Title Page
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Glebe Lane, Glebe Farm, Sibson, Nuneaton, CV13 6LD
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Conducted on
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Inspection carried out by
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Location
Machine Identification
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Make
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Model
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Serial number
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Machine hours
Walkaround Check
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Visual Static Check of Machine - Any major issues, leaks, damage?
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Condition of tyres
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Are all wheel nuts in place?
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Access steps and handrails in good condition?
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Are pivot pins, steering rams ok?
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Telescopic boom - All pins in place, Any signs of wear?
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Hydraulic hoses in good condition? Any leaks or wear?
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Hydraulic rams in good condition? Any leaks
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Is bucket or attachment securely attached?
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Is bucket/attachment in good condition? Any cracks/worn cutting edge/hydraulic pipes issues to report?
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Is all glazing in place and in good condition?
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Are all mirrors & lights in place?
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Any cosmetic damage to the machine to report?
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Has the machine been greased as per manufacturers recommendations?
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Is Fire extinguisher/Suppression in place and in good order?
Engine/Hydraulic Compartment
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Engine oil level ok?
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Any Engine oil added? Litres added
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Hydraulic oil level ok?
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Any Hydraulic oil added? Litres added
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Fuel level ok?
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Any fuel added? Litres added
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Coolant level ok?
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Any coolant added? Litres added
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Ad-Blue level ok?
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Any Ad-Blue added? Litres added
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Transmission oil level ok?
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Any transmission oil added? Litres added
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Air filter clean of debris?
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Radiators/coolers - Free of debris? Fan belts look ok?
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Battery isolator working?
Inside the cab
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Does the seat adjust correctly?
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Does the seatbelt work correctly?
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Is the Operator Manual available for the machine?
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Do all functions work and look ok?
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Any visibility issues to report i.e. dirty windows/mirrors?
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Does door shut securely?
After starting the machine (Functional check)
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Lights, horn, beacons, reversing camera, Reverse bleeper all working?
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Windscreen wipers working ok?
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Hydraulic function test - All working ok?
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Steering function test - All working ok?
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Brake function test - All working ok?
Any further comments?
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Any other defects to report?
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Is the machine safe to use?
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Is the machine unsafe to use? If so Remove keys, Lock off, Inform Supervisor immediately
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Signed by operator
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Print name
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Signed