Equipment inspection and maintenance report form

• Equipment type

• Conducted on

  Date

• Prepared by

  Select
• Location
  Address

Chainsaws or brush cutters

• Serial number (take photo)

  Media

• Maintenace schedule

  Select Fuel (4 or 2 stroke?) and oil levels, check for leaks Correctly mounted guide bar or cutting head All components are securely attached Spark plug boot is secure Grease / oil pivot points and moving parts if required Check chain brake and front hand guard Correctly tensioned chain Controls and safety devices are operational Handles clean and dry (for safe control) Smooth action of throttle lock and throttle (incl. automatic release to idle) Stop switch moves easily and cuts the engine off Tool box stocked with spares and required tools Harness, chaps, helmets, earmuffs, face shield undamaged and in good working order Check batteries, charger leads, contacts

  • Fuel (4 or 2 stroke?) and oil levels, check for leaks
  • Correctly mounted guide bar or cutting head
  • All components are securely attached
  • Spark plug boot is secure
  • Grease / oil pivot points and moving parts if required
  • Check chain brake and front hand guard
  • Correctly tensioned chain
  • Controls and safety devices are operational
  • Handles clean and dry (for safe control)
  • Smooth action of throttle lock and throttle (incl. automatic release to idle)
  • Stop switch moves easily and cuts the engine off
  • Tool box stocked with spares and required tools
  • Harness, chaps, helmets, earmuffs, face shield undamaged and in good working order
  • Check batteries, charger leads, contacts

• Post use maintenance

  Select Remove bar and chain Clean and inspect machine Clean clutch drum Refit bar and chain Tension chain correctly and lock in bar nuts Sharpen Top up fuel and oil levels Charge batteries

  • Remove bar and chain
  • Clean and inspect machine
  • Clean clutch drum
  • Refit bar and chain
  • Tension chain correctly and lock in bar nuts
  • Sharpen
  • Top up fuel and oil levels
  • Charge batteries

• After repairs and maintenance is equipment safe to use?

  Yes

  No

  N/A

• Lock equipment out and notify line manager.

Mowers

• Mower

  Razorback

  Masport

  Push mower

• Maintenance schedule

  Select All guards and safety controls in place and working Tyres are inflated correctly and in good condition All operation controls are in good working order Brake and hand brake work Forward and reverse operation smooth Greased all points Belts are in good condition Blades engage and disengage Engine oil is at suitable level Clean and top up fuel

  • All guards and safety controls in place and working
  • Tyres are inflated correctly and in good condition
  • All operation controls are in good working order
  • Brake and hand brake work
  • Forward and reverse operation smooth
  • Greased all points
  • Belts are in good condition
  • Blades engage and disengage
  • Engine oil is at suitable level
  • Clean and top up fuel

• After repairs and maintenance is equipment safe to use?

  Yes

  No

  N/A

• Lock equipment out and notify line manager.

Trailers

• Registration

• Maintenance schedule

  Select Tow hitch is in good working order Chain and D shackle attached Tyres in good condition and bearings tight Registration plates attached and clean Light plug in good working order Brake, indicator and reverse lights work Doors and gates attached and can be locked away securely

  • Tow hitch is in good working order
  • Chain and D shackle attached
  • Tyres in good condition and bearings tight
  • Registration plates attached and clean
  • Light plug in good working order
  • Brake, indicator and reverse lights work
  • Doors and gates attached and can be locked away securely

• After repairs and maintenance is equipment safe to use?

  Yes

  No

  N/A

• Lock equipment out and notify line manager.

Plant popper

• Maintenance schedule

  Select Guides are securely attached Compressed air system leak free Regulator can be adjusted Guards in place so hands cannot access under top surface Popper operates only when both buttons are pressed Popper operates correctly and safely Popper is clean

  • Guides are securely attached
  • Compressed air system leak free
  • Regulator can be adjusted
  • Guards in place so hands cannot access under top surface
  • Popper operates only when both buttons are pressed
  • Popper operates correctly and safely
  • Popper is clean

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• After repairs and maintenance is equipment safe to use?

  Yes

  No

  N/A

• Lock equipment out and notify line manager.

• Yes

  No

  N/A
ATVs

• ATV

  Select Kubota CF Moto

  • Kubota
  • CF Moto

• Maintenance schedule

  Yes

  No

  N/A

• Sign off

  Sign

• Are there any unresolved issues with the equipment to report?

  Yes

  No

  N/A

• Description of issues with the equipment?

• Are repairs able to be completed in house?

  Yes

  No

  N/A

• Description of repairs required to be carried out.

• Name of the external company to be used for repairs.

• What date was the equipment taken in to be repaired?

  Date

• Have repairs been made to the machine / equipment?

  Yes

  No

  N/A

• What repairs have been carried out?

• Date of department hand back

  Date

• I confirm the equipment is safe and for use.

  Sign