Information

  • Company Name

  • Driver Name

  • Truck registration:

  • Odometer reading:

  • Submitted To:

Please tick the following boxes if there is a FAULT to record.

1. INTERIOR / CAB CHECKS

  • 1.1. Driver does not have cards / documents.

  • 1.2. Vehicle does not have correct paperwork.

  • 1.3. Battery / ignition.

  • 1.4. Steering and alignment.

  • 1.5. Mirrors condition.

  • 1.6. Windscreen/Wiper Blades/Fluid.

  • 1.7. Horn.

  • 1.8. Brakes.

  • 1.9. Reversing alarm.

  • 1.10. PTO.

  • 1.11. Safety devices (lights / buzzers).

  • 1.12. Seatbelt.

  • 1.13. Tacho.

  • 1.14. Doors and exits, open / lock.

  • 1.15. Cab interior and warning lights.

2. EXTERIOR & MECHANICAL

  • 2.1. Fuel / oil leaks.

  • 2.2. Tyres, wheel nuts and indicators.

  • 2.3. Spray suppression.

  • 2.4. Security of body and wings.

  • 2.5. Lights, indicators, markers and reflectors.

  • 2.6. Exhaust, excessive smoke?

  • 2.7. Fuel gauge and Air guage.

  • 2.8. Poor Lorry bed condition.

  • 2.9. Truck bed, messy or excessive material?

  • 2.10. Access and dismount from cab and crane unsafe.

  • 2.11. Problems with under-run, chassis or suspension.

3. DAILY CRANE CHECKS

  • 3.1. Safe load plate on crane missing?

  • 3.2. Condition and amount of hydraulic oil?

  • 3.3. Oil / grease leaks?

  • 3.4. Condition of grab and rubbers.

  • 3.5. Condition of outriggers and pins.

  • 3.6. Control levers.

  • 3.7. Stowage position.

  • 3.8. Condition of pipes, hoses and rams.

  • 3.9. Condition of rotator and A-pin.

  • 3.10. Conditions of catches on brick grab.

  • 3.11. Problem with any lifting equipment (chains, slings etc.)

  • 3.12. Any damage to the crane or grab?

  • 3.13. Any crane errors?

  • 3.14. Unable to secure / strap crane.

4. Safety checks.

  • 4.1. SAFETY TEST - Capacity limiter / overlimit alarm and lockout.

  • 4.2. SAFETY TEST - Emergency Stop has been tested

  • 4.3. SAFETY TEST - Height warning / boom height warning.

  • 4.4. Please tick this box if you are NOT fit to drive.

  • 4.5. Any comments?

  • Any photos to add?

  • 4.6. Nil Defects

  • 4.7. Is the vehicle safe to drive and crane safe to operate?

5. Signature

  • Drivers please sign to show you have checked your vehicle and crane and it is safe to drive. Any problems should be reported before leaving the branch.

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.