Title Page
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Date of Inspection
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Person conducting check:
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Drivers licence No
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Vehicle reg no:
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Current Odometer Reading
Lights - check operation and visibility of:
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Headlights (high/low beam) operational
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Parking Lights operational
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Wiper Blades operational
Indicators/Blinker
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Hazard Lights operational
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Brake lights operational
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Reversing lights operational
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Left Indicator operational
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Right Indicator operational
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Reverse Beeper - if fitted
Brakes and Warnings
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Check operation of Handbrake
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Check for firm brake pedal
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Check operation of horn
Interior
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Internal cleanliness maintained, including upholstery
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Cargo barrier in place, where appropriate
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Safety belts in good order
Exterior
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Any damage to body work?
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Windscreen in good order and clean
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Windscreen wipers and washers operating?
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Water in windscreen washer reservoir?
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Tyre tread checked for wear?
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Treads matching for front and rear tyres
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Tyre pressure checked?
General Safety
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System in place for reporting problems?
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Servicing as required
First Aid Kit, Sunscreen, Insect Repellent
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Contents assessed in compliance with First Aid requirements?
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Container and contents clean and orderly?
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System in place to replenish kit items?
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Expiry dates checked?
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Out of date items disposed of?
Operation Vehicles
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Oil
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Water
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Hiab oil leaks
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Hiab damage
Other issues
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Other issues
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Signature