Title Page
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Document No.
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Audit Title
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Enter Company Name
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Conducted on
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Prepared by
Vehicle/Driver Details
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Drivers Name
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Copy of Current Drivers Licence Held
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- No
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Drivers Line Manager
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Vehicle Make & Model
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Registration Number
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Mileage
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Last Service Date
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Next Service Due
Wheels & Tyres
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N/S Front:Record Minimum Depth Measured Over Whole Tyre Width
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Make, Size, Speed, Condition
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O/S Front:Record Minimum Depth Measured Over Whole Tyre Width
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Make, Size, Speed, Condition
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O/S Rear:Record Minimum Depth Measured Over Whole Tyre Width
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Make, Size, Speed, Condition
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N/S Rear:Record Minimum Depth Measured Over Whole Tyre Width
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Make, Size, Speed, Condition
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Spare:Record Minimum Depth Measured Over Whole Tyre Width
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Make, Size, Speed, Condition
External/Electrical
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Glass/Mirrors
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Exterior Lights
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Horn
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Wipers
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Washers
Under Bonnet
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Oil Level
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Coolant Level
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Brake Fluid Level
Fluid Leaks
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Oil Leaks
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Coolant Leaks
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Brake Fluid Leaks
Images of Vehicle
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Front of Vehicle
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Rear of Vehicle
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N/S of Vehicle
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O/S of Vehicle
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Interior Cabin
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Internal Rear Storage
Vanstock: Plumbing/Heating
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2 x Flush Cone
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1 x Flush Pipe
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1 x Pro 550 syphon
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1 x Pro545b Filler
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2 x Quarter Turn Tap Restorers
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1 x Potable Expansion Vessel
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2 x 3bar prv
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2 x 6bar prv: Twist Lock
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2 x 32mm Anti Syphon Trap
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1 x Flexi Pan Connector
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1 x Straight Pan Connector
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1 x Bent Pan Connector
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2 x Bath Waste Kit
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2 x Ideal Toilet Push Button
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2 x Ideal Flush Valve
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2 x Roca Push Button
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2 x Roca Flush Valve
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2 x Room Thermostat
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2 x 10mm Myson TRV
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2 x 10mm Myson Lockshield
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2 x 15mm Myson TRV
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2 x 15mm Myson Lockshield
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2 x 22mm Two Port Valve
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2 x 4" Flue Clips
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2 x 5" Flue Clips
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2 x 6" Flue Clips
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2 x Radiator Stubs Sets
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1 x White Silicone
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1 x Clear Silicone
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10 x 10mm Push Fit Elbows
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10 x 10mm Push Fit Couplings
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10 x 15mm Push Fit Elbows
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10x 15mm Push Fit Couplings
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10 x 22mm Push Fit Elbows
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10 x 22mm Push Fit Couplings
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25 x 10mm Inserts
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25 x 15mm Inserts
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25 x 22mm Inserts
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5 x 32mm Waste Elbows
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5 x 32mm Waste Couplings
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5 x 40mm Waste Elbows
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5 x 40mm Waste Couplings
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3m 32mm Waste Pipe
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3m 40mm Waste Pipe
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1 x Solvent Weld
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22-15mm Copper Reducers
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10 x 15mm Copper Elbows
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10 x 15mm Copper Couplings
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10 x 15mm Copper Tee's
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10 x 22mm Copper Elbows
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10 x 22mm Copper Couplings
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10 x 22mm Copper Tee's
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1 x Roll of Solder
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1 x Flux
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1 x Gas
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6m 15mm Copper Tube
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6m 22mm Copper Tube
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2 x Filling Loops
Vanstock: Electrical
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2 x Heat Detectors
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2 x Smoke Detectors
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2 x CO2 Detectors
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Aurora Enlight LED Downlights
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LED Security Light with PIR
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BT Slave, BT Master, Data(rj45), TV Modules
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Triplex Modules
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Single and Double Fast Fix (plasterboard) Boxes
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Single & Double Metal Boxes
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16W & 28W Bulkhead Light Fittings
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Hanger 6a, 20a, 32a MCB's
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125mm Extract Terminals for MVHR/MEV
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50m 1.5mm Twin & Earth
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50m 2.5mm Twin & Earth
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50m 1.0mm Three Core & Earth
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50m 1.5mm Three Core Flex
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50m 1.0mm Five Core Flex
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Green/Yellow, Blue, Brown Sleeving
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Manrose 4" Timer Fan
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Switched Fuse Spur
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Two Gang Socket
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One Gang Switch
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Two Gang Switch
Signatures and Acknowledgements
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This report is the result of a visual inspection only - further checks may be necessary to determine full extent of requirements. Please tick checkbox to to acknowledge statement
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The driver agrees to check the vehicle on a regular basis, keep the vehicle maintained within the manufacturers schedules and drive in a safe manor within the law. Please tick checkbox to acknowledge statement
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Drivers Name/Signature
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Inspectors Name/Signature
