Title Page
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Contract
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Conducted on
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Prepared by
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Location
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Licence Plate
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Kilometres
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Day or Night shift
Vehicle Body
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Picture of the front of the vehicle
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Damages to note? (If different from the previous day)
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Was the incident reported?
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Picture of the driver side of the vehicle
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Damages to note? (If different from the previous day)
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Was the incident reported?
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Picture of the back of the vehicle
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Damages to note? (If different from the previous day)
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Was the incident reported?
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Picture of the passenger of the vehicle
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Damages to note? (If different from the previous day)
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Was the incident reported?
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Tires
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Which tire(s) need replacing?
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Spare
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Windshield and mirrors
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What is the issue?
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Buggy whip
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Has one been ordered?
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Strobe light
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Can it be repaired? Or has one been ordered?
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Engine
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Motor Oil
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Transmission Oil
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Coolant
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Battery
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Belts
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Any leaks? (photo under vehicle)
Vehicle Interior
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Front seat
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Back seat
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Seat belts
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Instrument panel
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What is the issue?
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Radio
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Was one ordered?
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What is the issue
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Horn
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Backup alarm
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Head lights
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Signal lights
Safety Equipment
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First aid kit
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Has the supervisor been informed?
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Fire extinguisher
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Has the supervisor been informed?
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Tow strap
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Has the supervisor been informed?
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Shovel
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Booster cables
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Has the supervisor been informed?
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Jack and wrench
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Has the supervisor been informed?
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Spill kit
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Has the supervisor been informed?
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Vehicle registration papers
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Has the supervisor been informed?
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