Title Page
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Site conducted
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Conducted on
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Prepared by
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Location
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Excavator Type
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Plant Number
Monday
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1. Check Fuel Oil Level if less than ¼ of a tank inform supervisor
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2. Check Engine Oil Level
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3. Check Hydraulic Oil Level
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4. Check Radiator Level
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5. Check Tyres and Wheel / Tracks
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6. Check Bucket Pins & Linkage
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7. Check Lights, Audible Reversing Warning and indicators
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8. Check mirrors are clean and in good condition
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9. Check Hydraulic Hoses
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10. Check all Fixings, Guards/ Hand Rails
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11. Check all Rams, Pins & Steering Rods
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12. Check AFB and Horn
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13. Check Seat & Seat Belt operation
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14. Check operation of Control Switches and Levers
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15. Check Orange/Green Beacons working
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16. Check Camera is fully operational
17. Check Height Restrictor is Working
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18. Check Slew Restrictor is Working
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19. Permit to Break Ground checked and in date
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20. Permit to Lift checked and in date
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21. Overhead Permit checked and in date
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22. Check no blockages in pedals (brakes)
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Comments / Defects:
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Name (print): Signature:
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Date:
Tuesday
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1. Check Fuel Oil Level if less than ¼ of a tank inform supervisor
-
2. Check Engine Oil Level
-
3. Check Hydraulic Oil Level
-
4. Check Radiator Level
-
5. Check Tyres and Wheel / Tracks
-
6. Check Bucket Pins & Linkage
-
7. Check Lights, Audible Reversing Warning and indicators
-
8. Check mirrors are clean and in good condition
-
9. Check Hydraulic Hoses
-
10. Check all Fixings, Guards/ Hand Rails
-
11. Check all Rams, Pins & Steering Rods
-
12. Check AFB and Horn
-
13. Check Seat & Seat Belt operation
-
14. Check operation of Control Switches and Levers
-
15. Check Orange/Green Beacons working
-
16. Check Camera is fully operational
17. Check Height Restrictor is Working
-
18. Check Slew Restrictor is Working
-
19. Permit to Break Ground checked and in date
-
20. Permit to Lift checked and in date
-
21. Overhead Permit checked and in date
-
22. Check no blockages in pedals (brakes)
-
Comments / Defects:
-
Name (print): Signature:
-
Date:
Wednesday
-
1. Check Fuel Oil Level if less than ¼ of a tank inform supervisor
-
2. Check Engine Oil Level
-
3. Check Hydraulic Oil Level
-
4. Check Radiator Level
-
5. Check Tyres and Wheel / Tracks
-
6. Check Bucket Pins & Linkage
-
7. Check Lights, Audible Reversing Warning and indicators
-
8. Check mirrors are clean and in good condition
-
9. Check Hydraulic Hoses
-
10. Check all Fixings, Guards/ Hand Rails
-
11. Check all Rams, Pins & Steering Rods
-
12. Check AFB and Horn
-
13. Check Seat & Seat Belt operation
-
14. Check operation of Control Switches and Levers
-
15. Check Orange/Green Beacons working
-
16. Check Camera is fully operational
17. Check Height Restrictor is Working
-
18. Check Slew Restrictor is Working
-
19. Permit to Break Ground checked and in date
-
20. Permit to Lift checked and in date
-
21. Overhead Permit checked and in date
-
22. Check no blockages in pedals (brakes)
-
Comments / Defects:
-
Name (print): Signature:
-
Date:
Thursday
-
1. Check Fuel Oil Level if less than ¼ of a tank inform supervisor
-
2. Check Engine Oil Level
-
3. Check Hydraulic Oil Level
-
4. Check Radiator Level
-
5. Check Tyres and Wheel / Tracks
-
6. Check Bucket Pins & Linkage
-
7. Check Lights, Audible Reversing Warning and indicators
-
8. Check mirrors are clean and in good condition
-
9. Check Hydraulic Hoses
-
10. Check all Fixings, Guards/ Hand Rails
-
11. Check all Rams, Pins & Steering Rods
-
12. Check AFB and Horn
-
13. Check Seat & Seat Belt operation
-
14. Check operation of Control Switches and Levers
-
15. Check Orange/Green Beacons working
-
16. Check Camera is fully operational
17. Check Height Restrictor is Working
-
18. Check Slew Restrictor is Working
-
19. Permit to Break Ground checked and in date
-
20. Permit to Lift checked and in date
-
21. Overhead Permit checked and in date
-
22. Check no blockages in pedals (brakes)
-
Comments / Defects:
-
Name (print): Signature:
-
Date:
Friday
-
1. Check Fuel Oil Level if less than ¼ of a tank inform supervisor
-
2. Check Engine Oil Level
-
3. Check Hydraulic Oil Level
-
4. Check Radiator Level
-
5. Check Tyres and Wheel / Tracks
-
6. Check Bucket Pins & Linkage
-
7. Check Lights, Audible Reversing Warning and indicators
-
8. Check mirrors are clean and in good condition
-
9. Check Hydraulic Hoses
-
10. Check all Fixings, Guards/ Hand Rails
-
11. Check all Rams, Pins & Steering Rods
-
12. Check AFB and Horn
-
13. Check Seat & Seat Belt operation
-
14. Check operation of Control Switches and Levers
-
15. Check Orange/Green Beacons working
-
16. Check Camera is fully operational
17. Check Height Restrictor is Working
-
18. Check Slew Restrictor is Working
-
19. Permit to Break Ground checked and in date
-
20. Permit to Lift checked and in date
-
21. Overhead Permit checked and in date
-
22. Check no blockages in pedals (brakes)
-
Comments / Defects:
-
Name (print): Signature:
-
Date:
Saturday
-
1. Check Fuel Oil Level if less than ¼ of a tank inform supervisor
-
2. Check Engine Oil Level
-
3. Check Hydraulic Oil Level
-
4. Check Radiator Level
-
5. Check Tyres and Wheel / Tracks
-
6. Check Bucket Pins & Linkage
-
7. Check Lights, Audible Reversing Warning and indicators
-
8. Check mirrors are clean and in good condition
-
9. Check Hydraulic Hoses
-
10. Check all Fixings, Guards/ Hand Rails
-
11. Check all Rams, Pins & Steering Rods
-
12. Check AFB and Horn
-
13. Check Seat & Seat Belt operation
-
14. Check operation of Control Switches and Levers
-
15. Check Orange/Green Beacons working
-
16. Check Camera is fully operational
17. Check Height Restrictor is Working
-
18. Check Slew Restrictor is Working
-
19. Permit to Break Ground checked and in date
-
20. Permit to Lift checked and in date
-
21. Overhead Permit checked and in date
-
22. Check no blockages in pedals (brakes)
-
Comments / Defects:
-
Name (print): Signature:
-
Date:
Sunday
-
1. Check Fuel Oil Level if less than ¼ of a tank inform supervisor
-
2. Check Engine Oil Level
-
3. Check Hydraulic Oil Level
-
4. Check Radiator Level
-
5. Check Tyres and Wheel / Tracks
-
6. Check Bucket Pins & Linkage
-
7. Check Lights, Audible Reversing Warning and indicators
-
8. Check mirrors are clean and in good condition
-
9. Check Hydraulic Hoses
-
10. Check all Fixings, Guards/ Hand Rails
-
11. Check all Rams, Pins & Steering Rods
-
12. Check AFB and Horn
-
13. Check Seat & Seat Belt operation
-
14. Check operation of Control Switches and Levers
-
15. Check Orange/Green Beacons working
-
16. Check Camera is fully operational
17. Check Height Restrictor is Working
-
18. Check Slew Restrictor is Working
-
19. Permit to Break Ground checked and in date
-
20. Permit to Lift checked and in date
-
21. Overhead Permit checked and in date
-
22. Check no blockages in pedals (brakes)
-
Comments / Defects:
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Name (print): Signature:
-
Date: