High Country Civil - Weekly Safety Check List

• Plant Number

• Is the asset due for a service

  Yes

  No

• Fire extinguished serviceable

  Yes

  No

• Week Beginning

  Date

DAILY CHECKS

• MONDAY

  Yes

  No

• Are all lights working

  Yes

  No

  N/A

• Has all fluid levels been checked and no leaks

  Yes

  No

  N/A

• Are all safety lights, alarms and arrow boards working

  Yes

  No

  N/A

• All gauges and controls operational

  Yes

  No

  N/A

• All Wheels, Tyres and Nuts in good order

  Yes

  No

  N/A

• Windscreen, Mirrors, Glass free of cracks

  Yes

  No

  N/A

• Steering Brakes and Clutch are in good working order

  Yes

  No

  N/A

• TUESDAY

  Yes

  No

• Are all lights working

  Yes

  No

  N/A

• Has all fluid levels been checked and no leaks

  Yes

  No

  N/A

• Are all safety lights, alarms and arrow boards working

  Yes

  No

  N/A

• All gauges and controls operational

  Yes

  No

  N/A

• All Wheels, Tyres and Nuts in good order

  Yes

  No

  N/A

• Windscreen, Mirrors, Glass free of cracks

  Yes

  No

  N/A

• Steering Brakes and Clutch are in good working order

  Yes

  No

  N/A

• WEDNESDAY

  Yes

  No

• Are all lights working

  Yes

  No

  N/A

• Has all fluid levels been checked and no leaks

  Yes

  No

  N/A

• Are all safety lights, alarms and arrow boards working

  Yes

  No

  N/A

• All gauges and controls operational

  Yes

  No

  N/A

• All Wheels, Tyres and Nuts in good order

  Yes

  No

  N/A

• Windscreen, Mirrors, Glass free of cracks

  Yes

  No

  N/A

• Steering Brakes and Clutch are in good working order

  Yes

  No

  N/A

• THURSDAY

  Yes

  No

• Are all lights working

  Yes

  No

  N/A

• Has all fluid levels been checked and no leaks

  Yes

  No

  N/A

• Are all safety lights, alarms and arrow boards working

  Yes

  No

  N/A

• All gauges and controls operational

  Yes

  No

  N/A

• All Wheels, Tyres and Nuts in good order

  Yes

  No

  N/A

• Windscreen, Mirrors, Glass free of cracks

  Yes

  No

  N/A

• Steering Brakes and Clutch are in good working order

  Yes

  No

  N/A

• FRIDAY

  Yes

  No

• Are all lights working

  Yes

  No

  N/A

• Has all fluid levels been checked and no leaks

  Yes

  No

  N/A

• Are all safety lights, alarms and arrow boards working

  Yes

  No

  N/A

• All gauges and controls operational

  Yes

  No

  N/A

• All Wheels, Tyres and Nuts in good order

  Yes

  No

  N/A

• Windscreen, Mirrors, Glass free of cracks

  Yes

  No

  N/A

• Steering Brakes and Clutch are in good working order

  Yes

  No

  N/A

SIGNATURES

• Kilometres/Hours at end of the week is;

• List of faults or service requirements needed

• Contact Name and Number for repairs and service

• Signature of Operator

  Sign