Title Page
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Site conducted
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Project Name
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Client / Site
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Conducted on
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Prepared by
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Location
Before Start-Up
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Instructions:
1. Choose the day of inspection.
2. Answer "Pass" if it is compliant, "Fail" if it is non-compliant or "N/A" for the questions provided.
3. Add any photos and notes for the comments and maintenance requirement by clicking on the paperclip icon.
4. To add a Corrective Measure, click on the paperclip icon then "Add Action", provide a description, assign to a member, set priority and due date.
5. Complete audit by providing digital signature. -
Day of Inspection
- Monday
- Tuesday
- Wednesday
- Thursday
- Friday
- Saturday
- Sunday
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Date / Time
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Project Name / Address
Before Start-Up
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Vehicle Name
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Machine Number
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Total daily operating hours
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Operator’s manual read & understand
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Fluid levels – oils / water / air
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Record number of litres added
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Damage to machine/guards/body
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Tyres/tracks /pressures okay
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Warning Lights
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Warning/safety signs visible
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Area safe to operate plant (walk around)
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Windows/mirrors clean, wipers operational
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Is Plant safe to operate?
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Please advise Supervisor IMMEDIATELY
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Please proceed to the next section.
After Start-Up
After Start-Up
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Gauges/lamps/warning systems
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Lights – front/rear/stop/indicators/beacons
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Horns/reversing alarm
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Throttle operation
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Operate controls – functioning properly
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Brakes – park/foot/retarder/emergency
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Steering/suspension
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Certified operator's signature