Truck & Trailer Annual Inspection General Information No. Day * MondayTuesdayWednesdayThursdayFridaySaturdaySunday Date * Vehicle Registration Number * Vehicle Make and Body Type * Vehicle Klms * Unit No. Lighting Equipment Battery Cradle/Security * N/AOKX Headlights/Auxiliary Lights * N/AOKX Park Lights * N/AOKX Tail Lights * N/AOKX Brake Lights * N/AOKX Reflectors/Marker Plates * N/AOKX Clearance Lights * N/AOKX Number Plate Light * N/AOKX Reversing Light * N/AOKX Turn Signals Operation * N/AOKX Colour * N/AOKX Visibility * N/AOKX Warning Device Control * N/AOKX Audibility * N/AOKX Wipers/Washers Blades/Inserts * N/AOKX Controls/Motor * N/AOKX Glazing Material/Visibility * N/AOKX Window Operation * N/AOKX Seats Mounting/Construction * N/AOKX Fitting/Operation * N/AOKX Condition * N/AOKX Speed Limiter Speed Limited operational and has not been tampered with * N/AOKX Seat Belts Fitted as required * N/AOKX Operation * N/AOKX Webbing/Fittings * N/AOKX Anchorage * N/AOKX Mudguards/Mudflaps Fitted as required * N/AOKX Spray Suppression * N/AOKX Side and Body Panels Cracks/Security * N/AOKX Corrosion/Damage * N/AOKX Fittings & Protrusions Corrosion/Damage * N/AOKX Door/Bonnet/Catches * N/AOKX Rear Vision Mirrors * N/AOKX Body Fittings/Bumper Bars * N/AOKX Exhaust Systems Leaks/Design/Security * N/AOKX Emissions * N/AOKX Under Body & Chassis Cracks/Security/Corrosion * N/AOKX Oil Leaks Engine * N/AOKX Transmission * N/AOKX Differential(s) * N/AOKX Steering/Accessories * N/AOKX Air System Leaks/Contaminations * N/AOKX Breakaway/Protection Valve * N/AOKX Mountings Engine * N/AOKX Transmission * N/AOKX Body * N/AOKX Steering Free Play/Seals * N/AOKX Steering Box/Pitman Arm * N/AOKX Arms/Linkages * N/AOKX King Pins/Bushes * N/AOKX Steering Wheel * N/AOKX Suspension Shock Absorbers * N/AOKX Cross Members * N/AOKX Axles * N/AOKX Springs/U Bolts * N/AOKX Air Bags/Air Suspension * N/AOKX Hangers/Pins/Bushes * N/AOKX Bolts/Locknuts/Pins * N/AOKX Wheels & Tyres Wheels/Security * N/AOKX Tyres * N/AOKX Wheel Bearings * N/AOKX Braking System Service Brake * N/AOKX Park Brake * N/AOKX Tow Couplings King Pin/Skid Plate/Auto * N/AOKX Turntable/Ringfeeder/Ball Race * N/AOKX Tow Eye/Draw Bar/Safety Chains * N/AOKX Details of Items Rejected Details of Items Rejected Certification I certify the above information is true and that the vehicle is in a safe and thoroughly serviceable condition. Mechanics Name * Mechanics Email Address (Optional) Please enter your email address below to receive a copy of the report. (Optional) Signature * Clear Date * If you are human, leave this field blank. Submit