Information
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Conducted on
VEHICLE DESCRIPTION
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Vehicle Number
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Drivers Name
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Current Mileage
EXTERIOR LIGHTING
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High and Low Beams Operational
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Clearance, Reflectors Operational
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Left and Right Tail Lights Operational
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Left and Right Front Indicators Operational
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Left and Right Rear Turn Indicators Operational
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Left and Right Break Lights Operational
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License Plate Lights Operational
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Rear Reverse Light Operational
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Audible Reverse Alarm Operational
EXTERIOR BODY AND GLASS (Take Photos of any noted damage)
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Windshield Free of Cracks and Chips
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Front Hood, Grill and Bumper free of Damage
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Left Mirrors adjustable and Free of Damage
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Left Fender Free of Damage
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Left Door Free of Damage
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Left Side Free of Damage
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Left Side Windows Free of Cracks and Chips
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Rear WIndow Free of Cracks and Chips
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Rear of Vehicle and Bumper Free of Damage (Tailgate if included)
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Right Side Free of Damage
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License Plate in Position, Clean, Free of Damage
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Right Side Windows Free of Cracks and Chips
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Right Door Free of Damage
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Right Front Fender Free of Damage
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Right Mirror Adjustable and Free of Damage
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Vehicle is Clean and Free of Road Grime and Dirt
TIRES
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Front Driver Tire in Good Repair with no Visible Signs of Wear or Cracking in Sidewall
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Front Passenger Tire in Good Repair with no Visible Signs of Wear or Cracking in Sidewall
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Rear Driver Tire in Good Repair with no Visible Signs of Wear or Cracking in Sidewall
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Rear Passenger Tire in Good Repair with no Visible Signs of Wear or Cracking in Sidewall
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Front Driver and Passenger Wheel Lug Nuts Secure (No Rust)
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Rear Driver and Passenger Wheel Lug Nuts Secure (No Rust)
Front Brake Inspection
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Front Slack Adjusters Bolt & Pin Present
Rear Brake Inspection
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Any Air Leaks Coming From Under or Around Wheels?
INTERIOR
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Driver Seat in Good Repair
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Driver Seat Belt Operational
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Passenger Seat Belts Operational
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Passenger Seats in Good Repair
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Windscreen Wipers Functioning Appropriately
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Horn Functioning Appropriately
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Heater and Defroster Operational
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Air Conditioning Operational
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Dashboard Lights Operational
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All Gauges are Operating and Show within Appropriate Ranges
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Air Pressure at Operating PSI?
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Radio Operational
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Interior Compartment Lights Operational
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Interior is Clean and Free of Loose Objects
ENGINE COMPARTMENT
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Oil Levels Adequate and Within the Minimum and Maximum Levels
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Water Levels Adequate and Within the Minimum and Maximum Levels
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Brake Fluid Levels Adequate and Within the Minimum and Maximum Levels
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Windscreen Washer Fluid Functioning and Appropriately Wetting Windscreen to Clean
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Battery In Good Visible Condition and Securely Fastened into Position
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Any Air Leaks In Compartment
SAFETY EQUIPMENT
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Securely mounted First Aid Kit (Ensure Completely Stocked)
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Highway safety triangles available
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Fire Extinguisher Charged and Inspected Monthly?
REQUIRED DOCUMENTATION
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Valid Vehicle Registration is located in Vehicle (Note where kept)
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Valid Vehicle Insurance Certificate is Located in Vehicle (Note where kept)
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Are Adequate Preventative Maintenance and Service Repair Records Kept
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Date of Last Service (List Details of Last Service, i.e. New Tires, Oil Change, ect...)
SIGNATURES
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Please sign to confirm all appropriate checks have been completed: