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TRANSIT MIXTURE INSPECTION CHECKLIST

DATE SERIAL No.


TIME AGENCY
AREA TRANSIT MIXTURE No.
AIC
TRANSIT MIXTURE OPERATOR TRANSIT MIXTURE HELPER
NAME NAME
G.P No. G.P No.
D.L No.
SL No. OBSERVATIONS OK NOT OK REMARKS
1 Brake
2 Front Light
3 Back Light
4 Front Horn
5 Back Horn
6 Tyre condition
7 Both side Indicator condition
8 Ignition Key
9 Seat Belt
10 Rear View Mirror on both side
11 Parking Brake
12 Trolley Condition
All documents are with TRANSIT
13 MIXTURE
14 Registration Date
15 Vehicle Fitness Validity
16 Insurance Validity
17 Road Tax Validity
18 PUC Validity
Vehicle Pass Number (SEZ Pass
19 Holder)

Name & Signature of Agency Supervisor Name & Signature of SSL-Shift I/c

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