Information
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Document No.
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Vehicle Registration Number:
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Contract / Site:
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Driver:
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Conducted on:
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Inspected By:
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DGSS136 Visual Vehicle Safety Check List Rev 3 - 02/01/2018
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Vehicle Model
- Vauxhall Vivaro
- Vauxhall Combo
- Vauxhall Corsavan
- Other
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Vehicle Registration
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Driver
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Mileage
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Mirrors in working condition and not broken?
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Safety belts working and good conditions?
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Windshield wipers working and good condition?
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Wiper fluid filled?
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Horn working?
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Side lights working?
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Head lights working?
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Full beam working?
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Tail lights working?
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Brake Lights Working?
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Reversing lights working?
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Turn indicators working?
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Front & Back hazard warning lights working?
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In the opinion of the engineer, are the brakes working effectively?
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Is the emergency / handbrake working?
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Is the windscreen intact with no cracks?
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Are both number plates undamaged and clearly visible?
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Is the number plate Light working?
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Has the employee been informed of what actions to take in the event they are involved in a vehicle accident?
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Visually verify all wheel nuts are on and appear to be tight?
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Is the exterior of the vehicle clean and undamaged?
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Is the interior of the vehicle clean, tidy and undamaged ?
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Do the tyres appear to be in good condition (e.g. no bulging side walls or visible metal belting)?
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Is the tyre tread above the tread wear indicator?
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Notes for Maintenance:
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Vehicle Drivers Signature
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Vehicle Inspected By
