Title Page

  • Site conducted

  • Conducted on

  • Prepared by

  • Location
  • Company

  • Company Representative

  • Equipment ID

Media

  • Add media

Mandatory Vehicle Requirements

  • Accessible from ground level e-stops

  • Adequate walkways, railings, kick boards, steps/grab handles designed for 3 points of contact

  • Fire suppression activation for plant.

  • Accessible from ground level Identified lockable isolation point for starter and battery

  • Reflective taping and identification number on sides and rear 150mm high

  • Flashing amber light permanent.

  • Pre start book filled out to current date and are faults recorded

  • Load restraint/s suitable for the type of load/s carried available and in good working order

  • Effective guarding on accessible moving parts

  • Service date and/or last service invoice/record is available

  • Functional lighting. (e.g. front, sides, rear and walkways)

  • All service points/filters accessible

  • Evidence of equipment engineered/rated for use

  • Procedure for operation, spotting and communication when in transit.

  • First aid kit and signage

  • All storage and sight glasses accessible without exposure to heights

  • Does vehicle have operators manual

  • Bulk tanks are fitted with an isolation tap for maintenance

  • Fire extinguisher/suppression and signage

  • Tramming alarms

  • Non potable water signs on water tank

  • Bulk fuel tanks have spill kits and signage

  • Rated recovery points (if applicable)

Mandatory operational Requirements

  • Tracks in good condition

  • Horn operational

  • Test shut down device.

  • Is the equipment remote operated or have a compliant cab with seatbelt

  • Windscreen wipers and washers fitted and operational (if fitted with enclosed cab)

  • Does vehicle have wheel chocks suitable for the size of vehicle

  • All attachments and linkages are good order

  • Does steering work as it should

  • Test operation of hydraulic unit/jack legs

  • Quick fill connections compliant

  • Tanks securely fastened and have baffles (has railings on top of tank for inspection)

  • All redundant equipment removed

  • Refuelling system is adequate ( has auto shut off hand piece)

  • Are VLC's or auxiliary equipment fitted, are they certified?

  • Other

  • Other

  • Other

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.