Information
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Site conducted
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REG NUMBER
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Plate Number
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Operator Name
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Conducted on
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Prepared by
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Location
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Persons Present on behalf of Operator
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Picture of Vehicle
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Make and Model
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VIN Plate
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Colour
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Passenger Accomodation
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Odometer
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PSV Status
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Notes
EXTERIOR
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Operator Name and Legal Writing in Place
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PSV Plate Attached on Outside at Nearside
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Bodywork Safe
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Front Lights
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Wipers
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Rear Lights
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Emergency Door safe, Marked and Alarm working
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Luggage Booth Clean and Lit
INTERIOR
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First Aid Kit Stocked and In date
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2kg Fire Extinguisher Present and Inspected within previous 12 months
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Breakdown Triangle Present on Vehicle
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Tachograph working correctly with correct charts
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Calibration Date
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2YR Inspection Date
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Speed Limiter installation date
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Drivers Seat in Good Condition
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Passenger Seats in Good repair
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Seat Belts working
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Interior Lights
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Adequate Ventilation
UNDER VEHICLE
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Steering
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Front Tyres
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Rear Tyres
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Fuel Tanks and Mountings
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Exhaust System Sealed and Secured
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Brake system safe
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Front Suspension
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Rear Suspension
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Transmission in good order
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Driven Test
