INSIDE CAB
SEATS
SATISFACTORY
REPAIR REQUIRED
SAFETY ITEM DEFECT
NON APPLICABLE
DESCRIBE DEFECT
SEAT BELT SECURITY
SATISFACTORY
REPAIR REQUIRED
SAFETY ITEM DEFECT
NON APPLICABLE
DESCRIBE DEFECT
MIRRORS AND INDIRECT VISION AIDS
SATISFACTORY
REPAIR REQUIRED
SAFETY ITEM DEFECT
NON APPLICABLE
DESCRIBE DEFECT
GLASS AND DRIVERS VIEW OF THE ROAD
SATISFACTORY
REPAIR REQUIRED
SAFETY ITEM DEFECT
NON APPLICABLE
DESCRIBE DEFECT
WINDSCREEN WASHERS AND WIPERS
SATISFACTORY
REPAIR REQUIRED
SAFETY ITEM DEFECT
NON APPLICABLE
DESCRIBE DEFECT
SPEEDO/TACHOGRAPH
SATISFACTORY
REPAIR REQUIRED
SAFETY ITEM DEFECT
NON APPLICABLE
DESCRIBE DEFECT
HORN
SATISFACTORY
REPAIR REQUIRED
SAFETY ITEM DEFECT
NON APPLICABLE
DESCRIBE DEFECT
DRIVING CONTROLS SAFE AND SECURE
SATISFACTORY
REPAIR REQUIRED
SAFETY ITEM DEFECT
NON APPLICABLE
DESCRIBE DEFECT
STEERING CONTROLS
SATISFACTORY
REPAIR REQUIRED
SAFETY ITEM DEFECT
NON APPLICABLE
DESCRIBE DEFECT
SERVICE BRAKE PEDAL
SATISFACTORY
REPAIR REQUIRED
SAFETY ITEM DEFECT
NON APPLICABLE
DESCRIBE DEFECT
SERVICE BRAKE OPERATION
SATISFACTORY
REPAIR REQUIRED
SAFETY ITEM DEFECT
NON APPLICABLE
DESCRIBE DEFECT
PRESSURE/VACUUM WARNING AND BUILD UP
SATISFACTORY
REPAIR REQUIRED
SAFETY ITEM DEFECT
NON APPLICABLE
DESCRIBE DEFECT
HAND LEVER OPERATING MACHANICAL BRAKES
SATISFACTORY
REPAIR REQUIRED
SAFETY ITEM DEFECT
NON APPLICABLE
DESCRIBE DEFECT
HAND OPERATED CONTROL VALVE
SATISFACTORY
REPAIR REQUIRED
SAFETY ITEM DEFECT
NON APPLICABLE
DESCRIBE DEFECT
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
DESCRIBE DEFECT
GROUND LEVEL AND UNDER VEHICLE
CAB DOOR SECURITY
SATISFACTORY
REPAIR REQUIRED
SAFETY ITEM DEFECT
NON APPLICABLE
DESCRIBE DEFECT
REGISTRATION PLATE
SATISFACTORY
REPAIR REQUIRED
SAFETY ITEM DEFECT
NON APPLICABLE
DESCRIBE DEFECT
CAB SECURITY
SATISFACTORY
REPAIR REQUIRED
SAFETY ITEM DEFECT
NON APPLICABLE
DESCRIBE DEFECT
SECURITY OF BODY CONTAINERS AND CRANE SUPPORT LEGS
SATISFACTORY
REPAIR REQUIRED
SAFETY ITEM DEFECT
NON APPLICABLE
DESCRIBE DEFECT
CONDITION OF BODY
SATISFACTORY
REPAIR REQUIRED
SAFETY ITEM DEFECT
NON APPLICABLE
DESCRIBE DEFECT
EXHAUST EMISSIONS VISUAL ONLY
SATISFACTORY
REPAIR REQUIRED
SAFETY ITEM DEFECT
NON APPLICABLE
DESCRIBE DEFECT
ROAD WHEELS AND HUBS
SATISFACTORY
REPAIR REQUIRED
SAFETY ITEM DEFECT
NON APPLICABLE
DESCRIBE DEFECT
SIDE GUARDS, REAR UNDER - RUN DEVICES AND BUMPER BARS
SATISFACTORY
REPAIR REQUIRED
SAFETY ITEM DEFECT
NON APPLICABLE
DESCRIBE DEFECT
SPARE WHEEL AND CARRIER
SATISFACTORY
REPAIR REQUIRED
SAFETY ITEM DEFECT
NON APPLICABLE
DESCRIBE DEFECT
CONDITION OF CHASSIS
SATISFACTORY
REPAIR REQUIRED
SAFETY ITEM DEFECT
NON APPLICABLE
DESCRIBE DEFECT
VEHICLE TO TRAILER COUPLING
SATISFACTORY
REPAIR REQUIRED
SAFETY ITEM DEFECT
NON APPLICABLE
DESCRIBE DEFECT
TRAILER PARKING, EMERGENCY BRAKE AND AIR LINE CONNECTIONS
SATISFACTORY
REPAIR REQUIRED
SAFETY ITEM DEFECT
NON APPLICABLE
DESCRIBE DEFECT
TRAILER LANDING LEGS
SATISFACTORY
REPAIR REQUIRED
SAFETY ITEM DEFECT
NON APPLICABLE
DESCRIBE DEFECT
SPRAY SUPPRESSION WING AND WHEEL ARCHES
SATISFACTORY
REPAIR REQUIRED
SAFETY ITEM DEFECT
NON APPLICABLE
DESCRIBE DEFECT
SPEED LIMITER
SATISFACTORY
REPAIR REQUIRED
SAFETY ITEM DEFECT
NON APPLICABLE
DESCRIBE DEFECT
ELECTRICAL WIRING AND EQUIPMENT
SATISFACTORY
REPAIR REQUIRED
SAFETY ITEM DEFECT
NON APPLICABLE
DESCRIBE DEFECT
ENGINE AND TRANSITION MOUNTINGS
SATISFACTORY
REPAIR REQUIRED
SAFETY ITEM DEFECT
NON APPLICABLE
DESCRIBE DEFECT
OIL LEAKS
SATISFACTORY
REPAIR REQUIRED
SAFETY ITEM DEFECT
NON APPLICABLE
DESCRIBE DEFECT
FUEL TANK AND SYSTEM
SATISFACTORY
REPAIR REQUIRED
SAFETY ITEM DEFECT
NON APPLICABLE
DESCRIBE DEFECT
EXHAUST SYSTEM
SATISFACTORY
REPAIR REQUIRED
SAFETY ITEM DEFECT
NON APPLICABLE
DESCRIBE DEFECT
STEERING MECHANISM
SATISFACTORY
REPAIR REQUIRED
SAFETY ITEM DEFECT
NON APPLICABLE
DESCRIBE DEFECT
SUSPENSION
SATISFACTORY
REPAIR REQUIRED
SAFETY ITEM DEFECT
NON APPLICABLE
DESCRIBE DEFECT
AXLES, STUB AXLES AND WHEEL BEARINGS
SATISFACTORY
REPAIR REQUIRED
SAFETY ITEM DEFECT
NON APPLICABLE
DESCRIBE DEFECT
FIRE EXTINGUISHER
SATISFACTORY
REPAIR REQUIRED
SAFETY ITEM DEFECT
NON APPLICABLE
DESCRIBE DEFECT
TRANSMITION
SATISFACTORY
REPAIR REQUIRED
SAFETY ITEM DEFECT
NON APPLICABLE
DESCRIBE DEFECT
ADDITIONAL BRAKE DEVICES
SATISFACTORY
REPAIR REQUIRED
SAFETY ITEM DEFECT
NON APPLICABLE
DESCRIBE DEFECT
BRAKE SYSTEM AND COMPONENTS
SATISFACTORY
REPAIR REQUIRED
SAFETY ITEM DEFECT
NON APPLICABLE
DESCRIBE DEFECT
MARKERS AND REFLECTORS
SATISFACTORY
REPAIR REQUIRED
SAFETY ITEM DEFECT
NON APPLICABLE
DESCRIBE DEFECT
LAMPS
SATISFACTORY
REPAIR REQUIRED
SAFETY ITEM DEFECT
NON APPLICABLE
DESCRIBE DEFECT
DIRECTION INDICATORS AND HAZARD WARNING LIGHTS
SATISFACTORY
REPAIR REQUIRED
SAFETY ITEM DEFECT
NON APPLICABLE
DESCRIBE DEFECT
HEAD LAMP AIM
SATISFACTORY
REPAIR REQUIRED
SAFETY ITEM DEFECT
NON APPLICABLE
DESCRIBE DEFECT
SUSIES
SATISFACTORY
REPAIR REQUIRED
SAFETY ITEM DEFECT
NON APPLICABLE
DESCRIBE DEFECT
FINAL DRIVE
SATISFACTORY
REPAIR REQUIRED
SAFETY ITEM DEFECT
NON APPLICABLE
DESCRIBE DEFECT
LIFTING EQUIPMENT
SATISFACTORY
REPAIR REQUIRED
SAFETY ITEM DEFECT
NON APPLICABLE
DESCRIBE DEFECT
REAR WHEEL BEARINGS AND SEALS
SATISFACTORY
REPAIR REQUIRED
SAFETY ITEM DEFECT
NON APPLICABLE
DESCRIBE DEFECT
AXLE ALIGNMENT AND STEERING ALIGNMENT
SATISFACTORY
REPAIR REQUIRED
SAFETY ITEM DEFECT
NON APPLICABLE
DESCRIBE DEFECT
END OUTER MARKER AND SIDE LAMPS
SATISFACTORY
REPAIR REQUIRED
SAFETY ITEM DEFECT
NON APPLICABLE
DESCRIBE DEFECT
COOLING SYSTEM, AUXILIARY DRIVE BELTS AND GENERATOR
SATISFACTORY
REPAIR REQUIRED
SAFETY ITEM DEFECT
NON APPLICABLE
DESCRIBE DEFECT
LOAD SECURING DEVICES
SATISFACTORY
REPAIR REQUIRED
SAFETY ITEM DEFECT
NON APPLICABLE
DESCRIBE DEFECT
HYDRAULIC EQUIPMENT
SATISFACTORY
REPAIR REQUIRED
SAFETY ITEM DEFECT
NON APPLICABLE
DESCRIBE DEFECT
ANY OTHER DEFECT
SATISFACTORY
REPAIR REQUIRED
SAFETY ITEM DEFECT
NON APPLICABLE
DESCRIBE DEFECT
WHEELS AND TYRES
SELECT NUMBER OF AXLE'S
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 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 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 DECLARATION
TORQUE ALL WHEEL NUT'S
NAME AND SIGNATURE OF PERSON TORQUING WHEEL NUT'S
Sign
REASON FOR NOT TORQUING WHEEL NUT'S
NAME AND SIGNATURE OF PERSON NOT TORQUING WHEEL NUT'S
Sign
ALL WHEEL NUT'S FITTED WITH COVER INDICATORS
NAME AND SIGNATURE OF PERSON CHECKING/FITTING WHEEL NUT COVER INDICATORS
Sign
REASON FOR NOT CHECKING/FITTING WHEEL NUT COVER INDICATORS
NAME AND SIGNATURE OF PERSON NOT CHECKING/FITTING WHEEL NUT COVER INDICATORS
Sign
INSPECTORS SIGNITURE
Sign
SUPERVISORS SIGNATURE
Sign
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Simon Sanderson
CITY LIFTING GOODS VEHICLE INSPECTION V1.1
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