Title Page
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Site conducted
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Conducted on
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Conducted by
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Location
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Drivers name
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Vehicle Registration Number
- BX15 USN
- ME19 UWH
- DV20 NLX
- DY20 LYV
- WN63HDG
- MX70 VBN
- HL21ZGK
- BT20 PZU
- HN71 GYK
- YG68 NLR
Visability/Windscreens
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Is the windscreen clear of dirt and debris?
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Do the wipers move continually when on?
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Do the wiper blades clear the windscreen effectively when used with washers?
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Have the wiper blades deteriorated?
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Are the washers are operational?
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Do the washers point at the windscreen correctly?
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Is the washer fluid topped up?
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Are the front lights clean and free from debris and dirt build-up?
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Are the back lights clean and free from debris and dirt build-up?
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Are the side lights clean and free from debris and dirt build-up?
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Is the front number plate visible and free from debris and dirt build-up?
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Is the rear number plate visible and free from debris and dirt build-up?
Lights
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Are all front lights working correctly?
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Are all rear lights working correctly?
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Are all side lights working correctly?
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Are all indicators working correctly?
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Are all lense/lamp covers present?
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Are all lense/lamp covers the correct colour?
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Do the stop/brake lights come on when the brake pedal is applied?
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Do the stop/brake lights go off when the brake pedal is released?
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Are all dashboard warning lights working correctly?
Brakes
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Does the foot brake/pedal work correctly without any excess travel?
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Does the hand/parking brake work correctly without any excess travel?
Mirrors & Glass
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Are all mirrors correctly aligned and secure?
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Are any mirrors smashed/cracked?
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Are the windscreens/windows clean, clear and free from obstruction, giving full visibility?
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Are any windscreens/windows chipped or cracked?
Tyres & Wheels (failing to ensure a tyre is safe and legal can result in receiving 3 penalty points on your licence - per tyre!)
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Are all tyres sufficiently inflated?
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Are all tyres above the minimum tread depth of 1.6mm?
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Tread of front left tyre
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Tread of front right tyre
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Tread of back left tyre
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Tread of back right tyre
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Are there any deep cuts in sidewall of tyres?
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Are there any nails/debris in sidewall of tyres?
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Is cord visible anywhere on tyre?
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Are all wheel-nuts present and secure?
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Are all alloys/wheels clean and scuff free?
Fuel, Fluids & Oil
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Does the filler cap/flap fit and close correctly?
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Are brake fluid levels correct?
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Are engine coolant levels correct?
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Are engine oil levels correct?
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Are windscreen washer levels sufficient?
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Have you detected any leaks by noticing puddles on the ground? (Trace if detected)
Battery
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Is the battery working correctly?
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Is the battery leaking?
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Is the battery held secure and correctly in place?
Horn & Steering
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Is horn control easily accessible from the drivers seat?
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Do horns work when operated?
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Is the steering wheel positioned correctly?
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Does the steering wheel have excessing play?
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Is the steering wheel clean and free from breaks/tears?
Seats & seatbelts
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Are the seats secure?
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Do the seats operate correctly when requiring re-positioning?
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Are the seats clean and free from cuts, rips, tears and damage?
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Do seatbelts operate correctly when in use?
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Are seatbelts clean and free from cuts, tears, rips and damage?
Bodywork & Doors
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Do all doors shut properly and are secure when closed?
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Are there any sharp edges?
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Is there any damage to the bodywork?
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Are any body panels loose or in danger of falling off?
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Is the vehicle clean and free from debris and dirt build-up?
Exhaust
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Is the exhaust securely fitted?
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Is the exhaust emitting excessive amounts of smoke?
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Is the exhaust making loud noises?
Miscellaneous
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Is the first aid kit present in the vehicle?
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Is cold weather scraper present in the vehicle?
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Is the torch present in the vehicle?
Sign off
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Name
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Sign
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Date