PART 1: CHECKLIST FOR INSPECTION
In Status column, enter - Pass - Fail
* = if required. Shaded box = according to contract or operational requirements.
Numbers in italics, in second column, refer to UK MOT Inspection Manual checkpoints.
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STATUS
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DEFECT FOUND
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RE-CHECKED
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01
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1.1
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Position/Parking lights
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02
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1.2
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Headlights
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03
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1.3
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Brake lights
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04
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1.4
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Reflectors
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05
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1.5
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Indicators
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06
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1.6
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Headlight aim
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07
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2.1
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Steering control
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08
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2.2
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Steering system including tie rod ends
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09
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2.3
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Power steering*
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10
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2.4
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Suspension – general
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11
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2.5
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Front suspension/ bearings, drive shafts
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12
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2.6
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Rear suspension/bearings
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13
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2.7
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Shock absorbers
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14
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3.1
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Parking brake lever
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15
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3.2
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Hand brake control valves
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16
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3.3
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Service brake control
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17
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3.4
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Anti-lock braking systems*
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18
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Dual Air Bags*
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18
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3.5
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Mechanical brake components
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19
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3.6
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Hydraulic, air and vacuum systems
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20
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3.7
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Brake performance
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21
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4.1
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Tyres, type, size, condition. Pressure
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22
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4.2
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Wheels
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23
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5.1
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Seatbelts
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24
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6.1
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Windscreen, vision, 40mm max. crack, in swept area.
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25
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6.2
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Horn
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26
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6.3
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Exhaust system
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27
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6.4
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Exhaust emissions
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28
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6.5
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Bodywork
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29
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6.6
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Mirrors
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30
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6.7
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Fuel system
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31
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Spare wheel(s), jack and tools
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32
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Rollover cage
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33
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High intensity rear lights
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34
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A/C unit
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35
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Fire extinguisher
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36
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First aid kit
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37
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Tachograph or IVMS
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38
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Fluid levels
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39
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Towing hitch*
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40
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Roof rack*
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41
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Speed limiter by road test
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42
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Hazard Warning Triangle
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MISCELLANEOUS
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Enter details on lines below
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90
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Music system operating
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91
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Reversing alarm if vehicle over 6metres length
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92
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93
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94
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Part 2: Defect Information, must be attached as the next page, and signed off by the vehicle inspector.
Petroleum Development Oman
SAFETY INSPECTION REPORT
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HEAVY GOODS VEHICLE (Kerb Weight greater than 4000kg)
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Owner:
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Vehicle Type and Model:
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Fleet Number:
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Registration No:
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Odometer Reading:
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Inspection Date:
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Valid ROP Registration:
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HAZMAT LICENCE/PRESSURE VESSEL CERTIFICATE VALID IF RELEVANT
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Current User (Ref Ind if applicable):
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Inspected At:
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No. of PDO Spec. Used:
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Contract Number: if applicable
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(for First Use inspection only)
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Contract Holder (Ref Ind):
If applicable
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PART 1: CHECKLIST FOR INSPECTION
In Status column, enter - Pass - Fail
* = if required or applicable. Shaded box = according to contract or operational requirements.
Numbers in italics, in second column, refer to UK Dept of Transport LGV Inspection Manual checkpoints.
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STATUS
|
DEFECT FOUND
|
RE-CHECKED
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01
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3
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Seat belts
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02
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5
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Smoke emission
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03
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6
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Road wheels and hubs
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04
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7
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Tyres, size and type
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05
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8
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Tyres, type, condition, size , pressure
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06
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9
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Side guards, under-run guards, bumpers
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07
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10
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Spare wheel, jack, tools
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08
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11
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Trailer coupling
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09
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14
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Mudguards
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10
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15
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Cab mountings
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11
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16
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Cab doors
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12
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17
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Cab floor and steps
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13
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18
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Seats
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14
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19, 20
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Bodywork, load area, headboard fixed
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15
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22
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Mirrors
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16
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23, 24
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Windscreen, glass, vision
100 mm crack max. in swept area
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17
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25
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Windscreen wipers, washers
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18
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26
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Speedometer
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19
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27
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Horn
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20
20
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28
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Driving Controls
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21
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29
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Tachograph or IVMS
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22
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30, 31, 32
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Steering wheel, column
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23
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34
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Pressure/Vacuum warning
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24
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35
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Pressure/Vacuum build up
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25
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36
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Mechanical brakes lever
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26
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37
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Service brake pedal
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27
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38
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Service brake operation
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28
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39
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Hand brake control valves
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29
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41
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Chassis, sub-frame
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30
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42
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Electrical equipment, wiring
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31
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43
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Engine, transmission mountings
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32
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44
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Oil leaks
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33
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45
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Fuel tank(s) and systems
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34
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46
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Exhaust
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35
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48, 49, 50
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Suspension
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36
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51
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Shock absorbers
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37
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53
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Axles, wheel bearings
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38
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54, 55, 56
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Steering assembly-including tie rod ends.
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39
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57
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Transmission
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40
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59
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Mechanical brake components
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41
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60
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Brake actuators
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42
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61
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Brake system and components
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43
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62
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Rear markings
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44
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63, 64
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Position lamps
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45
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65
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Reflectors
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46
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66
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Indicators
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47
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67
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Headlamp aim
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48
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68
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Headlamps
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49
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69
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Brake lights
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50
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71
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Service brake performance
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51
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72
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Secondary brake performance
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52
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73
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Parking brake performance
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53
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Reversing alarm
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54
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High intensity rear lights
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55
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Revolving lights
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56
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A/C unit
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57
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Fire extinguisher for cab
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58
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Fire extinguisher for load
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59
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First aid kit
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60
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Hazard Warning Triangles
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61
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Winch: General Condition
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62
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Slings
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63
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Oilfield Headboard
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64
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Speed limiter-by road-test
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65
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Fluid levels
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Continued on next page
HEAVY GOODS VEHICLE continued
66
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Music system operating
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67
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Fifth wheel assembly on prime mover
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Security of attachment of fifth wheel to prime-mover chassis
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MISCELLANEOUS ITEMS Enter details on lines below
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90
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Tippers: ram operation, oil leaks*
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91
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Tippers: hinge shaft and bearings*
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92
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Centre of Gravity cert for rigid tankers.
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93
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94
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95
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