Title Page
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Conducted on
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Prepared by
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Reg No
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Vehicle Mileage
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Make
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Model
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Body Type
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Year
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0 License Review
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Chassis No.
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Tachograph Last 2 Year Test Date
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ISO Week No.
Inside Cab
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5 - Engine MIL
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5 - Reagent (Adblue)
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DIT Plate
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33 - Speed Limiter Plate
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3 - Seat Belts And Restraint Systems
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17 - Cab Floor And Steps
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18 - Seats
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Other Seats And Crew Amenities
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22 - Internal Mirrors
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23 - View to front
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23 - Condition Of Glass(Windscreen And Windows)
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25 - Windscreen Wipers And Washers
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26 - Speedometer/Tachograph - Operation/Seals
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Engine Tachometer
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27 - Audible warning - Horn
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28 - Driving Controls
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30 - Steering control - Free play
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30 - Steering Wheel - Security - Condition
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30 - Steering Column
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Anti Theft Locks
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34 - Pressure/Vacuum - Warning
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34 - Pressure/Vacuum - Build Up
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Other Gauges - Warning Devices
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36 - Hand Lever, Operating Mechanical Brake Systems - Electronic Park Brake Control
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37 - Service Brake Pedal
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38 - Service Brake Operation/Anti Lock Warning
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39 - Hand Operated Brake Control Valves
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42 - Electrical Wiring/Equipment/Switches
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Front Fog And Aux Lamp Switches
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Panel/Interior Lamps And Switches
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Cab Heater/Demister/Air Conditioning
Cab Exterior
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9 - Bumper Front
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14 - Wings/Spray Suppression/Wheel Arches (Front)
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Cab Panels, Trim And Heated Mirrors
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15 - Cab Security Including Tilt Warning
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16 - Cab Doors Including Hinges And Locks
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17 - Cab Floor And Steps
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22 - Mirrors And Indirect Vision Devices (External)
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63 - Front Lamps (Side Lamps) And Outline Markers
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63 - Headlamp Cleaning Device
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63 - Daytime Running Lamps
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67 - Headlamps - Operation - Aim - Adjustment - Mechanisms
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Front Fog Lamps/Spot Lamps/Dim Dip Device
Engine Compartment
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43 - Engine/Transmission Mountings
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44 - Oil Leaks
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45 - Fuel Tanks And Systems
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46 - Exhaust Systems
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Exhaust Brake
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Radiator Mounting
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Cooling System
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Fan/Generator/Aux Belts
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Fuel Pump Linkage Seals And EDC Equipment
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33 - Speed Limiter - Condition - Seals - Linkage
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Injectors, Pipes, Filters
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Air Intake System - Turbocharger, Intercooler And Filters
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59 - Air Compressor - Exhauster - Drive Belts
Ground Level
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6 - Road Wheels And Hubs
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9 - Sideguards, Rear Underrun Devices And Bumper Bars
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10 - Spare Wheel Carrier And Spare Wheel
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11 - Vehicle to Trailer Coupling
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14 - Wings/Spray Suppression (Rear)/Wheel Arches
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19/20 - Security/Condition Of Body
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Demountable Bodies - Chassis Mounted Equipment
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19 - Security Of Body, Containers And Crane Support Legs
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Tipping Gear - Hydraulic Rams, Pivots And Safety Devices
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Tailboard Hoists
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Cranes, Gantries
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Other Ancillary Equipment
Under/Alongside Vehicle
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41 - Chassis - Condition
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42 - Electrical wiring And Equipment Including Batteries
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42 - Electrical Connections For Trailer
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44 - Oil Leaks
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45 - Fuel Tanks And Systems
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46 - Exhaust System
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48 - Suspension Pins And Bushes - Condition
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48 - Suspension Units And Linkages - Condition
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48 - Spring Units, Linkages And Sub Frames - Security
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48 - Shock Absorbers
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Wheel Bearings And Seals (Rear)
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53 - Axles/Stub Axels And Wheel Bearings
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54 - Steering Mechanism
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Steering Alignment
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54 - Power Steering And Fluid Level
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Axle Alignment
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Clutch Operation
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Gearbox And Bell Housing
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Change Speed Mechanism
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Power Take-Off
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Final Drive
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2 Speed Shift Mechanism
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Differential Lock - Traction Control
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Load Transfer/Axle Lift Device
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57 - Transmission - Drive Line - Mountings
Brakes
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38 - Electronic Braking System/Electronic Stability Control System - Operation/Warning
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59 - Hydraulic Fluid Level
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59 - Mechanical Brake Components
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59 - Drums And Linings/Discs And Pads
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59 - Brake Actuators And Adjusters
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59 - Brake Systems And Components
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12 - Trailer Couplings, Hoses And Function Of Self-Sealing Valves
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59 - Load Sensing/Anti Lock System
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Air Brake Anti-Freeze Device
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38 - Anti-Lock Device - Operation/Warning
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Operation Of Supply Dump Valve
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Operation Of Multi-Circuit Protection
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58 - Additional Braking Devices
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62 - Rear Markings And Conspicuity Markings
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63 - Rear Lamps, Outline Markers And Number Plate Lamp
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63 - Rear Fog Lamps Including Warning Device
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62 - Reflectors (Side And Rear)
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66 - Direction/Hazard indicators Including Warning Device
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63 - Side Marker Lamps
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63 - Stop lamps
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63 - Reversing Lamps
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63 - Position Lamps, Headlamps And Warning Device
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Other Lamps
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Paintwork And Livery - Condition
Emmisions
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5 - Exhaust Emissions
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
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Tyre Tread Depth - MM
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Tyre Pressure - PSI
Offside
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Tyre Tread Depth - MM
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Tyre Pressure - PSI
Axle 2
Nearside
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Tyre Tread Depth - MM
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Tyre Pressure - PSI
Offside
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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
Other Issues/Defects
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74 - Any other issues/defects noticed when carrying out this inspection
Brake Test
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Was a brake test carried out?
Statement Of Conformity
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I consider the above defects have been rectified satisfactorily and the vehicle is now in a safe and roadworthy condition
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Name And Signature
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Select date
