Diary 25 UK SR

13 Monday January

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Winter Health Check

Customer Name

Vehicle Registration

Email

Customer Phone Number Date Of Health Check

Vehicle Make & Model

Current Odometer Reading (Kl/mi)

Date Of Next Service

Date Of Last Service

Component Checks

GOOD FAIR POOR

Lights/Bulbs Drive Belt Air Filter Fuel Filter

Wiper Blades

GOOD FAIR POOR

Right Front Left Front Rear

Oil Filter Steering Suspension Hoses

Battery Value GOOD FAIR POOR Battery Health Battery Charge

Exhaust Fuel Cap Horn Hand Brake Brake Master Cylinder Brake Servo

Left Rear Tread Wear: Tread Depth: Tyre Pressure: Brake Pads: Brake Disc: Brake Caliper:

Left Front Tread Wear: Tread Depth: Tyre Pressure: Brake Pads: Brake Disc: Brake Caliper:

Fluid

GOOD FAIR POOR

Antifreeze/Coolant Brake Fluid Engine Oil Screenwash Transmission Power Steering Other

Visual Checks

GOOD FAIR POOR

Door's/Bonnet & Boot Lock Operation Operation & Condition Of Windscreen Wipers & Washers Windscreen For Cracks & Chips Rear View & Wing Mirror Condition

Right Rear Tread Wear: Tread Depth: Tyre Pressure: Brake Pads: Brake Disc: Brake Caliper:

Right Front Tread Wear: Tread Depth: Tyre Pressure: Brake Pads: Brake Disc: Brake Caliper:

Number Plate Condition Backrest Positioning And Security Seat Belts For Rips, Frays And Mechanism Function

Air Conditioning GOOD FAIR POOR Temperature Refrigerant System Inspection

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Garage Name

Completed By

Additional Comments

Signature

Time

Registration

Details