Title Page

  • Conducted on

  • Prepared by

  • Operators Name

  • Operators Name

  • Machine

  • Machine Name

  • Machine Hours

Lights (Check Boxes to Confirm Full working Order)

  • Flashing Beacon

  • Headlights

  • Front & Rear Indicators

  • Brake Lights

  • Reversing Light/Alarm

  • Horn

Wheels and Tyres (Check Boxes to Confirm Full Working Order)

  • Front Tyres and Pressures

  • Front Wheel Nuts

  • Rear Tyres and Pressures

  • Rear Wheel Nuts

Vision (Check Boxes to Confirm Full Working Order)

  • Wing Mirrors

  • Windscreen (Is clean, without cracks with good forward visibility?)

  • Side Windows

Miscellaneous

  • Pick Up Hitch

  • Trailer Hook Wear & Lock

  • Engine Oil Level & Filter Transmission Oil Level & Filter

  • Implement

Lights

  • Indicators

  • Running Lights

  • Flashing Beacons

Wheels & Tyres

  • Tyre Pressures

  • Wheel Nuts Tight / Indicators Aligned

  • Tyres are in Good Condition

Hardware

  • Rams and pins in good condition

  • Hydraulic and Brake Lines Have No Faults

  • All Ancillaries / Straps / Fixings are Secure

Miscellaneous

  • Trailer Contents Checked Before First Load

Cultivator / Drill Checks

Wheels & Tyres

  • All Implement Wheel Nuts are Present and Tight

  • Implement Tyres at Correct Pressures

Lights (Check Boxes to Confirm Full working Order)

  • Running Lights

  • Indicators

  • Brake Lights

Miscellaneous

  • Towing Eye in Not Worn

  • Drawbar Pin is Not Worn and Secured

  • Hydraulic / Brake / Electrical Lines are not Chafed, Broken or Worn

  • All Wearing Metal is Securely Attached to the Implement

  • All Ancillary Items are Securely Attached to the Implement

  • All Items / Taps / Straps that Facilitate Road Transport are Present and Functioning Properly

  • Have You Received Appropriate Training to Use this Machine ?

  • DO NOT USE THIS MACHINE

  • Machine Hours

Wheels and Tyres (Check Boxes to Confirm Full Working Order)

  • Front Tyres and Pressures

  • Front Wheel Nuts

  • Rear Tyres and Pressures

  • Rear Wheel Nuts

Safety Equipment

  • Safety Switches / Lights / Sensors are Functional

  • Cage is Undamaged

  • Gate Locks / Sliders Functioning

  • Safety Harness is Present and Undamaged

  • Machine Hours

Checks

Vision (Check Boxes to Confirm Full Working Order)

  • Wing Mirrors

  • Windscreen (Is clean, without cracks with good forward visibility?)

  • Side Windows

Lights (Check Boxes to Confirm Full working Order)

  • Flashing Beacon

  • Headlights

  • Front & Rear Indicators

  • Brake Lights

  • Reversing Light/Alarm

  • Horn

Miscellaneous

  • Pick Up Hitch

  • Trailer Hook Wear & Lock

  • Engine Oil Level & Filter Transmission Oil Level & Filter

Superstructure

  • Number Plate

User Comments (List Any Other Issues With the Machine)

Vision (Check Boxes to Confirm Full Working Order)

  • Wing Mirrors

  • Windscreen (Is clean, without cracks with good forward visibility?)

  • Side Windows

Lights (Check Boxes to Confirm Full working Order)

  • Windscreen (Is clean, without cracks with good forward visibility?)

  • Flashing Beacon

  • Headlights

  • Front & Rear Indicators

  • Brake Lights

  • Reversing Light/Alarm

  • Horn

  • Machine Hours

Vision (Check Boxes to Confirm Full Working Order)

  • Wing Mirrors

  • Windscreen (Is clean, without cracks with good forward visibility?)

  • Side Windows

Lights (Check Boxes to Confirm Full working Order)

  • Windscreen (Is clean, without cracks with good forward visibility?)

  • Flashing Beacon

  • Headlights

  • Front & Rear Indicators

  • Brake Lights

  • Reversing Light/Alarm

  • Horn

Wheels and Tyres (Check Boxes to Confirm Full Working Order)

  • Front Tyres and Pressures

  • Front Wheel Nuts

  • Rear Tyres and Pressures

  • Rear Wheel Nuts

Superstructure

  • Number Plate

Miscellaneous

  • Pick Up Hitch

  • Trailer Hook Wear & Lock

  • Engine Oil Level & Filter Transmission Oil Level & Filter

User Comments (List Any Other Issues With the Machine)

  • Please Sign Inspection

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.