Title Page

  • Glebe Lane, Glebe Farm, Sibson, Nuneaton, CV13 6LD

  • Conducted on

  • Inspection carried out by?

Machine Identification

    Make/Model
  • Machine hours

Walkaround Check

  • Visual Static Check of Machine - Any major issues, leaks, damage?

  • Condition of tyres

  • Are all wheel nuts in place?

  • Access steps and handrails in good condition?

  • Are pivot pins, steering rams ok?

  • Boom - All pins in place, Any signs of wear?

  • Hydraulic hoses in good condition? Any leaks or wear?

  • Hydraulic rams in good condition? Any leaks

  • Is bucket or attachment securely attached?

  • Is bucket/attachment in good condition? Any cracks/worn cutting edge/hydraulic pipes issues to report?

  • Is all glazing in place and in good condition?

  • Are all mirrors & lights in place?

  • Any cosmetic damage to the machine to report?

  • Has the machine been greased as per manufacturers recommendations?

  • Is Fire extinguisher/Suppression in place and in good order?

Engine/Hydraulic Compartment

  • Engine oil level ok?

  • Any Engine oil added? Litres added

  • Hydraulic oil level ok?

  • Any Hydraulic oil added? Litres added

  • Fuel level ok?

  • Any fuel added? Litres added

  • Coolant level ok?

  • Any coolant added? Litres added

  • Ad-Blue level ok?

  • Any Ad-Blue added? Litres added

  • Transmission oil level ok?

  • Any transmission oil added? Litres added

  • Air filter clean of debris?

  • Radiators/coolers - Free of debris? Fan belts look ok?

  • Battery isolator working?

Inside the cab

  • Does the seat adjust correctly?

  • Does the seatbelt work correctly?

  • Is the Operator Manual available for the machine?

  • Do all functions work and look ok?

  • Any visibility issues to report i.e. dirty windows/mirrors?

  • Does door shut securely?

After starting the machine (Functional check)

  • Lights, horn, beacons, reversing camera, Reverse bleeper all working?

  • Windscreen wipers working ok?

  • Hydraulic function test - All working ok?

  • Steering function test - All working ok?

  • Brake function test - All working ok?

Any further comments?

  • undefined

Any other defects to report?

  • Is the machine safe to use?

  • Is the machine unsafe to use? If so Remove keys, Lock off, Inform Supervisor immediately

  • undefined

Signed by operator

  • Print name

  • Signed

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