Title Page

  • Site conducted

  • Check Reference

  • Conducted on

  • Inspected by

  • Location

Check

  • 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

  • MDL
  • MDL / LDL Asset ID:

  • Hours Reading

  • MDL or LDL?

External Checks

  • Is the bodywork in good condition?

  • Are mirrors intact and free from damage?

  • 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 there any visible Hydraulic fluid leaks?

  • Quarantine the GSE and register the leak with Pirtek: Liverpool Office (1st Choice) : 0151 933 9000 / Basildon Office (2nd Choice): 01268 522633

  • Are all emergency stop buttons working?

  • Are the rollers clear from FOD / debris?

  • Is the ladder in service?

  • Are lift chains in good condition and free from rust?

  • Are stabilisers working (where applicable)?

  • Additional Information

Internal Checks

  • Is the Driver's position free from FOD and clutter?

  • Is the steering wheel in working condition?

  • Are all warning & hazard lights working?

  • Is there enough fuel to operate the equipment?

  • 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.