Title Page

  • Conducted on

  • Prepared by

  • Location

Assessor details

  • Are you the regular driver?

  • Please from select below

Exterior checks

Exterior check

  • Is the general condition good?

  • Are all the wheels and tyres in good condition and have tread?

  • Are there any loose or sharp edges on buggy?

Interior Checks

Interior checks

  • Is the steering wheel in good condition and safely attached?

  • Do the pedals move freely and work correctly?

  • Do all of the controls and levers work properly?

  • Do the lights work?

  • Is the seat clean/ undamaged and secure?

Engine bay

Engine bay

  • Is the oil at correct level?

  • Does the fuel tank have sufficient amount for a day/ weekly use?

  • Do all of the cable work, run free and are undamaged?

  • Is the engine bay clear of excessive debris and greases?

Sign off

Sign off

  • I hereby certify that all information is accurate and the actual inspection was conducted

  • Sign here

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