Title Page

  • Site conducted

  • Conducted on

  • Contractor Company

  • Prepared by

  • Location
  • Asset Number

  • Machine Hrs/Kms

On Ground Inspection

  • Overall Machine Appearance

  • Asset ID on Three Sides

  • Bucket, G.E.T. condition

  • Boom/Stick Condition

  • Boom, Stick and Bucket Cylinder Condition

  • Other Attachments, Rock Breaker and Ripper

  • Protective Screen in Place or with Machine

  • Fuel/Oil/Air lines and Hoses

  • Track Chains and Shoes

  • Idlers, Rollers, Sprockets and Final Drives

  • Access Steps and Handrails

  • Self Closing Gate to Platform

  • Battery and Starter Isolator Functional

  • Battery Cover and security

On Machine and Cabin Inspection

  • Fire Suppression (In Date and Charged)

  • Portable Fire Extinguishers Mounted Securely and In Date

  • Operators Manual Present

  • Pre Start Book Present or Electronically Filed

  • First Aid Kit in Date and has Tamper Proof Seal

  • Mirrors and Cameras (If Fitted)

  • Window Condition

  • Seat Condition and Function

  • Seat Belts and Function

  • Engine Information System/Gauges Operational

  • EEMIS Mounted and Functional

  • Weed and Seed Inspection Current

  • Overall Cabin Condition

Operational Inspection

  • Machine Movements

  • Hydraulic Lock Out Functional

  • Beacon Operational

  • Horn Operational

  • Tramming/Reverse Alarm Operational

  • Lights Operational

  • Windshield Wipers and Washers

  • UHF/Communication System Operational

  • Emergency Stops Operational

Sign Off

  • FMG Representitive

  • Contractor Representitive

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