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MONTHLY VEHICLE INSPECTION FORM

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Registration QG SE18
Make/Model Isuzu D-Max
Current ODO Reading 28,145
Vehicle Service Due ODO 30,000 / DATE 1-Jun-2024

Checklist YES NO Comments

Body - good condition ✔

Interior Clean ✔

Exterior Clean ✔

Windscreen undamaged ✔

Tyres - good condition ✔

Floor mats - front & back ✔

Driver Companion ✔

Logbook ✔

Etoll tag ✔

Fuel Card/s ✔ BP / ✔ AMPOL (select card/s)

DAMAGE NOTES:

Indicate location of damage on the diagram

I hereby certify that I have inspected the above vehicle in accordance with the check list details and I am
satisfied with the current condition of the vehicle.

Signature

Jason Brawn
Full Name
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8-Mar-2024
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