Information
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Document No.
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Fleet No:
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Date
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Day Shift or Night Shift
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Operator:
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Supervisor:
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Engine Hours
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KM Reading
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Surface or Underground
Check the following items: For each items select 'Passes Checks', 'Does not Pass' or 'N/A Not Applicable'
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1. Danger, Out of Service or Information Tags
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2. Body Damage – if yes report
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3. Ladders, Hand Rails, Steps
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4. Wheels and tyres, wheel nut indicators present and in correct position, Spare Wheels, Jack and Accessories, wheel chocks
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5. Hydraulic Oil Level
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6. Quality Control Equipment
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7. Windows and Mirrors
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8. First Aid kit, Eyewash bottle & Safety Bag seals are intact
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9. Indicators, Flashing light, and work lights
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10. Fire Extinguishers and AFFF
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11. Engine Oil Level
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12. Coolant Level
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13. Brake and Clutch Fluid Levels Park Brake operational & alarm working
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14. Window Washer Fluid
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15. Batteries and Terminals are Secure
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16. Cabin and Tray Cleanliness
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17. Seats, Seat Belts Condition and Function
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18. Dash Lights and Gauges Function
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19. Fuel Level
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20. Two Way Radio is operational
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21. Reversing Alarm and Horn
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22. Foot and Park Brake functional
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23. Auxiliary Emergency Brake (If Fitted)
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24. Drain Air Tanks / Lube Dryer
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25. Front and rear lights
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26. Visual inspection Palfinger pins, capture bolts & washers, cracks, Hydraulic hoses, & harness
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27. Basket secured for transport
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28. Hopper levels checked before leaving site
START - PERSONAL PRESTART – ASK YOURSELF
START - PERSONAL PRESTART – ASK YOURSELF
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S -- Switch on my 7 units
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T -- Think green zone frames
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A -- Am I an ILOC on the court?
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R -- Reframe if necessary
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T -- Take 5! What’s important now?
* NOTE: ANY Equipment Defects/Maintenance required – A Maintenance Notification MUST be raised
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Further Comments:
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