Title Page
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Conducted on
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Prepared by
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Reg number
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Odometer reading
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Make and type
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Tacho calibration date
Cab interior
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Drivers seat
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Mirrors
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Seat belts
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Glass and view of road
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Windscreen wipers and washers
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Speedometer/ tachograph
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Horn
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Driving controls
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Service brake pedal
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Service brake operation
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Pressure/vacuum warning and build up
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Hand levers operating mechanical brakes
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Hand operated brakes
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Cab doors
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Cab floor and steps
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Interior/dash lights
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Heater /other instruments
Ground level outside
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Cab security
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Security of body
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Condition of body
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Exhaust emissions
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Road wheels and hubs
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Sideguards , rear under-run and bumper bars
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Spare wheel and carrier
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Condition of chassis
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Vehicle to trailer coupling
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Spray suppresion , wings and wheel arches
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Speed limiter
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Electrical wiring and equipment
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Engine and transmission mountings
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Oil leaks
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Fuel tanks and system
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Exhaust system
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Steering mechanism
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Suspension
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Axles, stub axles and wheel bearings
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Transmission system
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Other dangerous defects
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Brake systems and components
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Rear markings and reflectors
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Side marker lamps
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Lamps
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Direction indicators
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Aim of headlamps
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Cab exterior
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Susies
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Axle lifting equipment
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Rear wheel bearings and seals
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Axle alignment
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Steering alignment
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Ancillary equipment
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Cooling system
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Auxiliary drive belts
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Load securing devices
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Lifting equipment
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Number plates
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Hydraulic equipment
Tyres
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N/S AXLE 1
- 1
- 1.5
- 2
- 2.5
- 3
- 3.5
- 4
- 4.5
- 5
- 6
- 7
- 8
- 9
- 10
- 11
- 12
- 13
- 14
- 15
- 16
- 17
- 18
- 19
- 20
- 21
- 22
- 23
- 24
- 25
- 26
- 27
- N/A
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O/S AXLE 1
- 1
- 1.5
- 2
- 2.5
- 3
- 3.5
- 4
- 4.5
- 5
- 6
- 7
- 8
- 9
- 10
- 11
- 12
- 13
- 14
- 15
- 16
- 17
- 18
- 19
- 20
- 21
- 22
- 23
- 24
- 25
- 26
- 27
- N/A
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N/S AXLE 2 INNER
- 1
- 1.5
- 2
- 2.5
- 3
- 3.5
- 4
- 4.5
- 5
- 6
- 7
- 8
- 9
- 10
- 11
- 12
- 13
- 14
- 15
- 16
- 17
- 18
- 19
- 20
- 21
- 22
- 23
- 24
- 25
- 26
- 27
- N/A
-
N/S AXLE 2 OUTER
- 1
- 1.5
- 2
- 2.5
- 3
- 3.5
- 4
- 4.5
- 5
- 6
- 7
- 8
- 9
- 10
- 11
- 12
- 13
- 14
- 15
- 16
- 17
- 18
- 19
- 20
- 21
- 22
- 23
- 24
- 25
- 26
- 27
- N/A
-
O/S AXLE 2 INNER
- 1
- 1.5
- 2
- 2.5
- 3
- 3.5
- 4
- 4.5
- 5
- 6
- 7
- 8
- 9
- 10
- 11
- 12
- 13
- 14
- 15
- 16
- 17
- 18
- 19
- 20
- 21
- 22
- 23
- 24
- 25
- 26
- 27
- N/A
-
O/S AXLE 2 OUTER
- 1
- 1.5
- 2
- 2.5
- 3
- 3.5
- 4
- 4.5
- 5
- 6
- 7
- 8
- 9
- 10
- 11
- 12
- 13
- 14
- 15
- 16
- 17
- 18
- 19
- 20
- 21
- 22
- 23
- 24
- 25
- 26
- 27
- N/A
-
N/S AXLE 3 INNER
- 1
- 1.5
- 2
- 2.5
- 3
- 3.5
- 4
- 4.5
- 5
- 6
- 7
- 8
- 9
- 10
- 11
- 12
- 13
- 14
- 15
- 16
- 17
- 18
- 19
- 20
- 21
- 22
- 23
- 24
- 25
- 26
- 27
- N/A
-
N/S AXLE 3 OUTER
- 1
- 1.5
- 2
- 2.5
- 3
- 3.5
- 4
- 4.5
- 5
- 6
- 7
- 8
- 9
- 10
- 11
- 12
- 13
- 14
- 15
- 16
- 17
- 18
- 19
- 20
- 21
- 22
- 23
- 24
- 25
- 26
- 27
- N/A
-
O/S AXLE 3 INNER
- 1
- 1.5
- 2
- 2.5
- 3
- 3.5
- 4
- 4.5
- 5
- 6
- 7
- 8
- 9
- 10
- 11
- 12
- 13
- 14
- 15
- 16
- 17
- 18
- 19
- 20
- 21
- 22
- 23
- 24
- 25
- 26
- 27
- N/A
-
O/S AXLE 3 OUTER
- 1
- 1.5
- 2
- 2.5
- 3
- 3.5
- 4
- 4.5
- 5
- 6
- 7
- 8
- 9
- 10
- 11
- 12
- 13
- 14
- 15
- 16
- 17
- 18
- 19
- 20
- 21
- 22
- 23
- 24
- 25
- 26
- 27
- N/A
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N/S AXLE 4 INNER
- 1
- 1.5
- 2
- 2.5
- 3
- 3.5
- 4
- 4.5
- 5
- 6
- 7
- 8
- 9
- 10
- 11
- 12
- 13
- 14
- 15
- 16
- 17
- 18
- 19
- 20
- 21
- 22
- 23
- 24
- 25
- 26
- 27
- N/A
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N/S AXLE 4 OUTER
- 1
- 1.5
- 2
- 2.5
- 3
- 3.5
- 4
- 4.5
- 5
- 6
- 7
- 8
- 9
- 10
- 11
- 12
- 13
- 14
- 15
- 16
- 17
- 18
- 19
- 20
- 21
- 22
- 23
- 24
- 25
- 26
- 27
- N/A
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O/S AXLE 4 INNER
- 1
- 1.5
- 2
- 2.5
- 3
- 3.5
- 4
- 4.5
- 5
- 6
- 7
- 8
- 9
- 10
- 11
- 12
- 13
- 14
- 15
- 16
- 17
- 18
- 19
- 20
- 21
- 22
- 23
- 24
- 25
- 26
- 27
- N/A
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O/S AXLE 4 OUTER
- 1
- 1.5
- 2
- 2.5
- 3
- 3.5
- 4
- 4.5
- 5
- 6
- 7
- 8
- 9
- 10
- 11
- 12
- 13
- 14
- 15
- 16
- 17
- 18
- 19
- 20
- 21
- 22
- 23
- 24
- 25
- 26
- 27
- N/A
AUTHORISED BY
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I consider this vehicle is in a roadworthy condition
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All saftey defects have been rectified and conform vehicle is in roadworthy condition