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
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Compliance Statement Quarter
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additional question
Review
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Number of Mass Accredited Vehicles (Not including trailers)
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Total number of loads completed within the Quarter above GML (43t)
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Were there loads over the relevant mass limit?
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Number of overloads 0-250kg
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Number of over overloads 250-1000kg
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Number of overloads 1000-2000kg
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Number of Overloads over 2000kg
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Were Incident reports raised for overloads
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Where all axle weights recorded for NHVAS trucks on designated runsheets for this quarter?
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Record Incident Raised for non complying runsheets
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Were defects/infringements raised either internally or NHVR/VicPol
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Servicing - Has servicing of truck and trailers been completed during quarter
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Is servicing overdue for any of the NHVAS Accredited Vehciles?
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Document incident report number raised for overdue serivicing
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How many faults were reported for NHVAS Truck and Trailers for Quarter
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How many faults remain open for NHVAS Truck and Trailers
Incidents/Nonconformances
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Number of Incident reports raised for NHVAS Accredited Vehicles for the Quarter
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Number of closed incident reports for NHVAS Accredited Vehicles for the Quarter
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Number of Incident reports OPEN for NHVAS Accredited Vehicles for the Quarter
Completed By
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Signature
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Date
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Notify Transport GM and COR Lead