Information
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Supervisor
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Vehicle Registration
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Prepared by
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Conducted On
P - Pass M - Maintenance Required NA - Not Applicable
CATEGORY A - Defaults to be rectified immediately
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Seat Belts
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Horn
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Park Brake
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Brake Lights
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Indicators/Hazards
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Lights
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Steering
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Reverse Warning System
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Fuel/Oil/Water Levels
CATEGORY B - Defaults to be rectified as soon as possible
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Wipers/Washers
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Mirrors
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Windscreen
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Hoses and Belts
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Fire Extinguisher
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Tyres
CATEGORY C - Defaults to be rectified at earliest convenience
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Areials
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Cab Clean
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Damage
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Air Conditioning
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Jack and Tools
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Tow Hitch
IF ANY MAINTENANCE REQUIRED, SUPERVISOR TO SIGN
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Supervisor Signature
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ACTION TAKEN ON DEFAULT(S)
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Employee Signature
