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Vehicle Safety Inspection Form
Vehicle Safety Inspection Form.pdf Â
 .............................................. Registration No.                                                                                                             Â
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Date ....................................... Odometer ............................................                          Kilometres   Â
The following inspection procedure is to supplement and is in addition to the normal company service and vehicle manufactures specifications.
This is a visual inspection only.
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Inspection: Satisfaction |
Rectified |
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ITEM |
Yes 3 |
No 3 |
Date |
Signed |
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TYRES & WHEELS |
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Wheel nuts (visual) |
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Front wheels & lock rings for condition |
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Tyres for correct pressure & valves for leaks |
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Tyre tread for condition & depth |
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Tyre walls (without wheel removal) for damage |
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Tyre construction for correct location |
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BRAKES |
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Brake lines & hoses for condition |
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Brake linings for wear & contamination |
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Brake system for air leaks |
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Slack adjusters & auto adjuster for operation & locking |
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Air vacuum for correct build up time |
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Drain valves for operation |
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Service & parking brake for correct operation |
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Hydraulic fluid for level & leaks |
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Brake warning system for operation |
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CONTROLS |
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Gear & clutch controls for correct operation |
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Steering system for free play & slackness |
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Steering arms & tie rods for condition |
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Windscreen wipers/washers for operation & condition |
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LIGHTING |
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Headlamps for operation damage |
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Park, rear, clearance, number plate, stop, reverse, turn signal, warning lights, hazard light & dashlights for operation & damaged lenses |
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Step, interior & destination lights for operation |
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BATTERY |
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Battery terminals & cables for condition |
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Battery & battery carrier for security |
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GENERAL & BODY |
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Power steering system for leaks |
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Engine for excessive oil & water leaks |
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Exhaust system for condition, security & efficiency |
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Gearbox & differential for excessive oil leaks |
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Fuel system for leaks |
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Axle hub seals for leaks |
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Horn for operation |
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Springs for condition |
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‘U’ bolts & centre bolts for security & condition |
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Rear vision mirrors for security & condition |
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Body exterior for dangerous projections |
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Passenger access doors for security & operation |
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Seats for security |
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Steps, floor & hatches for security & condition |
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Engine cover sealing inside passenger compartment for condition |
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Fire extinguisher for presence & charge |
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Inspection Completed ..........................................................................................                                                                                                                    Signed  Â
Note:Â Â Â Â Safety Inspections to be carried out at 10,000 km intervals or every 3 months (whichever occurs first).
Tick and complete the appropriate box along side each item
The person performing the inspection should sign the bottom of each form.
This form must be retained by the operator for a period of at least 2 years after the inspection.
Â
Vehicle Safety Inspection Form(continued)
........................................................................ Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Registration No. Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â
.........................................................
Date ....................................... Odometer ............................................                          Kilometres   Â
The following inspection procedure is to supplement and is in addition to the normal company service and vehicle manufactures specifications.
This is a visual inspection.
|
 |
Inspection: Satisfaction |
Rectified |
||
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ITEM |
Yes 3 |
No 3 |
Date |
Signed |
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SUSPENSION |
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Radius rods for condition of joints |
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Front & rear axle mountings for condition & cracks |
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Shackles for condition |
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Shock absorbers & joints for condition |
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BRAKES |
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Vacuum system air filter for security & cleanliness |
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Air priority system for operation & condition |
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Retarder/exhaust brake for operation & control |
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STEERING |
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Steering box for security & operation |
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Steering pins, joints & king pins for condition |
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Steering wheel & column for excessive play |
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GENERAL |
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Engine insulating material for condition |
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Starter motor for security |
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Driver shafts for condition & security |
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Universal joints & splines for condition |
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Fuel tank mounting & fuel line mounting for security |
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Wheel bearings for adjustment |
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Wheel nuts for tightness |
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BODY |
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Body mounting attachments for security & condition |
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Body for visual structure defects |
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SIGNS |
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Check quality & condition of legal signs |
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ROAD TEST |
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Inspection Completed ..........................................................................................                                                                                                                    Signed  Â
Â
Note:Â Â Â Â Safety Inspections to be carried out at 10,000 km intervals or every 3 months (whichever occurs first).
Tick and complete the appropriate box along side each item
The person performing the inspection should sign the bottom of each form.
Â
Perth
- Clear sky
- Sunrise: 05:36
- Sunset: 18:28
Mon, 10/16/2023 - 22:00
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