Title Page
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Site conducted
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Conducted on
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Prepared by
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Location
VEHICLE DETAILS
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Driver Name
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Vehicle Registration
CHECKLIST
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Are there any cracks/chips on the windscreen?
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Is the windscreen clean?
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Are windshield wipers / washers working?
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Is there any exterior damage to the vehicle - panels, tray, bumper bar etc?
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Are there any leaks under the vehicle
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Are there any leaks and loose items inside the engine compartment?
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Is the oil at full level?
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Is the washer fluid full?
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Is the coolant at full level?
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Is the power steering fluid at full level?
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After starting the engine is transmission fluid is at full level?
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Are tyres at pressure (Manufacturer’s specification pressure)
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Are tyres damaged or worn?
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Is the spare tyre in good condition and inflated?
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Does the horn work?
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Do the heater / defroster / air conditioner work?
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Do headlights work?
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Do left and right turn signals work?
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Do hazard lights work?
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Do tail lights work?
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Do Reverse lights work?
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Do dashboard lights work?
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Does interior light work?
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Are side mirrors damaged or require adjustment?
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Is the rear view mirror adjusted?
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Is the first aid kit stocked with items which are within use-by-date?
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Has the fire extinguisher been checked and service date is within 6 months