Title Page

  • Equipment Type/Model/Number

  • Conducted on

  • Location

  • Prepared by

  • Contractor Name (if applicable)

  • PreOperational check system and follow up method?

  • Back up alarm functions properly and louder than ambient noise?

  • Windshield clear visibility?

  • Windshield wipers in good order?

  • Mirrors in good order?

  • Seatbelts in good order?

  • Cab is it clean?

  • Cab Free of unsecure items?

  • Cab Gauges working?

  • Brake System test pass. (service brake, park brake)

  • Are guards on all moving parts or properly labeled?

  • Fire extinguisher in place and in good order if needed?

  • Shovel on board? (if off road travel required)

  • Proper placards? (if applicable)

  • Headlights & taillights working?

  • Service lights working?

  • Turn signals working?

  • Horn in good order?

  • Visible leaks from components?

  • Are loads secure?

  • Chassis free from weeds and/or seeds?

  • Flammable storage? Flammable storage in good shape?(if applicable)

  • Chemicals on board?

  • Have the chemicals been approved to be on site?

  • SDS available?

  • ROPS inspected and labeled?

  • Doors in good order?

  • Handholds, ladders, steps in good order, overall access OK?

  • Tires, linkage, drive train, in good order?

  • Strobe light? UG-strobe/ Halo light with master and ignition off?

  • Buggy Whip and Chocks available and properly secured?

  • Radio available and in good working order?

  • Reflective tape/Company name/ Equipment identification number?

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.