Title Page
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Registration of Vehicle
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Make/Model of Vehicle
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Assignment
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Current Odometer Reading (kms)
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Location
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Next Service Date Due and/or KMS
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Conducted on
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Prepared by
Safety Checklist
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The key is in working order and free from damage?
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Service sticker is displayed on windscreen - ensure service is not overdue
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"Drive left" sticker is displayed on dashboard?
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Fuel gauge, speedometer, air con/heater, temperature gauge, no engine light on - in working order?
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Side-view and rear-view mirrors in working order?
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Vehicle horn - in working order?
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Headlights - low and high beams in working order?
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Indicator lights - in working order?
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Hazard lights - in working order?
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Brake and Parking lights in working order?
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Licence plate light - in working order and free from obstruction?
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No modifications have been made to the vehicle by the workers (ie Stereo System)
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Free from oil or fluid spills under vehicle?
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Engine oil - at optimum level?
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Brake fluid - at optimum level?
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Radiator fluid - at optimum level?
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Wiper fluid - at optimum level?
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Windscreen wipers/washers work effectively?
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Interior is clean - free of rubbish?
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Seatbelts are operational and in good condition?
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Exterior of vehicle is clean? - Free of mud & dirt?
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Free of major body work damage?
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Front & rear windscreen intact with no cracks and chips?
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Tyres are safe and secured correctly?
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Tyres are correctly inflated and free from external damage?
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Tyres including space have adequate tread?
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Spare tyre, jack and wheel brace are stored securely?
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Is a fire extinguisher required?
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If required, is the fire extinguisher fitted securely and in date?
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Comments - Please specify any defects that may not be listed within the checklist
