Information
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Document No.
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Conducted on
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Prepared by
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Location / Trip details
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Vehicle Registration
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Odometer Reading
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Add signature
1. Category A - The Vehicle MUST NOT be operated until repaired
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1.1 General Condition - External
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Lights (Beacon)
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Whip Aerial & Flag
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Lights (Stop, Ind, Rev)
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Lights (Head,Park,Tail)
1.2 - Under Vehicle Checks
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Fluid Leaks
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Build Up - Vegetation
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Horn
1.3 - Under Bonnet Checks
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Engine Oil
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Brake/ Steering / Clutch Oil
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Coolant Level
1.4 General Condition - Internal
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Seats - Damage / Secure
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Seat Belts
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Fire Extinguisher
2. Category B Fault (Supervisor / Repairer to authorise operation & repair scheduled
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2.1 General Condition - External
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Door Locks and Handles
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Lights (Head, Park, Tail)
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Lights (Stop, Ind, Rev)
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Lights (Beacon, Flag)
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Reverse Alarm
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Number Plates
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Horn
2.2 Under Vehicle Checks
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Damaged / Distorted Items
2.3 Under Bonnet Checks
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Fluid & Oil Leaks
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Battery Restrained
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Loose Items
2.4 General Conditions - Internal
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Instrument / Dash Lights
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Controls
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Windscreen / Windows
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Windscreen Washers
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Mirrors - Internal & External
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A/C Heater
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Communications devices
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Abnormal Noises
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Housekeeping
2.5 Steering & Brakes
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Steering Column Adjuster
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Driver's Seat Adjuster
3. Category C Fault - Vehicle can be operated
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3.1 General Condition - External
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Mud Flaps
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Panel Damage
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Wiper Blades
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Air Intake Pre- cleaner
3.2 Under Vehicle Checks
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Build Up of Mud
3.3 Under Bonnet Checks
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Washer Fluid
3.4 General Conditions - Internal
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Cab Light
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Accessories
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Fuel Level
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Cleanliness
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First Aid Kit
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Jack and Tools
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Safety Triangles
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Wheel Chocks
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High Visibility Vest
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Torch
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Drinking Water
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Vehicle Risk Assessment
3.5 Steering & Brakes
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Pedal Pad Condition