Information

  • Document No.

  • Fleet No:

  • Date

  • Day Shift or Night Shift

  • Operator:

  • Supervisor:

  • Engine Hours

  • KM Reading

  • Surface or Underground

Check the following items: For each items select 'Passes Checks', 'Does not Pass' or 'N/A Not Applicable'

  • 1. Danger, Out of Service or Information Tags

  • 2. Body Damage – if yes report

  • 3. Ladders, Hand Rails, Steps

  • 4. Wheels and tyres, wheel nut indicators present and in correct position, Spare Wheels, Jack and Accessories, wheel chocks

  • 5. Hydraulic Oil Level

  • 6. Quality Control Equipment

  • 7. Windows and Mirrors

  • 8. First Aid kit, Eyewash bottle & Safety Bag seals are intact

  • 9. Indicators, Flashing light, and work lights

  • 10. Fire Extinguishers and AFFF

  • 11. Engine Oil Level

  • 12. Coolant Level

  • 13. Brake and Clutch Fluid Levels Park Brake operational & alarm working

  • 14. Window Washer Fluid

  • 15. Batteries and Terminals are Secure

  • 16. Cabin and Tray Cleanliness

  • 17. Seats, Seat Belts Condition and Function

  • 18. Dash Lights and Gauges Function

  • 19. Fuel Level

  • 20. Two Way Radio is operational

  • 21. Reversing Alarm and Horn

  • 22. Foot and Park Brake functional

  • 23. Auxiliary Emergency Brake (If Fitted)

  • 24. Drain Air Tanks / Lube Dryer

  • 25. Front and rear lights

  • 26. Visual inspection Palfinger pins, capture bolts & washers, cracks, Hydraulic hoses, & harness

  • 27. Basket secured for transport

  • 28. Hopper levels checked before leaving site

START - PERSONAL PRESTART – ASK YOURSELF

START - PERSONAL PRESTART – ASK YOURSELF

  • S -- Switch on my 7 units

  • T -- Think green zone frames

  • A -- Am I an ILOC on the court?

  • R -- Reframe if necessary

  • T -- Take 5! What’s important now?

* NOTE: ANY Equipment Defects/Maintenance required – A Maintenance Notification MUST be raised

  • Further Comments:

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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.