Farm Vehicle Health Checks

• Site conducted
  Address

• Conducted on

  Date

• Prepared by

• Location

• Serial or Reg number

• Make

• Model

• Hours/Mileage

Vision - clear, no cracks, not loose

• Front windscreen and wipers

  Safe

  Needs Attention

  Not Applicable

• Rear windscreen and wipers

  Safe

  Needs Attention

  Not Applicable

• Side windows

  Safe

  Needs Attention

  Not Applicable

• Doors

  Safe

  Needs Attention

  Not Applicable

• Inside mirrors

  Safe

  Needs Attention

  Not Applicable

• Wing mirrors

  Safe

  Needs Attention

  Not Applicable

• Rear hitch mirror

  Safe

  Needs Attention

  Not Applicable

Wheels and Tyres

• Front tyre and pressure

  Safe

  Needs Attention

  Not Applicable

• Rear tyre and pressure

  Safe

  Needs Attention

  Not Applicable

• Brake connections

  Safe

  Needs Attention

  Not Applicable

• Steering mount

  Safe

  Needs Attention

  Not Applicable

• Wheel bearings

  Safe

  Needs Attention

  Not Applicable

• Front wheel nuts

  Safe

  Needs Attention

  Not Applicable

• Rear wheel nuts#Wheel rim fixings

  Safe

  Needs Attention

  Not Applicable

• King pin grease points

  Safe

  Needs Attention

  Not Applicable

• Front axle grease points/pins

  Safe

  Needs Attention

  Not Applicable

• Handbrake function

  Safe

  Needs Attention

  Not Applicable

• Pedal assembly

  Safe

  Needs Attention

  Not Applicable

• Master cylinder

  Safe

  Needs Attention

  Not Applicable

• Power steering unit

  Safe

  Needs Attention

  Not Applicable

• Pipework and fittings

  Safe

  Needs Attention

  Not Applicable

• Mechanical couplings

  Safe

  Needs Attention

  Not Applicable

Lights

• Flashing beacon

  Yes

  No

  N/A

• Headlights

  Yes

  No

  N/A

• Front and rear side lights

  Yes

  No

  N/A

• Front and rear indicators

  Yes

  No

  N/A

• Indicator fixings

  Yes

  No

  N/A

• Hazard lights

  Yes

  No

  N/A

• Brake lights

  Yes

  No

  N/A

• Work light

  Yes

  No

  N/A

• Registration plate light

  Yes

  No

  N/A

• Reversing light/alarm

  Yes

  No

  N/A

• Horn

  Yes

  No

  N/A

• 7 pin connector

  Yes

  No

  N/A

• Rear reflectors

  Yes

  No

  N/A

• Fog light

  Yes

  No

  N/A

Superstructure

• Footsteps

  Yes

  No

  N/A

• Seat fixings/adjustment

  Yes

  No

  N/A

• Seat belt/anchors

  Yes

  No

  N/A

• ROP's

  Yes

  No

  N/A

• Number plate

  Yes

  No

  N/A

Miscellaneous

• Pick up hitch

  Yes

  No

  N/A

• Hydraulic arms

  Yes

  No

  N/A

• Top[ link

  Yes

  No

  N/A

• Trailer hookwear and lock

  Yes

  No

  N/A

• Clevis Hitch wear and lock

  Yes

  No

  N/A

• Lift arm assembly

  Yes

  No

  N/A

• Check chain wear

  Yes

  No

  N/A

• Engine oil level and filter

  Yes

  No

  N/A

• Transmission oil level and filter

  Yes

  No

  N/A

• Radiator level and cup

  Yes

  No

  N/A

• Fuel filter

  Yes

  No

  N/A

• Can filter

  Yes

  No

  N/A

• Fan belt

  Yes

  No

  N/A

• Fuel tank cap

  Yes

  No

  N/A

• Oil or water leaks

  Yes

  No

  N/A

• Battery levels and fixing

  Yes

  No

  N/A

• Throttle cable

  Yes

  No

  N/A

• Gear selector linkage

  Yes

  No

  N/A

• PTO guard and on/off controls

  Yes

  No

  N/A

• Exhaust and brackets

  Yes

  No

  N/A

• Heating system

  Yes

  No

  N/A

• Air conditioning

  Yes

  No

  N/A

• Engine cut off

  Yes

  No

  N/A

• Operatorts manual

  Yes

  No

  N/A

• Warning stickers

  Yes

  No

  N/A

• Control stickers

  Yes

  No

  N/A

• Safety interlocks

  Yes

  No

  N/A

Any other observations

• undefined

• Completed

  Sign