Information
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Document No.
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Vehicle Number
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Registration Number
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Conducted on
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Prepared by
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Location
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Name of responsible person.
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Select the appropriate response. If you select "Fail" then complete "Actions" with additional details.
Lights
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Headlights
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Tail lights
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Brake lights
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Parking lights
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Indicator lights
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Cabin lights
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Hazard / fog lights
Warning Signals
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Horn
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Reversing buzzer/quacker/beeper
Visibility
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Wiper blades
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Wiper operation
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Windscreen washers
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Windows/windscreen intact, no chips/cracks
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Defroster / Defogger
Gauges
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Speedometer
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Tachometer
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Fuel gauge
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Oil gauge
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Water gauge
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Ammeter / battery gauge
Driver Safety
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Seat belts
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Door locks
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Air conditioning
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First aid kit
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Seating intact and adjustable
Road Worthiness
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Steering
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Hand brake
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Manual clutch
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Automatic
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Suspension
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Battery
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Radiator
Engine Drive Train
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Engine start
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Engine idle
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Engine under load
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Transmission
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Differential
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Universal joints
Tyres
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No splits or bulges
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No uneven tread wear
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Correct size and rating
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Correctly inflated
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Spare available
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Tyre jack available
Exhaust System
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No loose pieces
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No missing pieces
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No leakages
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Catalytic converter
Exterior
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Roof
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Side panels
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Front/rear bumpers
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Bonnet and lock
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Boot and lock
Interior
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Dashboard
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Glovebox and lock
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Door inside panels
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Carpet and mats
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Seals, doors and windows
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Cabin headliner
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Cabin light
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Window winders
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Door latch / lock
Mechanical Fluids
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Radiator coolant
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Oil level
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Transmission fluid
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Battery fluid
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Window washer fluid
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Brake fluid
Electrical contacts
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Connections secure
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No frayed connections
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No loose connections
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No arcing or shorting
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No corrosion on battery
General
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Registration is current
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Registration is in place and legible
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Vehicle policy is kept in vehicle
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Signature of responsible person
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Signature of inspector
