Title Page
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Conducted on
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Prepared by
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Make And Type
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Reg.No
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Fleet No.
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Odometer Reading
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ISO Week No.
Untitled Page
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1 - Registration Plates
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19 - Security Of Body
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20 - Condition Of Body
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6 -Road Wheels And Hubs
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9 - Sideguards, Rear Under-run Devices And Bumper Bars
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10 - Spare Wheel And Carrier
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41 - Condition Of Chassis
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12 - Trailer Parking, Emergency Brake And Air Line Connections
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13 - Trailer Landing Legs
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14 - Spray Suppression, Wings And Wheel Arches
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38 - Service Brake Operation
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45 - Fuel Tanks And System
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48 - Suspension
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53 - Axles, Stub Axles And Wheel Bearings
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58 - Additional braking Devices
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59 - Brake Systems And Components
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62 - Markers And reflectors
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63 - Lamps
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66 - Direction Indicators And Hazard Warning Lamps
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54 - Steering Mechanism
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57 - Transmission
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11 - Vehicle To Trailer Couplings
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39 - Hand Operated Brake Control Valves
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44 - Oil Leaks
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74 - Other Dangerous Defects
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Side Marker Lamps
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End Outline Marker Lamps
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Hydraulic Equipment
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Licenses/Legal Writings
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Vehicle To Trailer Couplings
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Lifting Equipment
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Load Securing Devices
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Roof And Body Panel Condition
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Shutters, Including Tracks, Seals And Locks
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Door, Including Hinges, Pins, Seals And Locks
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Door Steps
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Internal Load Restraints
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Condition Of Floor
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Curtains, Rollers, Pelmets And Straps
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Curtain Poles, Swinging Posts And Ratchet Tensioners
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Paintwork And Livery
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Cleanliness Of Interior
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Cleanliness Of Exterior
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Warning Signs
Tyre Tread Wear/Pressure
Tyre Information
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7 - Tyre Size And Type
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8 - Tyre Condition
Axle 1
Nearside Inner
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Tyre Tread Depth - MM
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Tyre Pressure - PSI
Nearside Outer
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Tyre Tread Depth - MM
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Tyre Pressure - PSI
Offside Inner
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Tyre Tread Depth - MM
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Tyre Pressure - PSI
Offside Outer
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Tyre Tread Depth - MM
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Tyre Pressure - PSI
Axle 2
Nearside Inner
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Tyre Tread Depth - MM
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Tyre Pressure - PSI
Nearside Outer
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Tyre Tread Depth - MM
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Tyre Pressure - PSI
Offside Inner
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Tyre Tread Depth - MM
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Tyre Pressure - PSI
Offside Outer
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Tyre Tread Depth - MM
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Tyre Pressure - PSI
Axle 3
Nearside Inner
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Tyre Tread Depth - MM
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Tyre Pressure - PSI
Nearside Outer
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Tyre Tread Depth - MM
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Tyre Pressure - PSI
Offside Inner
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Tyre Tread Depth - MM
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Tyre Pressure - PSI
Offside Outer
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Tyre Tread Depth - MM
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Tyre Pressure - PSI
Axle 4
Nearside Inner
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Tyre Tread Depth - MM
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Tyre Pressure - PSI
Nearside Outer
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Tyre Tread Depth - MM
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Tyre Pressure - PSI
Offside Inner
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Tyre Tread Depth - MM
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Tyre Pressure - PSI
Offside Outer
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Tyre Tread Depth - MM
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Tyre Pressure - PSI
Statement of conformity
I consider that the above defects have been rectified satisfactorily and in my opinion the vehicle is in a fit and roadworthy condition
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Name and signature of supervisor
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Date
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Brake test completed
