D212 Vehicle Inspection Form
Version 2.0
Date completed
*
/
Day
/
Month
Year
Date
Vehicle Registration
*
Please Select
AJ74 FUH
AJ74 FZF
AE25 URD
FY25 YNU
ME73 UKP
Name of Driver
*
First Name
Last Name
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Inspection
Current mileage
*
Is the windscreen free from damage?
*
Yes
No
N/A
Are windshield washers in working order, with water filled?
*
Yes
No
N/A
Are the lights free from damage and working?
*
Yes
No
N/A
Are the brakes and brake lights working?
*
Yes
No
N/A
Are the bumpers and bodywork / paintwork in good condition?
*
Yes
No
N/A
Are the tyres in good condition and roadworthy with acceptable pressure and tread?
*
Yes
No
N/A
Are all doors and door locks operational?
*
Yes
No
N/A
Is the vehicle free of fuel leaks?
*
Yes
No
N/A
Is the exterior of the vehicle clean?
*
Yes
No
N/A
Is inside the vehicle in a clean and tidy condition?
*
Yes
No
N/A
Are any warning lights illuminated on dash?
*
Yes
No
N/A
Does the car horn function correctly?
*
Yes
No
N/A
Are the indicators working?
*
Yes
No
N/A
Are all seat belts in good working order?
*
Yes
No
N/A
Is the air conditioning operational?
*
Yes
No
N/A
Is there a First Aid Kit and Fire Extinguisher on board?
*
Yes
No
N/A
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Defects
Are there any defects or damage to be reported?
*
Yes
No
Please describe the location and type of defect/damage.
Please add photos of the defect / damage
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Declaration
I confirm that I have not received any driving convictions, including penalty points or fines, since my last inspection. I understand that if I do receive any driving conviction, I am required to notify Ace Connections immediately.
*
I have not received any driving convictions, including penalty points or fines.
I need to report a driving conviction.
Details of conviction
I confirm that all information provided is accurate and that an actual inspection was conducted.
*
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