Information
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Document No.
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Odometer
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Unit #
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Conducted on
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Driver Name
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Location
Vehicle Exterior
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Windshield Condition
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Enter details
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Lights
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Enter details
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Physical Damage / Dents
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Attach photo of damage
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Comments
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Placards
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Enter details
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Spare tire
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Enter details
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Tire condition (rims, bolts)
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Enter detail
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Windshield Wiper Blades
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Enter details
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Rocket Launchers & Straps
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Enter details
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Cargo Compartment / Load Securement
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Attach photo
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Enter details
Engine compartment
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Brake Fluid Level
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Engine Coolant Level
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Engine Oil Level
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Power steering Fluid Level
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Windshield Washer Fluid Level
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Fuel Tank Level
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Fan Belt
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Enter details
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Leaks / Spills
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Enter details
Vehicle Interior
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Vehicle Binder (insurance, registration, permits, licences)
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Accident Kit
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Emergency Roadside Kit / Tow Rope
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Emergency Triangles
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Fire Extinguisher (not expired)
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First Aid Kit
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Interior Clean
Signature
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I have inspected this vehicle and it is roadworthy.
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What actions are needed to make vehicle roadworthy.?
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Driver Signature
