Title Page
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Document No.
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Drivers Name
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Conducted on
General
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Vehicle Make
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Model
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Vehicle Rego
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Vehicle Year
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Odometer Reading
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Service Due At
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WOF Due
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Rego Due
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Drivers License Number
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Expiry Date
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Checklist
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1. Tyres and spare
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Why
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2. Sun Visor
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Why
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3. Mirrors / blind spots
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Why
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4. Wipers
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Why
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5. Window Washer
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Why
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6. Headlights
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Why
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7. Stop Lights
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Why
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8. Indicators
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Why
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9. Reversing Lights
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Why
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10. Seat Belts
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Why
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11. Handbrake
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Why
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12. Damaged Panels
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Why
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13. Doors open freely
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Why
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14. Cleanliness of Vehicle
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Why
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15. Spare Key
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Why
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16. First Aid kit
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Why
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17. Accident forms / pen
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Why
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18. Check Oil
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Why
Fire Extinguisher
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Is there a Fire Extinguisher?
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Why
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Fire Extinguishers K.P.A
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Is the hose or nozzle cracked, ripped, or blocked with debris?
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Why
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Is the locking pin on the handle missing or unsealed?
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Why
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Is the handle wobbly or broken?
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Why
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Is the inspection sticker or hang tag with a record of checkups and maintenance, missing?
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Why
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Is there any damage to the unit?
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Why
finishing
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Driver Comments
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Any concerns (noted above)
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Signature
