Title Page
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Conducted on
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Prepared by
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Location
Vehicle Details
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Make
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Body Type
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REG
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Mileage
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Service Due Date / Miles
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Vehicle Condition
Tyre Condition
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O/S Front Tyre Tread condition
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N/S Front Tyre Tread condition
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O/S Rear Tyre Tread condition
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N/S Rear Tyre Tread condition
Lights
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Headlamps & Tail Lamps
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Stop Lamps
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Direction indicators and hazard warning lamps
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Front and Rear fog lamps
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Reversing Lamps
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Beacons
Inside the Vehicle
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Seat belts are secure with no cuts or damage
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Horn working
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Steering no excessive play
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Parking brakes - working correctly
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Brakes - working correctly no excessive travel
Towing
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Tow bar securely attached
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Electrical connections working
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Trailer correctly secured
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loads secured
Bodywork, Window Screen & Mirrors
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Body work and doors - no damage, no panels loose, door shut correctly
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Van doors have effective locking device
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Windscreen in good order - no cracks
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Mirrors in good order no cracks or breakage
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Washers working
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Wiper blades in good order
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Wipers working continuously when on
Engine Bay
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Battery held in place correctly by clamp
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Fluids, Fuel & Oil all checked, levels correct
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With engine on any leak underneath the vehicle
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Excessive smoke from the exhaust
Sign Off on Completion
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Date & Time
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Signature
