Information
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Document No.
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Conducted on
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Location
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Take a picture of the vehicle including interior (front, rear and boot).
VEHICLE DESCRIPTION
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Driver details
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Make of vehicle
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Registration number
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Odometer reading
EXTERIOR LIGHTING (Take photo's of any damage)
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The high and low beams are operational.
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The rear lights are operational.
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The front and rear indicators are operational.
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The break lights are operational.
EXTERIOR BODY AND GLASS (Take photo's of any noted damage)
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The windscreen is free of cracks and chips
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The engine hood, grill and bumper are free of damage.
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The side mirrors are adjustable and free of damage.
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All doors are free of damage.
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The door windows are free of cracks and chips.
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The rear window is free of cracks and chips.
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The rear of the vehicle and boot door are free of damage.
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The tax disc is current and not expired (note the expiry date).
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The vehicle is clean and free of road dirt.
TYRES
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All four tyres are in a good condition with no visible signs of damage.
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The compressor and breakdown kit are accessible
INTERIOR
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The seat belts are in a good condition.
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The windshield wipers are functioning and in a good condition.
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The windshield washer fluid level is acceptable and the washer is operational.
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The heater and defroster are operational.
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The airconditioning is operational.
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The dashboard lights are operational.
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All the gages are operational and show within the acceptable ranges when vehicle is started.
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The interior compartment lights are operational.
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The interior is clean and free of loose objects.
H&S
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Do you have a first aid kit?
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Do you have all of your PPE?
SIGNATURES
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Signature of driver / responsible person
