Inspect fire suppression system. Make sure seal is not broken.
Environmental
Health (noise, dust, fumes)
Improve Safety
Positive Recognition
Housekeeping
Completion Date:
Inspect fire extinguisher(s).
Environmental
Health (noise, dust, fumes)
Improve Safety
Positive Recognition
Housekeeping
Completion Date:
Inspect cab glass for cracks.
Environmental
Health (noise, dust, fumes)
Improve Safety
Positive Recognition
Housekeeping
Completion Date:
Inspect all lights.
Environmental
Health (noise, dust, fumes)
Improve Safety
Positive Recognition
Housekeeping
Completion Date:
Ensure back-up alarm is working and loud enough to be heard over engine noise.
Environmental
Health (noise, dust, fumes)
Improve Safety
Positive Recognition
Housekeeping
Completion Date:
Check under equipment for any leaks.
Environmental
Health (noise, dust, fumes)
Improve Safety
Positive Recognition
Housekeeping
Completion Date:
Inspect tires, rims and lug nuts.
Environmental
Health (noise, dust, fumes)
Improve Safety
Positive Recognition
Housekeeping
Completion Date:
Inspect tire chains if applicable.
Environmental
Health (noise, dust, fumes)
Improve Safety
Positive Recognition
Housekeeping
Completion Date:
Check all fluids for proper levels.
Environmental
Health (noise, dust, fumes)
Improve Safety
Positive Recognition
Housekeeping
Completion Date:
Check window wiper for proper operation.
Environmental
Health (noise, dust, fumes)
Improve Safety
Positive Recognition
Housekeeping
Completion Date:
Check ROPS for proper labeling and verify it is legible.
Environmental
Health (noise, dust, fumes)
Improve Safety
Positive Recognition
Housekeeping
Completion Date:
Check park brake for proper operation.
Environmental
Health (noise, dust, fumes)
Improve Safety
Positive Recognition
Housekeeping
Completion Date:
Check steps, guarding and handrails for proper mounting.
Environmental
Health (noise, dust, fumes)
Improve Safety
Positive Recognition
Housekeeping
Completion Date:
Check frame for cracks.
Environmental
Health (noise, dust, fumes)
Improve Safety
Positive Recognition
Housekeeping
Completion Date:
Check steering for proper operation.
Environmental
Health (noise, dust, fumes)
Improve Safety
Positive Recognition
Housekeeping
Completion Date:
Check seatbelt condition and date of installation.
Environmental
Health (noise, dust, fumes)
Improve Safety
Positive Recognition
Housekeeping
Completion Date:
Housekeeping
Environmental
Health (noise, dust, fumes)
Improve Safety
Positive Recognition
Housekeeping
Completion Date:
Check pre-shift inspection. Verify operator has it filled out properly.
Environmental
Health (noise, dust, fumes)
Improve Safety
Positive Recognition
Housekeeping
Completion Date:
Verify the by-pass valve on the power step ladder works properly.
Environmental
Health (noise, dust, fumes)
Improve Safety
Positive Recognition
Housekeeping
Completion Date:
Auditor(s) Signature
Sign
Revision 1.0 iCloud posted document is the controlled copy. 07/02/13
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.
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You should independently determine whether the template is suitable for your circumstances.
