VC10 – MAINTENANCE INSPECTION – MOTOR VEHICLES
Re-order code 4221
Company.......................................................................................................................................................
Make....................................................................
Reg no.....................................................................
Address.........................................................................................................................................................
Model..................................................................
Fleet no .................................................................
........................................................................................................................................................................
Body type...........................................................
Odo reading......................................... miles/km
Tax expires............................................. O-licence review...............................................................
Year......................................................................
Chassis no..............................................................
Tachograph calibration date.....................................................................................................................
Last 2 year test date........................................
Inspection date.....................................................
le
PART 1: INSPECTION
NOTE FOR INSPECTORS: IM numbered items are to be checked in accordance with the VOSA HGV Inspection Manual. Check for correct operation, security and
freedom from excessive wear, maladjustment, damage, fracture, corrosion, oil, fluid and air leaks. Check all hydraulic reservoirs for fluid level and possible fluid
contamination. Enter details of faults needing rectification in the space provided overleaf.
MARKING CODE (MC):
✓ = Serviceable
X = Item requiring attention
INSIDE CAB
DfT plate – condition-details
Speed limiter plate – condition-details
Seat belts and supplementary restraint systems – condition
Cab floor and steps
Seats
Other seats and crew amenities
Mirrors (internal)
View to front
Condition of glass (screen/windows)
Screen wipers and washers
Speedometer/tachograph – operation-seals
Engine tachometer
Audible warning – horn
Driving controls
Steering wheel – free play
Steering wheel – security-condition
Steering column
Anti-theft locks
Pressure/vacuum – warning
Pressure/vacuum – build up
Other gauges – warning devices
Hand lever, controlling mechanical brake systems
Service brake pedal
Service brake operation/anti-lock warning
Hand operated brake control valves
Electrical wiring/equipment/switches
Front fog and aux lamp switches
Panel/interior lamps and switches
Cab heater/demister/air conditioning
MC
CAB-EXTERIOR
Bumper (front)
Condition of wings/spray suppression (front)
Cab panels, trim and heated mirrors
Cab security including tilt warning
Cab doors including hinges, locks
Cab floor and steps
Mirrors and indirect vision devices (external)
Front lamps (side lamps) and outline markers
Headlamps – operation-aim-adjustment-mechanisms
Front fog lamps, spot lamps, dim dip device
MC
ENGINE COMPARTMENT
Engine mountings
Oil leaks
Fuel tanks and systems
Exhaust systems
Exhaust brake
Radiator mounting
Cooling system
Fan, generator, aux belts
Fuel pump linkage seals and EDC equipment
Speed limiter – condition-seals-linkage
Injectors, pipes, filters
Air intake system – Turbocharger intercooler and filters
Air compressor – Exhauster – drive belts (if applicable)
MC
IM No
33
3
17
18
27
28
30
30
30
34
34
36
37
38
39
42
Sa
IM No
9
14
15
16
17
22
63
67
IM No
43
44
45
46
33
59
N/A = Not applicable
GROUND LEVEL
Road wheels and hubs
Sideguards and rear underrun guards
Spare wheel carrier (and spare wheel)
Vehicle to trailer coupling
Condition of wings/spray suppression (rear)
Security/condition of body
Demountable bodies – chassis mounted equipment
Security of body, containers and crane support legs
Tipping gear – hydraulic rams, pivots and safety devices
Tailboard hoists
Cranes, gantries
Other ancillary equipment
MC
UNDER/ALONGSIDE VEHICLE
Chassis – condition
Electrical wiring and equipment including batteries
Electrical connections for trailer
Oil leaks
Fuel tanks and systems
Exhaust system
Suspension pins and bushes – condition
Suspension units and linkages – condition
Spring units, linkages and sub-frames – security
Shock absorbers
Wheel bearings and seals (rear)
Stub axles and wheel bearings
Steering mechanism
Steering alignment
Steering gear
Power steering and fluid level
Axle alignment
Clutch operation
Gearbox and bell housing
Change speed mechanism
Power take-off
Final drive
2-speed shift mechanism
Differential lock – traction control
Load transfer/axle lift device
Transmission – drive line – mountings
BRAKES
Electronic braking system/electronic stability
control system – operation/warning
Hydraulic fluid level
Mechanical brake components
Drums and linings/discs and pads
Brake actuators and adjusters
Brake systems and components
Trailer couplings, hoses and function of self-sealing valves
Load sensing/anti-lock system
Air brake anti-freeze device
Anti-lock device – operation/warning
Operation of supply dump valve
Operation of multi-circuit protection
Additional braking devices
MC
mp
22
23
23
25
26
NC = Not checked
IM No
6
9
10
11
14
19/20
19
IM No
41
42
42
44
45
46
48
48
48
48
53
54
54
54
57
38
59
59
59
59
59
12
59
38
58
PART 1: INSPECTION (Continued)
UNDER/ALONGSIDE VEHICLE (Continued)
Rear markings and conspicuity markings
Rear lamps, outline markers and number plate lamp
Rear fog lamps including warning device
Reflectors (side and rear)
Direction/hazard indicators including warning device
Side marker lamps
Stop lamps
Reversing lamps
Position lamps, headlamps and warning device
Other lamps
Paintwork and livery – condition
Licences
Legal writing
Registration plates
Other dangerous defects
SMOKE EMISSION
MC
IM No
62
63
63
62
66
63
63
TYRES
Size and type of tyres
Condition of tyres
MC
IM No
7
8
(strike out/amend boxes)
TREAD WEAR
State –
tread depth
left in mm
63
le
1
74
5
PART 2: RECTIFICATION
DETAILS OF FAULTS
IM NO
1 Needing immediate attention
Signature of inspector
DONE BY
mp
2 Less urgent – for early attention
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
Date completed
Signature ........................................................................................................................................
Position ...........................................................................................................................................
Sa
PART 3: ROAD/BRAKE TEST REPORT (*Delete as appropriate)
BRAKE PERFORMANCE
IM Nos 71, 72, 73
ROAD SPEED LIMITER operational YES/NO* – set speed
Decelerometer test*
Road conditions
@
Service
kph*
mph*
Secondary
%
%
kph*
mph*
Load condition of vehicle
Laden*
Parking
Unladen*
Comments
%
Roller brake test*
ROAD TEST – OVERALL COMMENTS
Tester’s signature.........................................................................................
NOTE: When servicing is carried out following inspection and rectification, details should be recorded on the separate form VC80 available for the purpose.
OPTIONAL
Digital tachograph
Data download
Yes / No*
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