Page 1: Initial questions
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Conducted on
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Prepared by
Page 2: Main checklist
LEAKS
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ARE THERE ANY FLUID LEAKS OR SPILLS UNDER THE VEHICLE?
TYRES
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ARE THEY IN GOOD CONDITION?
MIRRORS AND WINDOWS
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ARE THEY CLEAN, TIGHT AND SECURE?
OVERALL EXTERIOR VEHICLE APPEARANCE
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DAMAGE, SCRATCHES OR DENTS
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VEHICLE WASHED
LIGHTS - CHECKED & WORKING
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HEAD LIGHTS
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HIGH BEAM
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PARKERS
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INDICATORS
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HAZARDS LIGHT FUNCTION
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EMERGENCE RESPONSE LIGHTS (RED & BLUE)
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BRAKE
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REVERSE
FUEL
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IS FUEL LEVEL 3/4 OR ABOVE?
POWER TAKE-OFF (PTO)
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PTO ENGAGED - RUN FOR A MINIMUM 10 MINS
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DOES THE LIGHT MAST EXTEND TO MAX HEIGHT AND ALL LIGHTS FUNCTION?
CABIN AND STOWAGE
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IS THE CABIN CLEAN WITH ALL ITEMS SECURE?
MOBILE PHONE
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FULLY CHARGED BATTERY
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CALL OUT CHECK
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RECEIVE CALL CHECK
TORCHES
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TEST - TURNS ON/OFF
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BATTERIES CHECKED?
4 X MOTOROLA PORTABLES AND SPARE BATTERIES 3/4 MINIMUM.
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RADIO 1 CHECK - TRANSMIT & RECEIVE
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RADIO 2 CHECK - TRANSMIT & RECEIVE
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RADIO 3 CHECK - TRANSMIT & RECEIVE
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RADIO 4 CHECK - TRANSMIT & RECEIVE
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4 X SPARE BATTERIES CHARGED
BA SET 1
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NAME OF PERSON(S) TESTING BA
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BA SET NUMBER
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CYLINDER PRESSURE (bar)
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BATTERY CHECK DONE
BA SET 2
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NAME OF PERSON(S) TESTING BA
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BA SET NUMBER
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CYLINDER PRESSURE (bar)
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BATTERY CHECK DONE
FIRST AID KIT
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RED TAG ATTACHED?
DEFIBRILLATOR
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IS THE LIGHT FLASHING GREEN?
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PADS IN DATE?
OXYGEN KIT
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PRESSURE (kPa)
THERMAL IMAGING CAMERA
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CLEAN AND IN GOOD CONDITION?
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SPARE BATTERY CHARGED?
EQUIPMENT BATTERIES
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LIGHT BATTERIES CHARGED
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TOOL BATTERIES CHARGED
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SPARE BATTERIES CHARGED
HYDRATION AND RATION PACKS
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BOTTLED WATER - MINIMUM 10 BOTTLES
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ELECTROLYTES
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RATION PACKS - MINIMUM OF 4 AND IN DATE