Information
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Document No.
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Audit Title
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Client / Site
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Conducted on
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Prepared by
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Location
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Personnel
Section 1 - Details
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Drivers Name David Mills
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Vehicle Make and Model Ford Transit Connect
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Registration BN11 YAD
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Mileage 93753
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Name of person carrying out inspection David Mills
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Date and Time 22/01/2015 14:00
Section 2 - Vehicle Condition
Tyres / Wheels
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2.1 Tyre Condition (Min 1.6mm Tread)<br>Yes to all
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2.2 Tyre Pressure<br>Yes to all
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2.3 Cracks and Cuts<br>No to all
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2.4 Spare Tyre
Engine Compartment
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2.5 Battery<br>Working
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2.6 Loose Hoses / Wiring<br>No
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2.7 Oil Level<br>Ok
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2.8 Coolant Level<br>Ok
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2.9 Brake Fluid Level<br>Ok
Cab / Operation
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2.10 Lights<br>Working
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2.11 Indicators<br>Working
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2.12 Windscreen<br>Working
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2.13 Seat Belts<br>Working
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2.14 Steering<br>Working
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2.15 Brake Operation<br>Working
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2.16 Horn<br>
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2.17 Upholstery damage? <br>No
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2.18 Roof lining damage?<br>No<br>
External Bodywork
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List any Damage and add photographic Evidence to support
External Bodywork
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Description of Damage
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Photographic evidence
Section 3 - Storage of Materials & Equipment
Materials and Equipment
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3.1 Housekeeping
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3.2 Are all tools and materials secured?
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3.3 Gas Cylinders, Secured correctly and Vehicle correctly signed
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3.4 Hazardous Substances correctly stored according to COSHH Information sheet?
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3.5 Stepladders
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3.6 Harness & Lanyards
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3.7 Roof Rack Security<br>Safe
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3.8 Fire Extinguisher in date and fully charged?
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3.9 First Aid Kit present in date and fully stocked?<br>Yes
Section 4 - Documentation
Documents
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4.1 Driver hold a valid Drivers Licence<br>Yes
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4.2 Tax Disk Present and in date?<br>N/A - yes
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Service Log Book Present and filled in?<br>Yes
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Signature of Inspector David Mills
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Signature of Driver David Mills