Title Page
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Conducted on
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Prepared by
Vehicle Information Check
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Make of the Vehicle:
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Model of the Vehicle:
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Vehicle Registration Number:
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Vehicle Odometer Reading:
Under Bonnet Check - Engine Off
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Is the Coolant Reservoir Full?
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Is the Coolant green in colour?
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Is the Brake Fluid Reservoir Full?
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Is the Power Steering Reservoir Full?
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Is the Windscreen Wiper Fluid Reservoir Full?
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Are there any noticeable Engine Oil Leaks?
Operational Checks - Engine On
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Do the lights in the dash cluster illuminate on starting the vehicle?
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Do the Turning Indicators/ Hazard Lights Operate Correctly?
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Do the Parking Lights Illuminate?
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Do the Main Headlights Illuminate and Change between High and Low Beam?
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Do the Brake Lights Illuminate?
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Do the Reversing Lights Illuminate?
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Do all internal lights illuminate?
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Does the horn work?
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Do the windscreen wipers operate correctly?
Exterior Vehicle Check
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Vehicle Glass: Is the glass free from damage and clean? If "NO" photograph the issue:
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Vehicle Panel Work: Is the panel free from damage and clean? If "NO" photograph the issue:
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Side Mirrors: Are they free from damage and clean? If "NO" photograph the issue:
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Do all doors operate correctly?
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Are the wheels and tyres in good condition?
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Is the Dr Group Decals in good condition?
Interior Vehicle Check
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Is the vehicle flooring clean and in good condition?
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Are the seat cushions clean and in good condition?
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Is the storage areas clean and in good condition?
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Is the steering wheel clean and in good condition?
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Do the Seatbelts operate correctly and are the free from damage?
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Is the rear cargo hold clean and tidy?
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What Equipment is in the Van?
- Tie Downs
- Vehicle Tool Kit
- Foam Mats
- Small Trolley
- First Aid Kit
Final Comments
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Any Final Comments made regarding the Vehicle:
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Please Sign