APPENDIX 02.
05 XI
ACCEPTANCE CHECKLIST FOR AUTOMOBILE
(Effective 1 January 2019)
Air Waybill No.: Origin: Destination:
Make / Model: Year : Colour:
Number of Keys: Kilometers/Mileage:
Length: Width: Height:
Tick the appropriate box
New Car Used Car
Accessories, tools and parts in the vehicle at time of acceptance.
ITEMS YES NO ITEMS YES NO ITEMS YES NO
Ashtray Rear mirror Instruction manual
Lighter Antenna Car clean
Clock Hub Caps Wipers
On-board computer Number plates Safety Belts
- Radio Spare tyre Dome light
- Cassette Jack Exterior Lights
- CD player Tool Kit - Back
Separate loudspeaker Battery - Side
Floor mats Fire extinguisher - Front
- Front First aid kit Fog lights
- Rear Bag Trunk empty Trunk cargo net
Outside mirror Fuel spare can empty
Specify others, if any
Following damages were observed on this vehicle at time of acceptance.
(Tick the box and mark on the diagram, when necessary)
Paint scratched
Metal scratched
Glass damaged
Dents
Specify others, if any:
Comments:
Checked by: Name: Signature:
Place: Date: Time:
Shipper/Agent: Name: Signature:
Date: Place: Company stamp (if applicable):
Notes:
1. Ensure a valid Dangerous Goods Acceptance Checklist has been prepared.
2. If accepted, forward original form with the Airway bill and retain a copy for file at station of origin.
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