Title Page

  • Rego No:

  • Downer Asset Number:

  • Vehicle Make and Model:

  • Photo (Front Left & Right side) & (Rear Left & Right side)

  • Conducted on

  • Location
  • Prepared by

  • Signature:

Skills Transfer List:

Skills Transfer List (s):

  • Number of Assessors:

  • Assessor Name:

  • Organisation:

  • Assessor 1:

  • Organisation:

  • Assessor 2:

  • Organisation:

  • Assessor 1:

  • Organisation:

  • Assessor 2:

  • Organisation:

  • Assessor 3:

  • Organisation:

  • Skills Transfer Sheets Photos:

  • Complementary Supplement forms:

Details:

  • Rego:

  • Photo:

  • WOF:

  • Photo:

  • TSL No:

  • Photo:

  • Supplier Fleet Number:

  • Photo:

  • Odometer [ Speedo ] Reading:

  • Photo:

  • ERoad Reading:

  • Photo:

  • Hour Meter Reading:

  • Photo:

  • Serial Number:

  • Photo:

  • Driver Name

  • Operators Manual

  • Photo:

  • Keys / Spare Keys

  • Photo:

Maintenance

Maintenance:

  • Engine Air Cleaner:

  • Photo:

  • Coolant Reservoir Level & Location:

  • Photo:

  • Engine Oil dipstick Location & Level:

  • Photo:

  • Engine Oil Filler Cap & Location:

  • Photo:

  • Radiator & Coolants:

  • Photo:

  • Hydraulic Oil Location & Level:

  • Photo:

  • Fuel Type & Fuel Cap Location:

  • Photo:

  • Ad Blue Requirements:

  • Grease Nipple Locations:

  • Grease Gun Supplied:

  • Service Schedules Explained:

  • Notes:

  • Service Workshop Locations Explained:

  • Supplier (s) :

  • Windscreen Washer & Reservoir:

Cabin

Cabin:

  • Safe Entry, 3 Points of Contact:

  • Seat Adjustment:

  • Machine Start and Shutdown Procedures:

  • Findings:

  • Instrument Panel & Warning Lamps Explained:

  • Photo:

  • Control Levers & It's Functions Explained:

  • Photo:

  • Findings:

  • Horn / Warning Device:

  • Photo:

  • Travel Levers:

  • Photo:

  • Park Brake:

  • Photo:

  • 75 mm Seat Belt:

  • Add media

  • Compliant ROP( Roll Over Protection ) Frame / Cabin:

  • Travel Alarm:

  • Fire Extinguisher Fitted:

  • Type of GPS (If Other supply Name in Notes):

  • Photos:

  • Notes:

  • Radio & Bluetooth Phone Setup:

  • Add media

Exterior Inspection:

Exterior Inspection:

  • Safety Decals:

  • Downer Branding:

  • Safety Guards / Rails:

  • Panels / Glass Good Condition:

  • Battery Isolation Switch Operation:

  • Brakes if fitted:

  • Tow Bar 1 7/8 With Yellow Tag:

  • Safety Chain (s) Fitted with Shackles:

  • Tyre's / Track Condition & Tension:

  • Dust caps on hubs:

  • Forks/ Buckets/ Hitch: Change Over Procedure

  • Blade:

  • Auxiliary Piping:

  • Notes:

  • Media:

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.