Title Page
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Conducted on
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Prepared by
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Location
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Driver Name
Check List
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KM's:
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Next service Date / Hrs:
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Cabin Cleanliness
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Environmental Cleanliness
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Clean, free of organic materials (mud, dirt, weeds or seeds) prior to arrival
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Horn Working
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Clean, free of organic materials (mud, dirt, weeds or seeds) prior to arrival
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Door operational
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Amber flashing light
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Seat adjustments operational
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Headlights & turn indicators
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Seat belt fitted and in good working order
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First Aid Kit available
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Levers / Controls Operational
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Engine Mountings
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Instruments operational
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Engine Guarding In Good Condition
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Exhaust Guarding In Good Condition
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Spare wheel
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Oil levels Good
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Warning devices and other lights (flashing, head, tail, etc) are appropriate for the environment in which plant is being used. (check environment noise criteria particularly if working out of hours)
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Coolant Leaks
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Coolant System Full
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Vee Belt Condition
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Air Cleaner System
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Pedals in good condition
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Battery Mounted
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Air conditioning operational
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Wipers / Washers operational
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Rear View Mirrors In Good Condition
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Windows not damaged
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Running Gear
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Tyres / Wheels undamaged/ Inflated
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Brakes operational
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Signature:
