Infrastruct Contracting Daily Pre Start Inspection Record

• Audit Title

• Document No.

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

• Plant

  EWP TRUCK

  TIIPPER TRUCK

  CHIPPER

  SERVICE VEHICLE

• Vehicle / Plant been Inspected

  Media

• Plant registration

  Yes

  No

  N/A

• Inspection Date/Time

  Date

• Vehicle odometer reading at Inspection

  Yes

  No

  N/A

• Plant Hours at Inspection

  Yes

  No

  N/A

General physical

Visual

• Engine Oil Leaks

  Yes

  No

  N/A

• Coolant leaks

  Yes

  No

  N/A

• Steering leaks

  Yes

  No

  N/A

• Air leaks

  Yes

  No

  N/A

• Hydraulic Leaks

  Yes

  No

  N/A

• Vehicle body in good condition

  Yes

  No

  N/A

• Windscreen in good condition

  Yes

  No

  N/A

• Mirrors in good condition

  Yes

  No

  N/A

• Seats in good condition

  Yes

  No

  N/A

Mechanical

• Vehicle serviced according to schedule

  Yes

  No

  N/A

• Engine in good working condition

  Yes

  No

  N/A

• Wipers operational

  Yes

  No

  N/A

• Check washer fluid level

  Yes

  No

  N/A

• Check clutch fluid level

  Yes

  No

  N/A

• Check brake fluid level

  Yes

  No

  N/A

• Check Oil level

  Yes

  No

  N/A

• Check Water Level

  Yes

  No

  N/A

• Tow hitch and chains in good condition

  Yes

  No

  N/A

• Seatbelts in good working order

  Yes

  No

  N/A

• Steering in good condition

  Yes

  No

  N/A

• Exhaust Brake operational

  Yes

  No

  N/A

• PTO in good working order

  Yes

  No

  N/A

• Parking Brake Operational

  Yes

  No

  N/A

• Brakes in good working order

  Yes

  No

  N/A

• Tires in good condition

  Yes

  No

  N/A

Electrical

• License plate light operational

  Yes

  No

  N/A

• Reverse lights operational

  Yes

  No

  N/A

• Trailer Wiring / Plug in good condition

  Yes

  No

  N/A

• Headlights operational

  Yes

  No

  N/A

• Park lights operational

  Yes

  No

  N/A

• Turn signals operational

  Yes

  No

  N/A

• Instrument cluster operational

  Yes

  No

  N/A

• ignition barrel in good working condition

  Yes

  No

  N/A

• Brake lights operational

  Yes

  No

  N/A

• Flasher Lights / Beacons operational

  Yes

  No

  N/A

• Dash lights operational

  Yes

  No

  N/A

• Horn Operational

  Yes

  No

  N/A

• Reversing alarm

  Yes

  No

  N/A

• Truck bed and cab clean and organized

  Yes

  No

  N/A

EWP (ewp inspection only)

• Boom tie down strap

  Yes

  No

  N/A

• Earth Spike

  Yes

  No

  N/A

• Bucket in good condition

  Yes

  No

  N/A

• Out riggers operational

  Yes

  No

  N/A

• Bolts tight and in good condition

  Yes

  No

  N/A

• All covers and shields in good condition and in place

  Yes

  No

  N/A

• Welds in good condition

  Yes

  No

  N/A

• Stabilizer boards

  Yes

  No

  N/A

• Hydraulic leaks

  Yes

  No

  N/A

• Upper and lower controls in good working condition

  Yes

  No

  N/A

CHIPPER (chipper inspection only)

• Trailer Wiring in Good condition

  Yes

  No

  N/A

• Hitch point in good condition

  Yes

  No

  N/A

• Feed roller in good condition

  Yes

  No

  N/A

• Hydraulic Jack operational

  Yes

  No

  N/A

• Winch in good condition

  Yes

  No

  N/A

• Blades in good condition

  Yes

  No

  N/A

• Emergency Brake away operational

  Yes

  No

  N/A

Documentation

• Hazard and risk assessment Accesible and up to date

  Yes

  No

  N/A

• SWMS Accessible and up to date

  Yes

  No

  N/A

• Employee qualifications

  Yes

  No

  N/A

• Operation manuals

  Yes

  No

  N/A

• MSDS book intact and inventory list is up to date

  Yes

  No

  N/A

• All chemicals properly labeled

  Yes

  No

  N/A

Personal Protective Equipment (PPE)

• Safety glasses & goggles used and in good condition

  Yes

  No

  N/A

• Harness and Lanyard in good condition

  Yes

  No

  N/A

• Gloves used and in good condition

  Yes

  No

  N/A

• Helmet used and in good condition

  Yes

  No

  N/A

• Chaps used and in good condition

  Yes

  No

  N/A

• Hearing protection available and in good condition

  Yes

  No

  N/A

Safety Items

• Fire extinguisher charged and in date

  Yes

  No

  N/A

• Spill kit complete

  Yes

  No

  N/A

• Bio Kit complete

  Yes

  No

  N/A

• First aid kit stocked and up to date

  Yes

  No

  N/A

• Eye wash bottles easily accessible and up to date

  Yes

  No

  N/A

• Traffic signs

  Yes

  No

  N/A

• Hazard cones available and in good condition

  Yes

  No

  N/A

List any faults found

• List faults found here.

List corrective action required

• List corrective actions here.

Sigatures

• Safety Inspection Completed By

  Sign

• Supervisor

  Sign