Title Page
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Conducted on
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Prepared by
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Location
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Select date
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Driver's Name:
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Vehicle Make:
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Registration:
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Contract/Depot:
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Fuel Purchased - Total Value £
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Start Time:
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Finish Time:
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Odometer Reading - Start:
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Odometer Reading - End:
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Start: Tax/O License/Plating Certificate
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Finish: Tax/O License/Plating Certificate
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Start: Breaks
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Finish: Breaks
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Start: Lights and Indicators
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Finish: Lights and Indicators
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Start: Seatbelts
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Finish: Seatbelts
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Start: Steering
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Finish: Steering
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Start: Tyres & Wheel Fixing
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Finish: Tyres & Wheel Fixing
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Start: Windows/Mirrors
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Finish: Windows/Mirrors
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Start: Fluid leaks e.g. Oil, Fuel, Coolant and Hydraulic
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Finish: Fluid leaks e.g. Oil, Fuel, Coolant and Hydraulic
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Start: Battery Security (condition)
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Finish: Battery Security (condition)
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Start: Emergency Stops
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Finish: Emergency Stops
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Start: Fuel/Oil/Water/Adblue Levels
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Finish: Fuel/Oil/Water/Adblue Levels
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Start: Horn
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Finish: Horn
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Start: Spray Suppression/Mudflaps
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Finish: Spray Suppression/Mudflaps
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Start: Vehicle Cleanliness
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Finish: Vehicle Cleanliness
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Start: Washer/Wipers
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Finish: Washer/Wipers
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Start: Vehicle is free of excessive engine or exhaust smoke
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Finish: Vehicle is free of excessive engine or exhaust smoke
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Start: Towing Unit DCU
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Finish: Towing Unit DCU
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Start: First Aid/Fire Kits
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Finish: First Aid/Fire Kits
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Start: Reflectors
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Finish: Reflectors
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Start: Security of Bodywork/Load
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Finish: Security of Bodywork/Load
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Start: Trailer Couplings & Connections
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Finish: Trailer Couplings & Connections
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Start: New Damage Identified
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Finish: New Damage Identified
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Report Defects Here: (Nil must be written here if free of defects)
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Defects Rectified or Action Taken:
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Repaired by Name:
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Repaired by Signature:
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Repairing Company:
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Select date
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Has the action taken above made the vehicle suitable for use?
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Have you been stopped by the police? Advise Time/Location
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Have you been stopped by a DVSA Traffic Officer? Advise Time/Location
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Have you been involved in an accident/damaged the vehicle in any other way? Advise Time/Location
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Supervisor/Line Manager Checks undertaken
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Select date
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Driver Signature
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Select date
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Supervisor/Manager Signature
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Select date
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