Title Page
- Vehicle Reg
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Location
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Vehicle Make and Model
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Conducted on
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Prepared by (Print Name)
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Following this check - are you of the opinion that this vehicle is fully operational and safe to use?
- YES
- NO
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The following safety concerns have been reported to my Manager and/or Brenda by email (N/a if there are none)
Lights are operational, any faulty bulbs are replaced
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Front side light - left
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Front side light - right
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Head light - left
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Head light - right
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Main beam - left
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Main beam - right
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Fog light - front (if present)
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Front Indicator - left
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Front Indicator - right
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Rear tail light - left
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Rear tail light - right
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Rear Brake light - left
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Rear Brake light - right
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Reversing light
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Rear Fog light (if present)
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The following light bulbs were replaced during this check (N/a if none)
Wheels are in good condition and Tyres are comfortably within legal limits
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Front tyres (ensure pressure in accordance with Manufacturer's Handbook)
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Rear tyres (ensure pressure in accordance with Manufacturer's Handbook)
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Spare tyre (ensure pressure in accordance with Manufacturer's Handbook)
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Front tyres - tread min 1.6mm across tyre and side walls in good condition
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Rear tyres - tread min 1.6mm across tyre and side walls in good condition
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Spare tyre - tread min 1.6mm across and side walls in good condition
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Wheelbolts - all wheelbolts (loosen, lube and retighten to correct torque setting) Refer to Manufacturer's handbook; or Vehicle Information Sheet held on 365/IYE for correct torque settings
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Wheel rims - check both inner and outer rims for dents and corrosion
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Ensure spare wheel securing mechanism works freely
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Tyres & Wheels : Following the inspection there are concerns regarding (N/a if there are none)
Vehicle Fluid Levels are at appropriate levels
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Screen wash - top up to max (use water if screen wash not available)
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Oil dipstick (level between min and max)
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Powersteer liquid (level between min and max)
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Coolant liquid (level between min and max)
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Brake fliud (level between between min and max)
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If it is not possible to confirm the levels please provide reason
Vehicle Cleanliness and Safety
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Vehicle flooring and seats are clean
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Windscreen is clean
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Screen wiper blades in good condition
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Seat belts in working order
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First aid kit sealed and intact
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Towing reg. plate in vehicle
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Tools jack and handle are present
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Wheel bolt wrench
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Warning Triangle and Hi-Viz vest in vehicle
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x4 Canoe straps (long)
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Roof bars are secure and in good condition
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Do you have any concerns regarding the brakes, engine noises, handbrake tension or steering. Are there any engine warning signs displayed. (N/a if no concerns/warnings displayed)
