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Preventive Maintenance – Schedule A (Every 5,000 km, 6 months or 250 hours)

Name of Service Date

Unit # Odometer Hour Meter

Inspected By Work Order #

Indicate the Condition of the items below using one of the following:
✓ OK X Defective O Out of Service

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See Preventive Maintenance Manual

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Indicate Repaired with ✓ for a description of each item.

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A Engine Compartment Remarks
A1 Change engine oil Number of litres ______________________

A2 Change oil filter Filter # ______________________________

A3 Service air cleaner

A4 Inspect air intake ducts for blockage

A5 Inspect all belts

A6 Inspect all hoses

A7 Inspect brake fluid level and condition

A8 Run engine. Check for leaks

A9 Check transmission fluid level and condition

A10 Check washer fluid level

A11 Check coolant level and condition

A12 Check coolant strength and record _______________ degrees

A13 Check battery water levels and terminals

A14 Check starter draw and record _______________ amps

A15 Inspect alternator and starter wiring

A16 Check alternator output and record _______________ amps

A17 Load test batteries and record voltage before and after

Chassis #1 _______/________ volts #2 _______/________ volts

Conversion #1 _______/________ volts #2 _______/________ volts

B Under Vehicle
B1 Lube chassis

B2 Remove drive shaft and check u-joints

B3 Inspect exhaust (cracks, leaks, quality)

B4 Inspect heat shields condition

B5 Inspect shocks

B6 Visually inspect suspension

B7 Check differential level and oil condition

B8 Inspect differential for leaks

B9 Inspect crown & pinion for abnormal clearance (by testing play on drive shaft)

B10 Check tire pressure; record

LH front _______________ RH front _______________

LH rear inner _______________ RH rear inner _______________

LH rear outer _______________ RH rear outer _______________

B11 Inspect tire condition

B12 Wheel balance and rotate if required

C Body
C1 Check clearance lights

C2 Check headlamps

C3 Check signal lights

C4 Check back-up lamps

C5 Check brake lamps

C6 Check hazard lights

C7 Check horn operation

C8 Check siren operation, modes; Check Horn/Siren Switch

C9 Check and lube all door, hood, compartment latches and hinges

Attach oil sticker. Record date and odometer reading

HS 276 (02/02)

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