Title Page

  • Site conducted

  • Check ID

  • Conducted on

  • Prepared by

  • Location
  • If there are any issues or faults identified as part of these equipment checks please ensure that a picture is taken of problem and where possible the piece of equipment is removed from service and reported the line manager

  • CBL
  • CBL Asset Number:

  • Hours Reading

External Checks

  • Is the bodywork inc the boom and rubber protectors in good condition?

  • Are tread plates in good condition and chocks present?

  • Is the conveyor belt in good condition and fully working?

  • Is the remote control in working condition?

  • Is the fuel filler cap present?

  • Are the safety rails in working condition?

  • Are the wheels and tyres in good condition and the tread acceptable?

  • Are all head lights, side lights, brake lights, indicators and obstruction beacon in fully working condition?

  • Are all emergency stop buttons working?

  • Additional Information

Internal Checks

  • Is the vehicle clear of all foreign object debris?

  • Is the steering wheel in working condition?

  • Are the controls, pedals, foot brake and hand brake working?

  • Console lighting checks completed and rear view mirror checked and all in working condition

  • Additional Information

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.