Title Page

  • Site conducted

  • Business unit

  • Conducted on

  • Prepared by

  • Location
  • Dock Leveller Number

Dock Leveller

  • Is the dock leveller free of rubbish?

  • Does the dock leveller Lip function correctly and fully extend?

  • Does the dock leveller rise to full height?

  • Does the dock leveller emergency stop work?

  • Is the dock leveller free from visual damage?

  • Are the dock leveller skirts in good condition

  • Is the dock leveller control panel free of damage and operational?

  • If fitted, are the traffic lights working correctly.

External Buffers

  • Are the buffers in good condition?

  • Are the buffers secure to the wall and not loose?

COMPLETION

  • Name and signature of inspector

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