Full 12m/12k

• Plate Number

• Conducted on

  Date

• Prepared by

• Current Mileage

• Fuel Level

  Select 1/4 Half 3/4 Full

  • 1/4
  • Half
  • 3/4
  • Full

Parts Required

• Oil, Oil & Air Filter

  Yes

  No

  N/A

• Instructions:
  -------------------------------------
  Top-ups Included: Washer Fluid, Coolant, Brake Fluid, Pas Fluid, AdBlue (extra cost)

• Photograph of the Vehicle Being Inspected

  Media

VEHICLE EXTERIOR LIGHTING

• Front Fog Lamps Operational

  Yes

  No

  N/A

• Font Left and Right Side light Operational

  Yes

  No

  N/A

• Front Left and Roght Head Lamps Operational

  Yes

  No

  N/A

• Left and Right Front Indicators Operational

  Yes

  No

  N/A

• Left and Right Rear Indicators Operational

  Yes

  No

  N/A

• Left and Right Break Lights Operational

  Yes

  No

  N/A

• Left and Right Tail Lights Operational

  Yes

  No

  N/A

• Rear Reverse Light Operational

  Yes

  No

  N/A

• Rear Fog Lamp Operational

  Yes

  No

  N/A

• Audible Reverse Alarm Operational

  Yes

  No

  N/A

VEHICLE EXTERIOR BODY AND GLASS

• Windshield Free of Cracks and Chips

  Yes

  No

  N/A

• Left Mirrors Adjustable and Free of Damage

  Yes

  No

  N/A

• License Plates in Position, Clean, Free of Damage

  Yes

  No

  N/A

• Right Mirror Adjustable and Free of Damage

  Yes

  No

  N/A

VEHICLE TIRES

• Front Driver Tire in Good Repair with No Visible Signs of Wear or Cracking in Sidewall

  Yes

  No

  N/A

• Front Driver Tire Pressure

  Yes

  No

  N/A

• Front Passenger Tire in Good Repair with No Visible Signs of Wear or Cracking in Sidewalll

  Yes

  No

  N/A

• Front Passenger Tire Pressure

  Yes

  No

  N/A

• Rear Driver Tire in Good Repair with No Visible Signs of Wear or Cracking in Sidewall

  Yes

  No

  N/A

• Rear Driver Tire Pressure

  Yes

  No

  N/A

• Rear Passenger Tire in Good Repair with No Visible Signs of Wear or Cracking Sidewall

  Yes

  No

  N/A

• Rear Passenger Tire Pressure

  Yes

  No

  N/A

• Adequate Spare Tire is Available if Necessary in Good Repair with No Visible Signs of Wear or Cracking in Sidewall

  Yes

  No

  N/A

VEHICLE INTERIOR

• Driver Seat Belt Operational

  Yes

  No

  N/A

• Passenger Seat Belts Operational

  Yes

  No

  N/A

• Windscreen Wipers Functioning Appropriately

  Yes

  No

  N/A

• Horn Functioning Appropriately

  Yes

  No

  N/A

• Heat and Defroster Operational

  Yes

  No

  N/A

• Dashboard Lights Operational

  Yes

  No

  N/A

• All Gauges are Operatiing and Show within Appropriate Ranges

  Yes

  No

  N/A

• Radio Operational

  Yes

  No

  N/A

• Interior Compartment Lights Operational

  Yes

  No

  N/A

ENGINE

• Oil Leaks

• Antifreeze Strength / Advise

• Check Coolant Hoses, Tank & Cap

• Auxiliary Belt(s) Condition

• Fuel System inc Tank (where visible)

• Timing Belt Interval (advise)

• Change Spark Plugs (extra cost)

  Yes

  No

  N/A

Brakes

• Brake fluid Condition (advise)

  Good

  Fair

  Poor

  N/A

• Check Front Brakes for Wear

  Good

  Fair

  Poor

  N/A

• Check Rear Brakes for Wear (advise)

  Good

  Fair

  Poor

  N/A

• Check Brake Pipes and Hoses (advise)

• Hnadbrake Operation

  Good

  Fair

  Poor

  N/A

• Check Calipers for Leaks and Security

Steering and Suspension

• Check Road Spring Condition

• Steering / Suspension Componet Condition

• Steering Rack Gaiter

• Shock Absorber Condition

• Check Wheel Bearings

Exhaust

• Check For Excess Smoke

• Check Condition and Advise

Drive System

• Check Gaiters

• Check for Leaks

Final Checks

• Reset Service Light

  Yes

  No

  N/A

• Stamp Printout

  Yes

  No

  N/A

• Inspected by:

  Sign