Title Page
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Conducted on
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Prepared by
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Location
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Vehicle/Trailer Registration Number
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Odometer Reading
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Inspected by
Inside vehicle
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Seats
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Seat Belts and Supplementary Restraint Systems
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Mirrors and Indirect Vision Devices
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Glass and View of the Road
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Windscreen Washers and Wipers
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Speedometer / Tachograph
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Horn
Driving Controls
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Steering Control
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Service Brake Pedal
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Service Brake Operation
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Pressure / Vacuum Warning and Build Up
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Hand Lever Operating Mechanical Park Brakes and Electronic Park
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Brake Control
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Hand Operated Brake Control Valves
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Transmission
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Axles, Stub Axles and Wheel Bearings
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Suspension
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Air bags
Cab Floors and Steps
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Ground level and under vehicle (motor vehicles and trailers)
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Cab Doors
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Condition of Steps
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Registration Plates
Cab Security
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Locks and Door Handles
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Condition of Body
Sideguards, Under-Run Devices / Bumper Bars
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Road Wheels and Hubs
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Size and Type of Tyres
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Condition of Tyres Axle 1
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Condition of Tyres Axle 2
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Condition of Tyres Axle 3
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Spare Wheel and Carrier
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Condition of Chassis
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Vehicle to Trailer Coupling
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Condition of 5th Wheel
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Condition of Pin
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Trailer Parking and Emergency Brake and Air Line Connections
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Trailer Landing Legs
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Spray Suppression, Wings and Wheel Arches
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Speed Limiter
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Tachograph VU
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Engine and Transmission Mountings
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Oil Leaks
Electrical Wiring and Equipment
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Direction Indicators and Hazard Warning Lamps
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Headlights / Lamps
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Aim of Headlamps
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Markers and Reflectors
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Condition of Wiring Looms and Connections
Fuel Tanks and System
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Condition of Fuel Tanks
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Condition of Fuel Lines
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Fuel tanks and lines are free of leaks
Exhaust Systems
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Condition of and secureness of Manifolds
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Condition of Connecting Pipes
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Condition of Silencer
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Condition of Brackets and Clamps
Additional Braking Devices
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Additional Braking Devices
Brake Systems and Components
C: Brake Performance
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Laden / Unladen
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(roller brake / decelerometer test)
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IM8 Condition of Tyres (enter NA if not applicable)
D: Road Test
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Brake temperature assessment
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Item inspected
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Efficiency
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Check
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Date of Braking
Service Brake Performance
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Secondary Brake Performance
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Parking Brake Performance
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Comments on faults found
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Action taken on faults found
Assessment:
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Examiner Assessment
Part 4 – Declaration
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I declare the above examination findings to be correct.