CITY LIFTING GOODS VEHICLE INSPECTION V1.1

• 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

• 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

  2

  3

  4

• 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

• 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

  NO

• 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

  YES

  NO

• 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