Title Page
-
Vehicle Registration
- DE67 UKB
- NX58 HNB
- MX54 YUE
- DG14 DCE
- DE64 WHJ
- GN08 EWW
- DE13 WTV
- FE10 JNV
- PN08 UOU
- PN07 HHY
- DX53 LSV
- PX61 UXC
- PX61 UWW
- DF17 PFO
- DX53 LSZ
- YJ55 FWL
- DF67 JWA
- GN07 CCK
- HN52 DWV
- DE64 WHH
- DK19 XWA
- PJ58 KXK
- RX56 OXS
- DF17 PFA
- GN58 OZH
- HY62 WRO
- DF13 KZZ
- GN08 EWX
-
Date Of Inspection
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Engineer
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Company Name
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Depot
-
Location
Vehicle Details
-
Vehicle Registration
- DE67 UKB
- NX58 HNB
- MX54 YUE
- DG14 DCE
- DE64 WHJ
- GN08 EWW
- DE13 WTV
- FE10 JNV
- PN08 UOU
- PN07 HHY
- DX53 LSV
- PX61 UXC
- PX61 UWW
- DF17 PFO
- DX53 LSZ
- YJ55 FWL
- DF67 JWA
- GN07 CCK
- HN52 DWV
- DE64 WHH
- DK19 XWA
- PJ58 KXK
- RX56 OXS
- DF17 PFA
- GN58 OZH
- HY62 WRO
- DF13 KZZ
- GN08 EWX
-
Vehicle Mileage
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Tacho Calibration Date
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Loler Inspection Date
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Vehicle Type
- Screed Truck
- Multimark
- Feeder
- Skid Truck
- Stud Miller
- Sweeper
- Tipper
Cabin Interior
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1. Ministry plate
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3. Condition of seat belts
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18. Drivers seat condition and security
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22. Mirrors condition and security
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23. Condition of windscreen and view to front
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25. Condition of wipers, washers and demister
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27. Audible warnings (Horn)
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28. Driving controls and equipment
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29. Tacho date and condition
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30. Steering wheel & column condition and security
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34. Low air pressure warning
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34. Air pressure build up
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36. Mechanical Handbrake
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37. Service brake pedal condition and security
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39. Hand operated control valve ( Air handbrake)
Vehicle Exterior
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1. No Plate condition and security
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5. Exhaust emissions
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6. Road wheels and hubs condition and security
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7. Tyre Size Front
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7. Tyre Size Rear
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8. Tyre condition
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9. Side guard, under run and bumper condition
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10. Spare wheel carrier
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11. Vehicle to trailer coupling
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14. Spray suppression, wings, arches condition and security
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15. Cab mounting and locking devices security and condition
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16. Cab door condition and security
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17. Cab floor and steps condition and security
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19. Body, floor, steps condition and security
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19. Condition of tail lift
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42. Electrical equipment security and condition
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44. Hydraulic valves and pipes condition and security
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62. Rear markings and No plate condition and security
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63. Front and side position lamps
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63. Front strobes and beacons condition and security
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64. Rear position, fog and stop lamps condition and security
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64. Rear strobes, beacons and worklights condition and security
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65. Reflectors and marker board condition and security
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66. Indicators and hazard warning lamps condition and security
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67. Headlight aim and pattern
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74. Other dangerous defects
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Oil, coolant screen wash levels
Underside of vehicle
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29. Tacho seal condition and security
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41. Chassis and attachments condition and security
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43. Engine and transmission mountings condition and security
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44. Freedom of oil and fluid leaks
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45. Fuel and Ad blue systems condition and security
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46. Exhaust system condition and security
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48. Suspension component condition and security
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51. Shock absorbers condition and security
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53. Stub axle and wheel bearing condition and security
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54. Steering components condition and security
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55. Steering gear condition and security
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57. Transmission prop shaft condition and security
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58. Additional braking devices condition and security
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59. Brake system and components condition and security
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60. Hydraulic brake system and components condition and security
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All vehicle grease points greased
Road and brake test
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38. Operation of service brake
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39. Operation of hand operated control valve
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33. Operation of speed limiter devices
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26. Operation of instruments and controls
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Vehicle laden or unladen
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Brake test type
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71. Service Brake performance
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72. Secondary Brake performance
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73. Park Brake performance
Ancillary equipment
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Boilers, paddles, pumps and gearboxes condition and security
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Boiler fuel, gas burners condition and security
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Thermostats and thermometer condition and security
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Operation of Doosan compressors
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Run Boilers to 100 degrees c
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Thermometer reading when burners cut out
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Material temperature when burners cut out
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Lance and hoses condition
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Multimark equipment
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Feeder equipment
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Screed equipment
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Stud miller equipment
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Sweeper equipment
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HFS equipment
Minor service
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Replace engine oil and filers
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Replace all fuel filters
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Replace hydraulic oil filter
Major Service
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Replace engine oil and filters
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Replace all fuel filters
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Replaced air and pollen filters
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Replace air drier filter
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Replace Ad blue filters
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Replace Hydraulic filters
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Gearbox oil change (2Yearly)
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Diff oil change (2Yearly)
Tyres & Brakes
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Axle 1 o/s tread wear
- 1mm
- 2mm
- 3mm
- 4mm
- 5mm
- 6mm
- 7mm
- 8mm
- 9mm
- 10mm
- 11mm
- 12mm
- 13mm
- 14mm
- 15mm
- 16mm
- 17mm
- 18mm
- 19mm
- 20mm
- 21mm
- 22mm
- N/A
-
Axle 1 n/s tread wear
- 1mm
- 2mm
- 3mm
- 4mm
- 5mm
- 6mm
- 7mm
- 8mm
- 9mm
- 10mm
- 11mm
- 12mm
- 13mm
- 14mm
- 15mm
- 16mm
- 17mm
- 18mm
- 19mm
- 20mm
- 21mm
- 22mm
- N/A
-
Axle 2 o/s tread wear
- 1mm
- 2mm
- 3mm
- 4mm
- 5mm
- 6mm
- 7mm
- 8mm
- 9mm
- 10mm
- 11mm
- 12mm
- 13mm
- 14mm
- 15mm
- 16mm
- 17mm
- 18mm
- 19mm
- 20mm
- 21mm
- 22mm
- N/A
-
Axle 2 n/s tread wear
- 1mm
- 2mm
- 3mm
- 4mm
- 5mm
- 6mm
- 7mm
- 8mm
- 9mm
- 10mm
- 11mm
- 12mm
- 13mm
- 14mm
- 15mm
- 16mm
- 17mm
- 18mm
- 19mm
- 20mm
- 21mm
- 22mm
- N/A
-
Axle 3 o/s outer tread wear
- 1mm
- 2mm
- 3mm
- 4mm
- 5mm
- 6mm
- 7mm
- 8mm
- 9mm
- 10mm
- 11mm
- 12mm
- 13mm
- 14mm
- 15mm
- 16mm
- 17mm
- 18mm
- 19mm
- 20mm
- 21mm
- 22mm
- N/A
-
Axle 3 o/s inner tread wear
- 1mm
- 2mm
- 3mm
- 4mm
- 5mm
- 6mm
- 7mm
- 8mm
- 9mm
- 10mm
- 11mm
- 12mm
- 13mm
- 14mm
- 15mm
- 16mm
- 17mm
- 18mm
- 19mm
- 20mm
- 21mm
- 22mm
- N/A
-
Axle 3 n/s outer tread wear
- 1mm
- 2mm
- 3mm
- 4mm
- 5mm
- 6mm
- 7mm
- 8mm
- 9mm
- 10mm
- 11mm
- 12mm
- 13mm
- 14mm
- 15mm
- 16mm
- 17mm
- 18mm
- 19mm
- 20mm
- 21mm
- 22mm
- N/A
-
Axle 3 n/s inner tread wear
- 1mm
- 2mm
- 3mm
- 4mm
- 5mm
- 6mm
- 7mm
- 8mm
- 9mm
- 10mm
- 11mm
- 12mm
- 13mm
- 14mm
- 15mm
- 16mm
- 17mm
- 18mm
- 19mm
- 20mm
- 21mm
- 22mm
- N/A
-
Axle 4 o/s outer tread wear
- 1mm
- 2mm
- 3mm
- 4mm
- 5mm
- 6mm
- 7mm
- 8mm
- 9mm
- 10mm
- 11mm
- 12mm
- 13mm
- 14mm
- 15mm
- 16mm
- 17mm
- 18mm
- 19mm
- 20mm
- 21mm
- 22mm
- N/A
-
Axle 4 o/s inner tread wear
- 1mm
- 2mm
- 3mm
- 4mm
- 5mm
- 6mm
- 7mm
- 8mm
- 9mm
- 10mm
- 11mm
- 12mm
- 13mm
- 14mm
- 15mm
- 16mm
- 17mm
- 18mm
- 19mm
- 20mm
- 21mm
- 22mm
- N/A
-
Axle 4 n/s outer tread wear
- 1mm
- 2mm
- 3mm
- 4mm
- 5mm
- 6mm
- 7mm
- 8mm
- 9mm
- 10mm
- 11mm
- 12mm
- 13mm
- 14mm
- 15mm
- 16mm
- 17mm
- 18mm
- 19mm
- 20mm
- 21mm
- 22mm
- N/A
-
Axle 4 n/s inner tread wear
- 1mm
- 2mm
- 3mm
- 4mm
- 5mm
- 6mm
- 7mm
- 8mm
- 9mm
- 10mm
- 11mm
- 12mm
- 13mm
- 14mm
- 15mm
- 16mm
- 17mm
- 18mm
- 19mm
- 20mm
- 21mm
- 22mm
- N/A
-
Axle 1 o/s brake lining
- 1mm
- 2mm
- 3mm
- 4mm
- 5mm
- 6mm
- 7mm
- 8mm
- 9mm
- 10mm
- 11mm
- 12mm
- 13mm
- 14mm
- 15mm
- 16mm
- 17mm
- 18mm
- 19mm
- 20mm
- 21mm
- N/A
-
Axle 1 n/s brake lining
- 1mm
- 2mm
- 3mm
- 4mm
- 5mm
- 6mm
- 7mm
- 8mm
- 9mm
- 10mm
- 11mm
- 12mm
- 13mm
- 14mm
- 15mm
- 16mm
- 17mm
- 18mm
- 19mm
- 20mm
- 21mm
- N/A
-
Axle 2 o/s brake lining
- 1mm
- 2mm
- 3mm
- 4mm
- 5mm
- 6mm
- 7mm
- 8mm
- 9mm
- 10mm
- 11mm
- 12mm
- 13mm
- 14mm
- 15mm
- 16mm
- 17mm
- 18mm
- 19mm
- 20mm
- 21mm
- N/A
-
Axle 2 n/s brake lining
- 1mm
- 2mm
- 3mm
- 4mm
- 5mm
- 6mm
- 7mm
- 8mm
- 9mm
- 10mm
- 11mm
- 12mm
- 13mm
- 14mm
- 15mm
- 16mm
- 17mm
- 18mm
- 19mm
- 20mm
- 21mm
- N/A
-
Axle 3 o/s brake lining
- 1mm
- 2mm
- 3mm
- 4mm
- 5mm
- 6mm
- 7mm
- 8mm
- 9mm
- 10mm
- 11mm
- 12mm
- 13mm
- 14mm
- 15mm
- 16mm
- 17mm
- 18mm
- 19mm
- 20mm
- 21mm
- N/A
-
Axle 3 n/s brake lining
- 1mm
- 2mm
- 3mm
- 4mm
- 5mm
- 6mm
- 7mm
- 8mm
- 9mm
- 10mm
- 11mm
- 12mm
- 13mm
- 14mm
- 15mm
- 16mm
- 17mm
- 18mm
- 19mm
- 20mm
- 21mm
- N/A
-
Axle 4 o/s brake lining
- 1mm
- 2mm
- 3mm
- 4mm
- 5mm
- 6mm
- 7mm
- 8mm
- 9mm
- 10mm
- 11mm
- 12mm
- 13mm
- 14mm
- 15mm
- 16mm
- 17mm
- 18mm
- 19mm
- 20mm
- 21mm
- N/A
-
Axle 4 n/s brake lining
- 1mm
- 2mm
- 3mm
- 4mm
- 5mm
- 6mm
- 7mm
- 8mm
- 9mm
- 10mm
- 11mm
- 12mm
- 13mm
- 14mm
- 15mm
- 16mm
- 17mm
- 18mm
- 19mm
- 20mm
- 21mm
- N/A
-
Axle 1 o/s tyre pressure
- 0-40 psi
- 40-70psi
- 75 psi
- 80 psi
- 85 psi
- 90 psi
- 95 psi
- 100 psi
- 105 psi
- 110 psi
- 115 psi
- 120 psi
- 125 psi
- N/A
-
Axle 1 n/s tyre pressure
- 0-40 psi
- 40-70psi
- 75 psi
- 80 psi
- 85 psi
- 90 psi
- 95 psi
- 100 psi
- 105 psi
- 110 psi
- 115 psi
- 120 psi
- 125 psi
- N/A
-
Axle 2 o/s tyre pressure
- 0-40 psi
- 40-70psi
- 75 psi
- 80 psi
- 85 psi
- 90 psi
- 95 psi
- 100 psi
- 105 psi
- 110 psi
- 115 psi
- 120 psi
- 125 psi
- N/A
-
Axle 2 n/s tyre pressure
- 0-40 psi
- 40-70psi
- 75 psi
- 80 psi
- 85 psi
- 90 psi
- 95 psi
- 100 psi
- 105 psi
- 110 psi
- 115 psi
- 120 psi
- 125 psi
- N/A
-
Axle 3 o/s outer tyre pressure
- 0-40 psi
- 40-70psi
- 75 psi
- 80 psi
- 85 psi
- 90 psi
- 95 psi
- 100 psi
- 105 psi
- 110 psi
- 115 psi
- 120 psi
- 125 psi
- N/A
-
Axle 3 o/s inner tyre pressure
- 0-40 psi
- 40-70psi
- 75 psi
- 80 psi
- 85 psi
- 90 psi
- 95 psi
- 100 psi
- 105 psi
- 110 psi
- 115 psi
- 120 psi
- 125 psi
- N/A
-
Axle 3 n/s outer tyre pressure
- 0-40 psi
- 40-70psi
- 75 psi
- 80 psi
- 85 psi
- 90 psi
- 95 psi
- 100 psi
- 105 psi
- 110 psi
- 115 psi
- 120 psi
- 125 psi
- N/A
-
Axle 3 n/s inner tyre pressure
- 0-40 psi
- 40-70psi
- 75 psi
- 80 psi
- 85 psi
- 90 psi
- 95 psi
- 100 psi
- 105 psi
- 110 psi
- 115 psi
- 120 psi
- 125 psi
- N/A
-
Axle 4 o/s outer tyre pressure
- 0-40 psi
- 40-70psi
- 75 psi
- 80 psi
- 85 psi
- 90 psi
- 95 psi
- 100 psi
- 105 psi
- 110 psi
- 115 psi
- 120 psi
- 125 psi
- N/A
-
Axle 4 o/s inner tyre pressure
- 0-40 psi
- 40-70psi
- 75 psi
- 80 psi
- 85 psi
- 90 psi
- 95 psi
- 100 psi
- 105 psi
- 110 psi
- 115 psi
- 120 psi
- 125 psi
- N/A
-
Axle 4 n/s outer tyre pressure
- 0-40 psi
- 40-70psi
- 75 psi
- 80 psi
- 85 psi
- 90 psi
- 95 psi
- 100 psi
- 105 psi
- 110 psi
- 115 psi
- 120 psi
- 125 psi
- N/A
-
Axle 4 n/s inner tyre pressure
- 0-40 psi
- 40-70psi
- 75 psi
- 80 psi
- 85 psi
- 90 psi
- 95 psi
- 100 psi
- 105 psi
- 110 psi
- 115 psi
- 120 psi
- 125 psi
- N/A
Inspection Completed ( This vehicle has been inspected and all defects noted)
-
Completed by
-
Completed on
-
Signed By
Declaration ( I consider that all defect have been rectified and this vehicle is in a road worthy condition)
-
Name
-
Sign
-
Date
