Title Page
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Site conducted
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Client / Site
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Location
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Prepared by
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Conducted on
General Information
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Vehicle Reg
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Enter Mileage
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VIN Number
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Take photo of vehicle
Inspection
INSIDE CAB CHECKS
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Check and record all error codes/DTC's with VTT
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Erase all error codes & DTC's with VTT
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Exhaust emissions OBD/MIL light
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Windscreen wipers & washers
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Registration plate & legal plates
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Electronic wiring & equipment
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Audible warning (Hom) including reverse alarm
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Speedometer/Tachograph..Function & Condition
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Tachograph...Spare tachograph roll(s) are available. (Min 2 rolls)
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Smoke alarm (detector) operation
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Seat/Seat belts & supplimentary restraint system
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Mirror & indirect vision devices
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Glass & view or the road
DRIVER CONTROLS
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Driver controls
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Hand levers operating mechanical brakes
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Hand-operated brake control valve
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Check handbrake warning with all door operations
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Additional braking device
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Pressure vacuum warning & build up
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Steering control
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Service brake ABS/EBS warning
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Service brake pedal
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Cab floor & steps
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Speed limiter
CAB EXTERIOR
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Cab doors
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Cab security
LIGHTS & REFLECTORS
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Lamps (All)
- OK
- Requires Attention
- Safety Related Repair Required
- N/A
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Direction indicators & hazard warning
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Headlamps & aim
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Rear markers and reflectors
GROUND LEVEL
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Condition, attachment & security of body/superstructure, incl. ladder, folding steps etc...
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Security & condition of body
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Other dangerous defects
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Sideguards, rear under-run devices & bumper bars
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Wheel nuts, torque, tighten check including wheel nut security system (if fitted)
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Tyres (inc. size, type & condition)
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Spray suppression, wings & wheel arches
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Trailer coupling inc. drawbar/fifth wheel & lubricate trailer air couplings
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Air tanks (drain & check)
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Fuel tanks & system
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Trailer parking, emergency brakes & air line
GROUND LEVEL & UNDER VEHICLE
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SCR System - Installation condition, security & leaks
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Engine & transmission mountings
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Oil leaks
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Cooling system, security & leaks
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Exhaust systems & nuisance
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Exhaust emissions
UNDER VEHICLE & CAB
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Suspension
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Condition of chassis
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Electrical wiring & equipment
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Drive belts, condition & security
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Transmission U/Joints, slider & centre bearings
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Streering
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Tacho seal (incl gearbox drive)
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Brake system & components
INTERMEDIATE SERVICE
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Cab/Body & equipment lubrication (incl tipper/tail-lift)
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Chassis lubrication...REF: Impact 175 lubrication chart
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Trailer coupling lubrication
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Transmission oil - Check/Top-up
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Diffs & hub reduction - Check/Top-up
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Koblam/Kobklo oil - Check/Top-up
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Hydraulic bogie lift oil - Check/Top-up
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Wheel bearings - Check
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Batteries - Check mountings and connections
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Check battery levels and top up
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Power take-off oil - Check/Top-up
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Power steering - Check/Top-up
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Washer bottle - Check/Top-up
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Coolant - Check/Top-up
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Clutch fluid - Check/Top-up
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Engine oil - Check/Top-up
TYRE DEPTHS
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O/S Axle 1
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N/S Axle 1
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O/S Axle 2
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N/S Axle 2
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O/S Axle 3
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N/S Axle 3
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O/S Axle 4
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N/S Axle 4
MEASURED TYRE PRESSURES IN PSI
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O/S Axle 1
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N/S Axle 1
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O/S Axle 2
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N/S Axle 2
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O/S Axle 3
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N/S Axle 3
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O/S Axle 4
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N/S Axle 4
undefined
INFLATED TYRE PRESSURES IN PSI
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O/S Axle 1
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N/S Axle 1
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O/S Axle 2
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N/S Axle 2
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O/S Axle 3
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N/S Axle 3
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O/S Axle 4
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N/S Axle 4
REMAINING BRAKE PAD/SHOE LINING THICKNESS (% or mm)
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O/S Axle 1
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N/S Axle 1
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O/S Axle 2
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N/S Axle 2
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O/S Axle 3
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N/S Axle 3
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O/S Axle 4
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N/S Axle 4
BRAKE LEVER TRAVEL(59) - %
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O/S Axle 1
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N/S Axle 1
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O/S Axle 2
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N/S Axle 2
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O/S Axle 3
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N/S Axle 3
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O/S Axle 4
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N/S Axle 4
BRAKE TEST (71,72,73) - %
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Service
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Secondary
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Park
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Laden
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Locked
CLUTCH WEAR (Clutch 1)
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x1
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x2
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y
CLUTCH WEAR (Clutch 2 if fitted)
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x1
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x2
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y
ROAD SPEED LIMITER
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Road speed limiter set to 90km/h
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Speed recorded on label 90km/h
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Road speed limiter exempt
TACHOGRAPH (26) LIMITER (33)
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2 yr Initiation due date (including back up battery replace)
COMPLETION
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Full Name and Signature of Inspector
