Title Page
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Client / Site
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Location
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Prepared by
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Conducted on
General Information
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Registration
- Vu63 yws
- Vx12 gww
- Wj12 ogl
- Wj12 ogr
- De09 cvf
- De09 cvj
- De09 cvl
- Km67 azo
- Ml11 gxm
- Ma06 wzf
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Enter Mileage
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Take Internal & External photos of vehicle
LIGHTING DEVICES
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Dash lights working correctly?
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Headlights working correctly ?
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Indicators working correctly?
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Brake lights working correctly?
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Rear lights - side/reverse/fog all working correctly?
Engine compartment
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Oil Level ok?
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Coolant/antifreeze levels ok?
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Fan/alternator belts
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Washer bottle full/screen wash?
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Any leaks?
TYRES
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Condition of all tyres ok?
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Air pressure of all tyres ok?
EXHAUST SYSTEM
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Exhaust blowing/noisy?
FUEL SYSTEM
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Gauge working correctly?
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Any Visible leaks?
SAFETY EQUIPMENT
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First aid kit fully stocked and in date?
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Seat belts free from fraying and in working order?
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Fire extinguisher present and in working order?
STEERING MECHANISM
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Any Power steering noises?
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Any play in the steering?
WIndscreen & windows
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Wiper blades in good condition?
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Glass free of cracks, discoloration?
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Wipers working correctly?
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Window switches and mechanisms working correctly?
MISCELLANEOUS
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Heater/Defroster working correctly?
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Mirror glass and casings in good condition?
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Interior lights ok?
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12v power socket working?
SUMMARY
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List any other conditions which may prevent safe operation of this vehicle
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Enter any other observations
Recommendations
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Enter recommendations here
COMPLETION
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Full Name and Signature of Inspector