Pirtek MOG Vehicle Inspection

Please Provide The Following Vehicle Information.

• Vehicle Reg No:

  Media

• Lincense Disc

  Media
• Location Conducted
  Address

• Conducted on

  Date

• Prepared by

Category A Faults

• Head Lights

  Safe

  At Risk

  N/A

DO NOT operate vehicle until fault is repaired!

• Park Lights

  Safe

  At Risk

  N/A

DO NOT operate vehicle until fault is repaired!

• Tail Lights

  Safe

  At Risk

  N/A

DO NOT operate vehicle until fault is repaired!

• Brake Lights

  Safe

  At Risk

  N/A

DO NOT operate vehicle until fault is repaired!

• Beacon Light

  Safe

  At Risk

  N/A

DO NOT operate vehicle until fault is repaired!

• Reverse Alarm and Lights

  Safe

  At Risk

  N/A

DO NOT operate vehicle until fault is repaired!

• Whip Aerial & Flag

  Safe

  At Risk

  N/A

DO NOT operate vehicle until fault is repaired!

• Indicators

  Safe

  At Risk

  N/A

DO NOT operate vehicle until fault is repaired!

• Horn

  Safe

  At Risk

  N/A

DO NOT operate vehicle until fault is repaired!

• Seatbelts

  Safe

  At Risk

  N/A

DO NOT operate vehicle until fault is repaired!

• Fire Extinguisher (Mount Included)

  Safe

  At Risk

  N/A

DO NOT operate vehicle until fault is repaired!

Category B Faulty

• Body LHS

  Media

• Body RHS

  Media

• Body Front

  Media

• Body Rear

  Media

• Windscreen Condition

  Safe

  At Risk

  N/A

• Windscreen Washers & Wipers

  Safe

  At Risk

  N/A

• Air Conditioning

  Yes

  No

  N/A

• Drivers Seat Adjustments

  Safe

  At Risk

  N/A

• Steering Column Adjustment

  Safe

  At Risk

  N/A

• Instruments / Dash Lights

  Pass

  Fail

  N/A

• Door Locks & Handles

  Safe

  At Risk

  N/A

• Fluid & Oil Leaks

  Safe

  At Risk

  N/A

• Oil Level

  Safe

  At Risk

  N/A

• Coolant Level

  Safe

  At Risk

  N/A

• Brake Fluid Level

  Yes

  No

  N/A

• Door Locks & Handles

  Safe

  At Risk

  N/A

• Number Plates

  Safe

  At Risk

  N/A

Category C Faults

• Jack & Tools For Flat

  Yes

  No

  N/A

• Interior Seat Covers

  Good Cond.

  Poor Condition

• Interior General Condition

  Good Cond.

  Poor Condition

Tyre Conditions

• Front Tyres Tread & Rims

• Please Supply Pictures

  Media

• Rear Tyres Tread & Rims

• Please Supply Pictures

  Media

• Spare Tyres Tread & Rims

• Please Supply Pictures

  Media