HSF6.6-0 Vehicle and Mounted Platform Pre-use Checklist - duplicate

• Branch / Location
  Address

• Inspected by

• Registration Number

• Inspected on

  Date

• Operators Name

• Operators Payroll Number

• Operators IPAF no

• IPAF Expiry Date

  Date

• Start Mileage

• Finish Mileage

Issue Information

• This record is compliant with the requirements of HSF6.6 issue 0. This is electronic issue 1.1 issued on 19/07/2016

VEHICLE PRE-USE CHECKS

• Battery Level / Fuel Level Satisfactory?

  Yes

  No

  NA

• Please select the sub standard condition:

  A - To be withdrawn from service immediately

  B - To be attended before continuing in service

  C - To be attended at next routine service

• Please ensure that the vehicle is secured to prevent use and that your manager / vehicle coordinator is aware the defect/s

• Please provide any comments:

• Please ensure that your manager / vehicle coordinator is aware the defect/s and that they need attention at the next service.

• Please provide any comments:

• Please correct the issue before continuing.
  

• I confirm that the defect has been cleared.

• Please provide any comments:

• Engine Oil Level Satisfactory?

  Yes

  No

  NA

• Please select the sub standard condition:

  A - To be withdrawn from service immediately

  B - To be attended before continuing in service

  C - To be attended at next routine service

• Please ensure that the vehicle is secured to prevent use and that your manager / vehicle coordinator is aware the defect/s

• Please provide any comments:

• Please ensure that your manager / vehicle coordinator is aware the defect/s and that they need attention at the next service.

• Please provide any comments:

• Please correct the issue before continuing.
  

• I confirm that the defect has been cleared.

• Please provide any comments:

• Windscreen Wipers/Washers & Fluid Satisfactory?

  Yes

  No

  NA

• Please select the sub standard condition:

  A - To be withdrawn from service immediately

  B - To be attended before continuing in service

  C - To be attended at next routine service

• Please ensure that the vehicle is secured to prevent use and that your manager / vehicle coordinator is aware the defect/s

• Please provide any comments:

• Please ensure that your manager / vehicle coordinator is aware the defect/s and that they need attention at the next service.

• Please provide any comments:

• Please correct the issue before continuing.
  

• I confirm that the defect has been cleared.

• Please provide any comments:

• Foot Brake/Parking Brake & Brake Fluid Satisfactory?

  Yes

  No

  NA

• Please select the sub standard condition:

  A - To be withdrawn from service immediately

  B - To be attended before continuing in service

  C - To be attended at next routine service

• Please ensure that the vehicle is secured to prevent use and that your manager / vehicle coordinator is aware the defect/s

• Please provide any comments:

• Please ensure that your manager / vehicle coordinator is aware the defect/s and that they need attention at the next service.

• Please provide any comments:

• Please correct the issue before continuing.
  

• I confirm that the defect has been cleared.

• Please provide any comments:

• Tyre's & Tyre Pressure Satisfactory?

  Yes

  No

  NA

• Please select the sub standard condition:

  A - To be withdrawn from service immediately

  B - To be attended before continuing in service

  C - To be attended at next routine service

• Please ensure that the vehicle is secured to prevent use and that your manager / vehicle coordinator is aware the defect/s

• Please provide any comments:

• Please ensure that your manager / vehicle coordinator is aware the defect/s and that they need attention at the next service.

• Please provide any comments:

• Please correct the issue before continuing.
  

• I confirm that the defect has been cleared.

• Please provide any comments:

• Radiator Coolant Level Satisfactory?

  Yes

  No

  NA

• Please select the sub standard condition:

  A - To be withdrawn from service immediately

  B - To be attended before continuing in service

  C - To be attended at next routine service

• Please ensure that the vehicle is secured to prevent use and that your manager / vehicle coordinator is aware the defect/s

• Please provide any comments:

• Please ensure that your manager / vehicle coordinator is aware the defect/s and that they need attention at the next service.

• Please provide any comments:

• Please correct the issue before continuing.
  

• I confirm that the defect has been cleared.

• Please provide any comments:

• Steering Controls/Power Steering Fluid Satisfactory?

  Yes

  No

  NA

• Please select the sub standard condition:

  A - To be withdrawn from service immediately

  B - To be attended before continuing in service

  C - To be attended at next routine service

• Please ensure that the vehicle is secured to prevent use and that your manager / vehicle coordinator is aware the defect/s

• Please provide any comments:

• Please ensure that your manager / vehicle coordinator is aware the defect/s and that they need attention at the next service.

• Please provide any comments:

• Please correct the issue before continuing.
  

• I confirm that the defect has been cleared.

• Please provide any comments:

• Horn/Warning Device Operating Correctly?

  Yes

  No

  NA

• Please select the sub standard condition:

  A - To be withdrawn from service immediately

  B - To be attended before continuing in service

  C - To be attended at next routine service

• Please ensure that the vehicle is secured to prevent use and that your manager / vehicle coordinator is aware the defect/s

• Please provide any comments:

• Please ensure that your manager / vehicle coordinator is aware the defect/s and that they need attention at the next service.

• Please provide any comments:

• Please correct the issue before continuing.
  

• I confirm that the defect has been cleared.

• Please provide any comments:

• All Lights including Hazard Beacons Operating Correctly?

  Yes

  No

  NA

• Please select the sub standard condition:

  A - To be withdrawn from service immediately

  B - To be attended before continuing in service

  C - To be attended at next routine service

• Please ensure that the vehicle is secured to prevent use and that your manager / vehicle coordinator is aware the defect/s

• Please provide any comments:

• Please ensure that your manager / vehicle coordinator is aware the defect/s and that they need attention at the next service.

• Please provide any comments:

• Please correct the issue before continuing.
  

• I confirm that the defect has been cleared.

• Please provide any comments:

• Are All Objects Secured?

  Yes

  No

  NA

• Please select the sub standard condition:

  A - To be withdrawn from service immediately

  B - To be attended before continuing in service

  C - To be attended at next routine service

• Please ensure that the vehicle is secured to prevent use and that your manager / vehicle coordinator is aware the defect/s

• Please provide any comments:

• Please ensure that your manager / vehicle coordinator is aware the defect/s and that they need attention at the next service.

• Please provide any comments:

• Please correct the issue before continuing.
  

• I confirm that the defect has been cleared.

• Please provide any comments:

• Vehicle Body Work/Damage

  Yes

  No

  NA

• Please select the sub standard condition:

  A - To be withdrawn from service immediately

  B - To be attended before continuing in service

  C - To be attended at next routine service

• Please ensure that the vehicle is secured to prevent use and that your manager / vehicle coordinator is aware the defect/s

• Please provide any comments:

• Please ensure that your manager / vehicle coordinator is aware the defect/s and that they need attention at the next service.

• Please provide any comments:

• Please correct the issue before continuing.
  

• I confirm that the defect has been cleared.

• Please provide any comments:

• Is There A Valid Inspection Certificate?

  Yes

  No

  NA

• Please select the sub standard condition:

  A - To be withdrawn from service immediately

  B - To be attended before continuing in service

  C - To be attended at next routine service

• Please ensure that the vehicle is secured to prevent use and that your manager / vehicle coordinator is aware the defect/s

• Please provide any comments:

• Please ensure that your manager / vehicle coordinator is aware the defect/s and that they need attention at the next service.

• Please provide any comments:

• Please correct the issue before continuing.
  

• I confirm that the defect has been cleared.

• Please provide any comments:

• Securing Bolts & Welds Satisfactory?

  Yes

  No

  NA

• Please select the sub standard condition:

  A - To be withdrawn from service immediately

  B - To be attended before continuing in service

  C - To be attended at next routine service

• Please ensure that the vehicle is secured to prevent use and that your manager / vehicle coordinator is aware the defect/s

• Please provide any comments:

• Please ensure that your manager / vehicle coordinator is aware the defect/s and that they need attention at the next service.

• Please provide any comments:

• Please correct the issue before continuing.
  

• I confirm that the defect has been cleared.

• Please provide any comments:

• Hydraulic Connections/Hoses Correct Without Damage?

  Yes

  No

  NA

• Please select the sub standard condition:

  A - To be withdrawn from service immediately

  B - To be attended before continuing in service

  C - To be attended at next routine service

• Please ensure that the vehicle is secured to prevent use and that your manager / vehicle coordinator is aware the defect/s

• Please provide any comments:

• Please ensure that your manager / vehicle coordinator is aware the defect/s and that they need attention at the next service.

• Please provide any comments:

• Please correct the issue before continuing.
  

• I confirm that the defect has been cleared.

• Please provide any comments:

• Any Oil Leaks apparent?

  YES

  No

  NA

• Please select the sub standard condition:

  A - To be withdrawn from service immediately

  B - To be attended before continuing in service

  C - To be attended at next routine service

• Please ensure that the vehicle is secured to prevent use and that your manager / vehicle coordinator is aware the defect/s

• Please provide any comments:

• Please ensure that your manager / vehicle coordinator is aware the defect/s and that they need attention at the next service.

• Please provide any comments:

• Please correct the issue before continuing.
  

• I confirm that the defect has been cleared.

• Please provide any comments:

• Spill kit present?

  Yes

  No

  NA

• Please select the sub standard condition:

  A - To be withdrawn from service immediately

  B - To be attended before continuing in service

  C - To be attended at next routine service

• Please ensure that the vehicle is secured to prevent use and that your manager / vehicle coordinator is aware the defect/s

• Please provide any comments:

• Please ensure that your manager / vehicle coordinator is aware the defect/s and that they need attention at the next service.

• Please provide any comments:

• Please correct the issue before continuing.
  

• I confirm that the defect has been cleared.

• Please provide any comments:

• Hydraulic Oil Levels Satisfactory?

  Yes

  No

  NA

• Please select the sub standard condition:

  A - To be withdrawn from service immediately

  B - To be attended before continuing in service

  C - To be attended at next routine service

• Please ensure that the vehicle is secured to prevent use and that your manager / vehicle coordinator is aware the defect/s

• Please provide any comments:

• Please ensure that your manager / vehicle coordinator is aware the defect/s and that they need attention at the next service.

• Please provide any comments:

• Please correct the issue before continuing.
  

• I confirm that the defect has been cleared.

• Please provide any comments:

• Levelling System Operating Correctly?

  Yes

  No

  NA

• Please select the sub standard condition:

  A - To be withdrawn from service immediately

  B - To be attended before continuing in service

  C - To be attended at next routine service

• Please ensure that the vehicle is secured to prevent use and that your manager / vehicle coordinator is aware the defect/s

• Please provide any comments:

• Please ensure that your manager / vehicle coordinator is aware the defect/s and that they need attention at the next service.

• Please provide any comments:

• Please correct the issue before continuing.
  

• I confirm that the defect has been cleared.

• Please provide any comments:

• Upper Control Panel Operating Correctly?

  Yes

  No

  NA

• Please select the sub standard condition:

  A - To be withdrawn from service immediately

  B - To be attended before continuing in service

  C - To be attended at next routine service

• Please ensure that the vehicle is secured to prevent use and that your manager / vehicle coordinator is aware the defect/s

• Please provide any comments:

• Please ensure that your manager / vehicle coordinator is aware the defect/s and that they need attention at the next service.

• Please provide any comments:

• Please correct the issue before continuing.
  

• I confirm that the defect has been cleared.

• Please provide any comments:

• Ground Control Console Operating Correctly?

  Yes

  No

  NA

• Please select the sub standard condition:

  A - To be withdrawn from service immediately

  B - To be attended before continuing in service

  C - To be attended at next routine service

• Please ensure that the vehicle is secured to prevent use and that your manager / vehicle coordinator is aware the defect/s

• Please provide any comments:

• Please ensure that your manager / vehicle coordinator is aware the defect/s and that they need attention at the next service.

• Please provide any comments:

• Please correct the issue before continuing.
  

• I confirm that the defect has been cleared.

• Please provide any comments:

• Cab Control Panels Operating Correctly?

  Yes

  No

  NA

• Please select the sub standard condition:

  A - To be withdrawn from service immediately

  B - To be attended before continuing in service

  C - To be attended at next routine service

• Please ensure that the vehicle is secured to prevent use and that your manager / vehicle coordinator is aware the defect/s

• Please provide any comments:

• Please ensure that your manager / vehicle coordinator is aware the defect/s and that they need attention at the next service.

• Please provide any comments:

• Please correct the issue before continuing.
  

• I confirm that the defect has been cleared.

• Please provide any comments:

• Remote (Hand Held) Lower Controls Operating Correctly?

  Yes

  No

  NA

• Please select the sub standard condition:

  A - To be withdrawn from service immediately

  B - To be attended before continuing in service

  C - To be attended at next routine service

• Please ensure that the vehicle is secured to prevent use and that your manager / vehicle coordinator is aware the defect/s

• Please provide any comments:

• Please ensure that your manager / vehicle coordinator is aware the defect/s and that they need attention at the next service.

• Please provide any comments:

• Please correct the issue before continuing.
  

• I confirm that the defect has been cleared.

• Please provide any comments:

• Control Selector Operating Correctly?

  Yes

  No

  NA

• Please select the sub standard condition:

  A - To be withdrawn from service immediately

  B - To be attended before continuing in service

  C - To be attended at next routine service

• Please ensure that the vehicle is secured to prevent use and that your manager / vehicle coordinator is aware the defect/s

• Please provide any comments:

• Please ensure that your manager / vehicle coordinator is aware the defect/s and that they need attention at the next service.

• Please provide any comments:

• Please correct the issue before continuing.
  

• I confirm that the defect has been cleared.

• Please provide any comments:

• Extended Reach Limitation Device Operating Correctly?

  Yes

  No

  NA

• Please select the sub standard condition:

  A - To be withdrawn from service immediately

  B - To be attended before continuing in service

  C - To be attended at next routine service

• Please ensure that the vehicle is secured to prevent use and that your manager / vehicle coordinator is aware the defect/s

• Please provide any comments:

• Please ensure that your manager / vehicle coordinator is aware the defect/s and that they need attention at the next service.

• Please provide any comments:

• Please correct the issue before continuing.
  

• I confirm that the defect has been cleared.

• Please provide any comments:

• Decals Satisfactory?

  Yes

  No

  NA

• Please select the sub standard condition:

  A - To be withdrawn from service immediately

  B - To be attended before continuing in service

  C - To be attended at next routine service

• Please ensure that the vehicle is secured to prevent use and that your manager / vehicle coordinator is aware the defect/s

• Please provide any comments:

• Please ensure that your manager / vehicle coordinator is aware the defect/s and that they need attention at the next service.

• Please provide any comments:

• Please correct the issue before continuing.
  

• I confirm that the defect has been cleared.

• Please provide any comments:

• First Aid Kit Present and Stocked?

  Yes

  No

  NA

• Please select the sub standard condition:

  A - To be withdrawn from service immediately

  B - To be attended before continuing in service

  C - To be attended at next routine service

• Please ensure that the vehicle is secured to prevent use and that your manager / vehicle coordinator is aware the defect/s

• Please provide any comments:

• Please ensure that your manager / vehicle coordinator is aware the defect/s and that they need attention at the next service.

• Please provide any comments:

• Please correct the issue before continuing.
  

• I confirm that the defect has been cleared.

• Please provide any comments:

• Harness Satisfactory?

  Yes

  No

  NA

• Please select the sub standard condition:

  A - To be withdrawn from service immediately

  B - To be attended before continuing in service

  C - To be attended at next routine service

• Please ensure that the vehicle is secured to prevent use and that your manager / vehicle coordinator is aware the defect/s

• Please provide any comments:

• Please ensure that your manager / vehicle coordinator is aware the defect/s and that they need attention at the next service.

• Please provide any comments:

• Please correct the issue before continuing.
  

• I confirm that the defect has been cleared.

• Please provide any comments:

• Road Barriers and Tape?

  Yes

  No

  NA

• Please select the sub standard condition:

  A - To be withdrawn from service immediately

  B - To be attended before continuing in service

  C - To be attended at next routine service

• Please ensure that the vehicle is secured to prevent use and that your manager / vehicle coordinator is aware the defect/s

• Please provide any comments:

• Please ensure that your manager / vehicle coordinator is aware the defect/s and that they need attention at the next service.

• Please provide any comments:

• Please correct the issue before continuing.
  

• I confirm that the defect has been cleared.

• Please provide any comments:

• Defects becoming apparent during normal service or obvious during any inspection should highlighted to manager at the time of discovery and attended as appropriate - this decision/action must not be delayed until next schedule service

Sign Out

• This is to confirm I have read & understand the conditions of use. I have received the Vehicle Keys & Fuel Card.
  All the checks as listed have been completed.
  

• Date / Time Signed Out

  Date

• Enter name of signee and then sign

  Sign

Sign In

• This is to confirm I have returned the Vehicle Keys & Fuel Card.
  All the checks as listed have been completed.
  

• Date / Time Signed In

  Date

• Enter name of signee and then sign

  Sign