Title Page
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This form is reflective of the VAN40- Check & defect report as produced by the Freight Transport Association and is not part of the FTA vehicle inspection service program.
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Site conducted
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Conducted on
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Prepared by
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Vehicle registration number
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Odometer Reading
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Driver
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DRIVER VEHICLE CHECK - Items to be checked by the driver before and during driving - function - damage cleanliness.
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Lamps/indicators/side repeaters/stop lamps?
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Reflectors/markers/warning devices?
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Mirrors/windscreen/glass - condition & security?
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Brakes - operation excess travel?
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Driving controls/steering - wear - operation?
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Tyres - inflation - damage/wear?
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Wheels - condition/security?
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Body/wings - condition/security?
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Load - security?
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Horn/wipers/washers - operation - condition?
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Fuel/oil/fluids - leaks?
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Exhaust - condition/zero smoke - emissions?
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Speedometer - operation?
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Battery - security - condition?
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Oil/coolant/fluid - level checks?
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Seat belts - condition/operation ?
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Doors - condition/operation/security?
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Instrument panel - warnings - illumination?
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Add signature
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Are there any defects to report?
Defect report
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Details of any faults noted should be entered below please include photographs if possible.
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Defects reported to
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Signature of driver
Action taken?
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Defects rectified by
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Position
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Select date