Heavy Vehicle Inspection Report - Monthly

VEHICLE (Kerb Weight greater than 4000kg)

User
Inspection Date:
Name:
Fleet
Registration No:
Number:
Odometer Vehicle Type and
Reading: Model:
Sr Check Identified Status Sr Check Identified Status
1 Seat belts 35 Shock absorbers
2 Smoke emission 36 Axles, wheel bearings
3 Road wheels and hubs 37 Steering assembly
4 Tyres, size and type 38 Transmission
5 Tyres, condition 39 Mechanical brake components
6 Side guards, under-run guards, bumpers 40 Brake Actuators
7 Spare wheel, jack, tools 41 Brake system and components
8 Trailer coupling 42 Rear markings
9 Mudguards 43 Position lamps
10 Cab mountings 44 Reflectors
11 Cab doors 45 Indicators
12 Cab floor and steps 46 Headlamp aim
13 Seats 47 Headlamps
14 Bodywork, load area, headboard 48 Brake lights
15 Mirrors 49 Service brake performance
16 Windscreen, glass, vision 50 Secondary brake performance
17 Windscreen wipers, washers 51 Parking brake performance
18 Speedometer 52 Reversing alarm
19 Horn 53 High intensity rear lights
20 Driving Controls 54 Revolving lights
21 Tachograph or IVMS 55 A/C unit
22 Steering wheel, column 56 Fire extinguisher for cab
23 Pressure/Vacuum warning 57 Fire extinguisher for load
24 Pressure/Vacuum build up 58 First aid kit
25 Mechanical brakes lever 59 Hazard Warning Triangles
26 Service brake pedal 60 Winch: General Condition
27 Service brake operation 61 Slings
28 Hand brake control valves 62 Oilfield Headboard
29 Chassis, sub-frame 63 Speed limiter
30 Electrical equipment, wiring 64 Fluid levels
31 Engine, transmission mountings 65 Tippers: ram operation, oil leaks*
32 Oil leaks 66 Tippers: hinge shaft and bearings*
33 Fuel tank(s) and systems 67 Exhaust
34 Suspension 68

MISCELLANEOUS ITEMS
69
70
71
In Status column, enter ü - Pass û - Fail
* = if required. Shaded box = according to Project or operational requirements.
Doc.No. RE/HSE/VIH/FM 306 * Date issued: 10.02.2011 * Revision No. 000 RE306 - 0

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