Title Page

Equipment information

  • Plant Number:

  • Registration Plate Number:

  • Make & Model:

  • Date In:

  • Date Out:

  • Prepared by

  • Location
  • Date:

Outbound Machine Checklist

  • Supervisor must sign off Section 2 before customer is advised machine is ready for collection:

  • Technician or Supervisor must complete these checks in Section 1:

Equipment information

  • Rego Date:

  • COF / WOF Date:

  • Odometer Reading:

  • Hour Clock:

  • Hubo reading [ ERoad ]:

Downer Department

  • Contact:

  • Service Provider name:

  • Contact:

Section 1

Checks

  • Service label Due hours:

  • Vision (Mirrors / Glass):

  • Fluid levels:

  • Headlights / Indicators / Tail lights:

  • Grease system (functional):

  • Flashing light(s):

  • Turbo / manifolds blankets fitted:

  • Dash / warning lights / flashing lights:

  • Engine bay free of rags / tooling:

  • Horn operation functional:

  • Hydraulic hose condition:

  • Radio AM/FM operational:

  • Fire suppression charged (Green zone):

  • Air Con operation (Cool / Warm functional):

  • Fire extinguisher(s) (Fitted / charged):

  • Seat (Operation & adjustment):

  • Reverse alarm operational:

  • Equipment free of fluid leaks:

  • Technician or Supervisor must complete these checks in Section 1:

  • Name:

  • Signature:

  • Date & Time:

Section 2

Job Pack

  • Service sheet completed and signed off:

  • Original work scope completed and signed off:

  • Defects recorded:

Compartment / Part Change Outs

  • Compartment s filled with fluid (if applicable):

  • Compartment hardware (nut / bolt) torqued:

  • Components tagged, cleaned and returned to store:

  • Return unused parts to store:

  • Brakes:

  • Preform dynamic brake test:

  • Tags:

  • All out of service / danger tags removed:

  • Tyre re-torque tag fitted (if required):

  • Information tag fitted (if required):

  • Equipment Release:

  • Supervisor must sign off Section 2 before customer is advised machine is ready for collection:

  • Name:

  • Signature:

  • Date & Time:

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.