

  NON APPLICABLE

• AXLE ALIGNMENT AND STEERING ALIGNMENT

  SATISFACTORY

  REPAIR REQUIRED

  SAFETY ITEM DEFECT

  NON APPLICABLE

• END OUTER MARKER AND SIDE LAMPS

  SATISFACTORY

  REPAIR REQUIRED

  SAFETY ITEM DEFECT

  NON APPLICABLE

• COOLING SYSTEM, AUXILIARY DRIVE BELTS AND GENERATOR

  SATISFACTORY

  REPAIR REQUIRED

  SAFETY ITEM DEFECT

  NON APPLICABLE

• LOAD SECURING DEVICES

  SATISFACTORY

  REPAIR REQUIRED

  SAFETY ITEM DEFECT

  NON APPLICABLE

• HYDRAULIC EQUIPMENT

  SATISFACTORY

  REPAIR REQUIRED

  SAFETY ITEM DEFECT

  NON APPLICABLE

• ANY OTHER DEFECT

  SATISFACTORY

  REPAIR REQUIRED

  SAFETY ITEM DEFECT

  NON APPLICABLE

WHEELS AND TYRES

• AXLE 1 NEARSIDE

  8MM AND ABOVE

  4MM TO 8MM

  1MM TO 3 MM / DAMAGE

  N/A

• AXLE 1 OFFSIDE

  8MM AND ABOVE

  4MM TO 8MM

  1MM TO 3 MM / DAMAGE

  N/A

• AXLE 2 NEARSIDE INNER

  8MM AND ABOVE

  4MM TO 8MM

  1MM TO 3 MM / DAMAGE

  N/A

• AXLE 2 NEARSIDE OUTER

  8MM AND ABOVE

  4MM TO 8MM

  1MM TO 3 MM / DAMAGE

  N/A

• AXLE 2 OFFSIDE INNER

  8MM AND ABOVE

  4MM TO 8MM

  1MM TO 3 MM / DAMAGE

  N/A

• AXLE 2 OFFSIDE OUTER

  8MM AND ABOVE

  4MM TO 8MM

  1MM TO 3 MM / DAMAGE

  N/A

• AXLE 3 NEARSIDE INNER

  8MM AND ABOVE

  4MM TO 8MM

  1MM TO 3 MM / DAMAGE

  N/A

• AXLE 3 NEARSIDE OUTER

  8MM AND ABOVE

  4MM TO 8MM

  1MM TO 3 MM / DAMAGE

  N/A

• AXLE 3 OFFSIDE INNER

  8MM AND ABOVE

  4MM TO 8MM

  1MM TO 3 MM / DAMAGE

  N/A

• AXLE 3 OFFSIDE OUTER

  8MM AND ABOVE

  4MM TO 8MM

  1MM TO 3 MM / DAMAGE

  N/A

• AXLE 4 NEARSIDE INNER

  8MM AND ABOVE

  4MM TO 8MM

  1MM TO 3 MM / DAMAGE

  N/A

• AXLE 4 NEARSIDE OUTER

  8MM AND ABOVE

  4MM TO 8MM

  1MM TO 3 MM / DAMAGE

  N/A

• AXLE 4 OFFSIDE INNER

  8MM AND ABOVE

  4MM TO 8MM

  1MM TO 3 MM / DAMAGE

  N/A

• AXLE 4 OFFSIDE OUTER

  8MM AND ABOVE

  4MM TO 8MM

  1MM TO 3 MM / DAMAGE

  N/A

BRAKE PERFORMANCE

• BRAKE PERFORMANCE TAPPI METER (%)

• SERVICE ROLLER BRAKE PERFORMANCE (%)

• SECONDARY ROLLER BRAKE PERFORMANCE (%)

• PARKING ROLLER BRAKE PERFORMANCE (%)

• ADD ROLLER BRAKE RESULTS

  Media

DECLARATION

• TORQUE ALL WHEEL NUT'S

  YES

• NAME AND SIGNATURE OF PERSON TORQUING WHEEL NUT'S

  Sign

• ALL WHEEL NUT'S FITTED WITH COVER INDICATORS

  YES

• NAME AND SIGNATURE OF PERSON CHECKING/FITTING WHEEL NUT COVER INDICATORS

  Sign

• INSPECTORS SIGNITURE

  Sign

• SUPERVISORS SIGNATURE

  Sign