Information
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Driver Name:
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Conducted on
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Vehicle Year, Make, Model.
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VIN Number
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Submitted To:
ADMINISTRATIVE
SAFETY & PROJECT MANAGEMENT
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Hirail Manual is up to date with claims reporting forms?
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WHS/Swims, MSDS reports in hirail?
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First Aid kit stocked and items within the expiration date?
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9kg Fire extinguisher mounted/Checked with current inspection tag?
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Water tank full of water, Fire pump full of diesel?
INTERIOR OF VEHICLE
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Cabin is clear of rubbish and dirt?
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Instrument panel is in working order?
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Windscreen and mirrors are clean and free from cracks?
EXTERIOR & MECHANICAL
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Service due date?
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Backup lights?
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Belts & Hoses?
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Brakes? (Pedal Pressure)
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All Fluid Levels?
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Oil
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Coolant
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Visible Fluid Leaks?
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Hazard night & beacon?
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Headlights?
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Tail Lights?
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Horn?
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Steering & Alignment?
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Tyres & Pressure?
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Windscreen Wiper Blades/Fluid?
CARGO & EQUIPMENT (LEAN)
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All equipment is secured & adequately stored?
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Hirail is organized & free of excessive material?
Signature
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