Truck Owner. Heavy Vehicle Inspection Checklist. conducted for. Location Kidman Way, Mount Hope NSW 2877, Australia. Conducted on 27 Mar :07 AM

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1 Heavy Vehicle Inspection Checklist conducted for Truck Owner Location Kidman Way, Mount Hope NSW 2877, Australia Conducted on 27 Mar :07 AM Prepared by SafetyCulture Staff Completed on 27 Mar :59 AM Score 0/ %

2 Audit General Information Select vehicle type Select vehicle identification type Enter VIN # Truck License Plate #, VIN HWR 413T Take photo of License Plate No. Appendix 1 Enter mileage 60,000 miles Take photo of the vehicle Appendix 2 Administrative Registration & insurance cards are current? License plate and tags are current? Inspection BRAKE SYSTEM Adjustment Truck Owner / SafetyCulture Staff / 27 Mar

3 Drums or Rotors Repaired Appendix 3 Hoses and/or Tubing Needs Repair Hose has a small hole that can cause leaks Appendix 4 Lining Warning (Low Pressure) Tractor Protection Valve Repaired Appendix 5 Appendix 6 Air Compressor Service Brakes Parking Brakes Electric Brakes Hydraulic Brakes Vacuum Brakes Warning (Sys Failure) Not Applicable Truck Owner / SafetyCulture Staff / 27 Mar

4 STEERING SYSTEM Free Play (Lash) Steering Column Front Axle Beam Steering Gear Box Pittman Arm. Ball & Socket Joints Tie Rods &Drag Links Nuts, Bolts, Fasteners Repaired Appendix 7 Power Steering Fluid WINDSHIELDS Glass free of cracks, discoloration Wiper power unit, blades WIPERS All working and in good condition FUEL SYSTEM Visible Leaks Needs Repair Visible leaks Appendix 8 Truck Owner / SafetyCulture Staff / 27 Mar

5 Fill Caps in place/intact Tank(s) securely attached LIGHTING DEVICES Headlamps Front Turn Signals Front ID/Clearance Lamps Side Marker Lamps Left Side Marker Lamps -Right Rear Turn Signals Stop Lamps Tail Lamps Rear ID/Clearance Lamps Re fie ctors / Ref Tape COUPLING DEVICES 5th Wheel Pintle Hooks Drawbar Eye Drawbar Tongue Safety Devices EXHAUST SYSTEM Leaks Placement SAFE LOADING Securement Devices SUSPENSION Springs (cracked/broken/shifted) Truck Owner / SafetyCulture Staff / 27 Mar

6 U-bolts. Hangers, etc. Torque, Radius, Tracking Arms FRAME Frame Members Tire &Wheel Clearance Sliding Subframe (adj. axle) TIRES Steering Axle Tires -Condition Steering Tires - over 4/32" tread Other Tires Condition Other Tires over 2/32" tread WHEELS & RIMS Lock/Slide Ring Fasteners Disk/Spoke Condition Welds CARGO & EQUIPMENT (LEAN) All equipment is secured & adequately stored? Truck is organized & free of excessive material? SAFETY Health & Safety Manual in the truck? First Aid kit is complete and items within the expiration date? Fire extinguisher mounted with current inspection tag? Sure off tester and water management tools on truck? Truck Owner / SafetyCulture Staff / 27 Mar

7 IF EQUIPPED WITH A TRAILER Trailer has been checked for proper connection to the vehicle? Brakes if equipped? Cargo Secure? Lights/Marker Lamps? Springs Appear? Straps/Tie Downs? Trailer Tires & Pressure? Trailer Platform Integrity? Summary List any other condition which may affect safe vehicle operation. Enter any other observations Rate the overall condition of the vehicle 1. Regularly schedule vehicle maintenance oil changes and all-over inspections tops most automotive experts lists to ensure trucks last longer. 2. Clean it up. 3. Keep tires properly inflated to prevent unnecessary wear and tear. The recommended air pressure is usually indicated in the owner s manual and the pickup truck s tire well. Replace worn out tires if necessary.check bolts and fasteners if properly screwed. 4. Regularly change engine oil and fluids. 5. Regularly adjust belts, hoses, brake pads, drive belts, timing belts and hoses. Replace them if necessary. The brake system should also be in good condition. Worn out brake pads should also be immediately replaced. 6. Regularly inspect the suspension system. Vital components such as the struts, springs, shock absorbers, and linkages should be regularly checked. None Good Completion Full Name and Signature of Certified Inspector Ivan Dorschner Truck Owner / SafetyCulture Staff / 27 Mar

8 Media Appendix 1 Appendix 2 Appendix 3 Appendix 4 Truck Owner / SafetyCulture Staff / 27 Mar

9 Appendix 5 Appendix 6 Appendix 7 Appendix 8 Truck Owner / SafetyCulture Staff / 27 Mar