VC60 – SAFETY INSPECTION – MOTOR VEHICLES Re-order code 4225 Company................................................................................................................................................... Make.................................................................... Reg no........................................................................ Address...................................................................................................................................................... Model.................................................................. Fleet no...................................................................... .................................................................................................................................................................... Body type........................................................... Odo reading............................................ miles/km Tax expires.......................................... Year...................................................................... Chassis no................................................................. O-licence review............................................................... Tachograph calibration date....................................................... Tachograph last 2 year test date.......................................... Inspection date.................................................................................. ALL ITEMS ARE TO BE CHECKED IN ACCORDANCE WITH THE VOSA HGV INSPECTION MANUAL ✓ = Serviceable NC = Not checked N/A = Not applicable MC IM No 3 17 18 22 23 23 25 27 28 26 30 30 30 33 34 34 UNDER/ALONGSIDE VEHICLE – Check Road wheels and hubs – condition-security Tyres – size-type Tyres – condition-wear-inflation Bumper and protective guards – condition-security Spare wheel carrier – security-condition Trailer coupling – security-operation-wear Trailer parking and emergency brake and airline connections – condition Wings/spray suppresion (rear) – security-condition Body – security-condition Chassis – condition-security of components Electrical wiring/batteries/equipment/connections for trailer – condition-security Oil leaks – extent-effect Fuel tanks and systems – security-condition Exhaust system – condition-security-leaks Suspension pins and bushes – wear-security Spring units, links and sub-frames – attachment Shock absorbers – operation-condition-security Axles, stub axles and wheel bearings – condition-play Steering mechanism – movement-condition-security Steering gear – operation-wear-security Power steering – operation-security-leaks-fluid level Transmission and mountings – condition-security Rear marking and conspicuity markings – position-condition Number plate lamps – position-function Rear lamps and rear end outline lamps – position-function Rear fog lamps and warning devices – position-function Reflectors (side and rear) – condition Direction/hazard indicators/warning devices – position-function Stop lamps – position-function Other dangerous defects MC brakes – Check Mechanical brake components – condition-operation Drums/linings/discs/pads – condition Brake actuators and adjusters – security-leaks-corrosion-damage Brake systems and components Pipes/valves/hoses/couplings – leaks-condition-security Load sensing device(s) – condition-leaks Service brake/anti-lock systems – operation-warning Braking system hydraulic fluid level Electronic braking system/electronic stability control system –operation-warning Additional braking devices – operation-condition MC BRAKE PERFORMANCE TESTS Service brake performance Secondary brake performance Park brake performance MC mp Inside Cab – Check Seat belts and supplementary restraint systems – operation-security-condition Cab floor and steps – condition-security-damage Seats – condition-security Mirrors and indirect vision devices – compliance-security-position View to front – obstruction Condition of glass (screen and windows) Windscreen wipers and washers – condition-operation-effectiveness Audible warning (horn) – operation-control Driving controls – damage-security-obstruction Speedometer/tachograph – presence-condition-operation-seals-wiring-illumination Steering wheel – free play Steering wheel – security-condition Steering column – security-condition Road speed limiter plate – condition-writing Pressure/vacuum warning – operation Pressure/vacuum build-up – time Hand levers controlling – operation-wear mechanical braking – condition-travel Service brake pedal – condition-operation Service brake – operation-leaks-anti-lock warning Hand operated brake – operation-security control valves – condition-leak Electrical wiring/equipment/switches – condition-operation X = Item requiring attention le MARKING CODE (MC): 37 38 39 42 MC IM No 9 14 15 16 17 22 63 63 67 1 Sa Cab exterior – Check Bumper (front) – condition-security Wings/spray suppression (front) – condition-security Cab security (including tilt mechanism) – condition Cab doors including hinges and locks – condition Cab floor (underside) and steps – condition Mirrors and indirect vision devices – security of glass and brackets – condition Front lamps (side) and outline marker lamps – function-condition Headlamps – function-condition-warning device Headlamps – aim-adjustment-mechanisms Registration plates – legibility-security 36 ENGINE COMPARTMENT – Check Engine mountings – condition-security Road speed limiter – condition-operation-seals Oil leaks – extent-effect MC IM No 43 33 44 Fuel tanks and systems – condition-leaks 45 Exhaust system – condition-security-leaks Smoke emission – density (visual/meter) and colour 46 5 ANCILLARY EQUIPMENT – security-condition DETAILS OF FAULTS NEEDING RECTIFICATION Signature of inspector Vehicle laden/unladen 42 44 45 46 48 48 48 53 54 54 54 57 62 63 63 63 62 66 63 74 IM No 59 59 59 59 59 59 38 59 38 58 % % % Decelerometer/roller Brake test @ IM No 6 7 8 9 10 11 12 14 19/20 41 IM No 71 72 73 kph/mph Road conditions IM NO ACTION TAKEN TO RECTIFY FAULTS I consider the above defects have been rectified satisfactorily and the vehicle is now in a safe and roadworthy condition wet/dry DONE BY Date completed Signature......................................................................................................................... Position........................................................................................................................... THIS FORM IS PRODUCED BY FREIGHT TRANSPORT ASSOCIATION AND IS NOT PART OF THE FTA VEHICLE INSPECTION SERVICE SYSTEM Freight Transport Association Limited • Registered Office • Hermes House, St John’s Road, Tunbridge Wells, Kent TN4 9UZ • Registered in England Number 391957 • © FTA 02.12
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