Plant / Truck



Truck hours

Aux Eng. Hours

Work Required

What type of work is required

Type of work

Work preformed

Type of work

Certification By A Responsible Person

I certify that the described plant is to the manufacturer's specifications and is being serviced and maintained by competent personnel to the manufacturer's recommendations.

Sign Off
Parts Used

Qty / Parts Used

Please note that this checklist is a hypothetical example and provides basic information only. It is not intended to take the place of, among other things, workplace, health and safety advice; medical advice, diagnosis, or treatment; or other applicable laws. You should also seek your own professional advice to determine if the use of such checklist is permissible in your workplace or jurisdiction.