Information

  • Conducted on

  • Location
  • Plant No:

  • Description:

  • Rego No:

  • Driver:

  • Drivers Licence:

  • Registration Due at:

  • Speedo:

  • Hubo Meter:

  • Hour Meter:

  • Next Service due at:

  • COF / WOF due at:

  • ERoad RUC Km:

  • Beacon Fitted and Working:

  • Hazard panels for over dimensional including warning labels:

  • Warning decals readable:

  • Load security

  • Inspection of ROPs frame & mounts

  • Inspection panels,latches,hinges & locks:

  • Access entry handles & steps friction surface not worn. Include access to service compartment.

  • Tyre tread depth & wear pattern:

  • Guard rails or other edge protection:

  • Guarding where applicable:

  • Tow ball colour coded Yellow 1" 7/8 Red 50 mm:

  • Drawbar/crane/draw beam certification etc:

  • Visual inspection of all windows:

  • Lights: All working.

  • Door lock & handles:

  • Remote equipment controls in working order:

  • Cab condition & house keeping:

  • Seat Condition:

  • Seat belt & operation:

  • Horn working:

  • Reversing alarm/camera if fitted:

  • First Aid Kit

  • Fire Extinguisher if fitted:

  • Fire Extinguisher Test Yellow Tag:

  • Last pre start book entry:

  • Driver Logged in to ERoad:

  • If available speak with operator about machine operation & issues:

  • Air compressor discharge outlet (only gate valves to be fitted)

  • Air hose: Claw connector couplings to have provision for safety locking pin.

  • Lock out tags issued:

  • Comments: (Action to be included, by whom, when)

  • Corrective Action Completed:

  • Surplus Plant Comments (add relevant information):

  • Attach photos of evidence as required:

  • Audited by:

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.