Title Page

  • Site conducted

  • Service/Maintenance?

  • Date

  • Driver

  • Engineer

  • Location

Vehicle Information

  • Vehicle Model

  • Vehicle Make

  • VIN/Serial No.

  • Machine Hours/Mileage

Dynamic Risk Assessment - Are you at RISK from:

  • Coming into contact with moving machinery?

  • What is the Hazard?

  • How have you controlled the Risk?

  • Flying or falling objects?

  • What is the Hazard?

  • How have you controlled the Risk?

  • Weather conditions?

  • What is the Hazard?

  • How have you controlled the Risk?

  • Being struck by a vehicle?

  • What is the Hazard?

  • How have you controlled the Risk?

  • Striking a fixed object?

  • What is the Hazard?

  • How have you controlled the Risk?

  • Being cut by a sharp object?

  • What is the Hazard?

  • How have you controlled the Risk?

  • Manual Handling

  • What is the Hazard?

  • How have you controlled the Risk?

  • Falling from height?

  • What is the Hazard?

  • How have you controlled the Risk?

  • Tripping or slipping?

  • What is the Hazard?

  • How have you controlled the Risk?

  • Pressurised systems?

  • What is the Hazard?

  • How have you controlled the Risk?

  • Becoming trapped?

  • What is the Hazard?

  • How have you controlled the Risk?

  • Drowning or suffocating?

  • What is the Hazard?

  • How have you controlled the Risk?

  • Exposure to harmful substances?

  • What is the Hazard?

  • How have you controlled the Risk?

  • Exposure to heat or fire?

  • What is the Hazard?

  • How have you controlled the Risk?

  • Exposure to noise or vibration?

  • What is the Hazard?

  • How have you controlled the Risk?

  • Lone working?

  • What is the Hazard?

  • How have you controlled the Risk?

  • Electrocution (including overhead power lines)

  • What is the Hazard?

  • How have you controlled the Risk?

  • Radiation, welding fumes, dust, particles or gasses?

  • What is the Hazard?

  • How have you controlled the Risk?

  • Waste & spillages?

  • What is the Hazard?

  • How have you controlled the Risk?

Cab Check

  • Do you wish to check the cab of this vehicle in this inspection?

  • Is inside the vehicle in a clean and tidy condition?

  • Are the cab windows in good condition/broken?

  • Check seat/seat belt & sensor

  • Check door lock is operational

  • Check mirrors

  • Check wipers & washers are functional

  • Check all steps & handrails

  • Reset service light (if required)

  • Check control levers/pedals

  • Check steering wheel

  • Check safety bar

  • Check safety lever to pedals

  • Check switch decals

  • Check switch operation

  • Check emergency hammer

  • Check A/C

Brakes

  • Do you wish to check the brakes of this vehicle in this inspection?

  • Check handbrake efficiency

Electrics

  • Do you wish to check the electrics of this vehicle in this inspection?

  • Is the horn working?

  • Are amber & green lights operational?

  • Check the reverse camera & reverse alarm are operational

  • Check battery

  • Check starter

  • Check alternator

  • Check lights/instruments

  • Check wiring

  • Check wipers & washers

  • Check audible quick hitch

  • Check quick hitch isolation switch

Hydraulics

  • Do you wish to check the hydraulics of this vehicle in this inspection?

  • Is the oil level correct?

  • Check lift/tilt rams

  • Check servo lever isolator

  • Check oil filters

  • Is is free from unusual noises?

  • Is the pump free of oil leaks?

  • Are hoses in good condition?

  • Check valve banks

  • Check oil cooler

  • Check pump mounts

  • Check hydraulic tank

  • Check drive motors

  • Check pumps

  • Check filters

Engine Maintenance

  • Do you wish to conduct a engine check of this vehicle in this inspection?

  • Are engine oil levels within acceptable ranges?

  • Check oil pressure

  • Check oil filter

  • Is engine breathing heavily and free from unusual noises?

  • Check the water level & anti freeze content %

  • Check Alt belts

  • Check engine mounts

  • Check air filter/hoses

  • Check water pump

  • Check radiator & hoses

  • Check exhaust & muffler

  • Check fuel tank/system & filter

Main Frame

  • Do you wish to check the main frame of this vehicle in this inspection?

  • Check body condition

  • Check slew ring

  • Check quick hitch SWL plate

  • Check quick hitch frame

  • Check door catches

  • Check booms

  • Check roll bar

  • Check bucket linkage

  • Check cab grab handles

  • Check mounting bolts

  • Check for any cracks

  • Check king post

  • Check pins & bushes

Drive System

  • Do you wish to check the drive system on this inspection?

  • Are tracks in good condition?

  • Check hub oil level

  • Check buckets

  • Check attachments

  • Check rollers

  • Check idlers

  • Check sprocket

  • Check undercarriage

Defect and Damage Log

  • Please log all damages and defects noted on the vehicle

Defect

  • Select the location of this individual defect

  • If possible, describe where in the engine this defect is located

  • Describe the location of this defect

  • What type of defect is this individual defect?

  • Briefly describe this defect

  • Attach photos of this defect (if applicable)

General Comments

  • Any further comments or recommendations arising from this inspection?

  • Add any additional relevant photos

  • Have all required corrective actions been added as Actions to this inspection?

  • Please add any corrective actions to the appropriate questions above before completing this report

Sign Off

  • I, the undersigned, hereby certify that all information is accurate and that an actual inspection was conducted.

  • Engineer Name and Signature

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