Information
Monthly Check List
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Check List Completed By
- Chris Grigg
- Aaron Durward
- Ron Hirst
- Peter Battersby
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Campus
- Birchip
- Donald
- Charlton
- St.Arnaud
- Wycheproof
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Vehicle Make
- Holden
- Ford
- Mitsubishi
- Nissan
- Toyota
- Hyundai
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Vehicle Model
- Caprice
- Commodore
- Aurion
- Camry
- Falcon
- Mondaeo
- i30
- Transit Van
- Carry
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Registration Number
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Kilometers
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Conducted on
Service
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Is the vehicle due for a service
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If yes what service eg. 15,000klm
Oils & Fluids
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Oil
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Radiator Fluid
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Transmission Fluid
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Brake Fluid
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Windscreen Washer Fluid
Lights
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Left park light
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Right park light
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Left headlight low beam
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Right headlight low beam
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Left headlight high beam
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Right headlight high beam
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Left front blinker
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Right front blinker
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Left front guard blinker
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Right front guard blinker
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Left rear blinker
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Right rear blinker
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Reverse lights
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Brake lights
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Number plate lights
Windscreen
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State of windscreen
Mirrors
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Interior mirror
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Left mirror
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Right mirror
Tyres
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Left front tyre
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Right front tyre
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Left rear tyre
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Right rear tyre
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Spare tyre
Horn
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Horn
Cleanliness of Vehicle
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Interior
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Exterior
Vehicle Damage
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If damage is found please fill in a vehicle damage report
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Signature of person completing report
