Information

  • Operator

  • Client

  • Item Of Plant

  • Date

  • Plant no

  • Site

one

  • Delivered

  • Haulier

  • Is The Plant Parked Safely and Securely

physical

  • Fuel levels

  • Engine Oil

  • Coolant Levels

  • Hydrolic Oil Level

  • Any Apparent Leaks

  • Turn signals operational

  • Break lights operational

  • Head / Tail Lights operational

  • Reversing Lights operational

  • Audible Reversing Alarm / Horn

  • Tyres

  • Flashing Beacon

  • Mirrors / Windows ( 360 vision )

  • Disablement System / Emergency Stops

  • Brakes

  • Steps / Ladders (GET A GRIP)

  • Hand Rails and Handles ( GET A GRIP )

Other Safety Items

  • Fire extinguisher charged and inspected

  • Spill kit complete

  • First aid kit stocked and up to date

Havs Tool Usage

  • Whacker Plate - Total Minutes Permitted

  • Minutes Used

  • Cradled Sthil saw / Floor Saw - Minutes Permitted

  • Minutes Used

  • Jackhammer - Minutes Permitted

  • Minutes Used

  • Sthil Saw or Similar - Minutes Permitted

  • Minutes Used

List any other action items that need to be corrected

  • Defects To Be Reported Immediately To Fitters

Signatures

  • Operator

  • Select date

  • Line Manager

  • Select date

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.