Page 1: Initial questions

  • Conducted on

  • Prepared by

Page 2: Main checklist

LEAKS

  • ARE THERE ANY FLUID LEAKS OR SPILLS UNDER THE VEHICLE?

TYRES

  • ARE THEY IN GOOD CONDITION?

MIRRORS AND WINDOWS

  • ARE THEY CLEAN, TIGHT AND SECURE?

OVERALL EXTERIOR VEHICLE APPEARANCE

  • DAMAGE, SCRATCHES OR DENTS

  • VEHICLE WASHED

LIGHTS - CHECKED & WORKING

  • HEAD LIGHTS

  • HIGH BEAM

  • PARKERS

  • INDICATORS

  • HAZARDS LIGHT FUNCTION

  • EMERGENCE RESPONSE LIGHTS (RED & BLUE)

  • BRAKE

  • REVERSE

FUEL

  • IS FUEL LEVEL 3/4 OR ABOVE?

POWER TAKE-OFF (PTO)

  • PTO ENGAGED - RUN FOR A MINIMUM 10 MINS

  • DOES THE LIGHT MAST EXTEND TO MAX HEIGHT AND ALL LIGHTS FUNCTION?

CABIN AND STOWAGE

  • IS THE CABIN CLEAN WITH ALL ITEMS SECURE?

MOBILE PHONE

  • FULLY CHARGED BATTERY

  • CALL OUT CHECK

  • RECEIVE CALL CHECK

TORCHES

  • TEST - TURNS ON/OFF

  • BATTERIES CHECKED?

4 X MOTOROLA PORTABLES AND SPARE BATTERIES 3/4 MINIMUM.

  • RADIO 1 CHECK - TRANSMIT & RECEIVE

  • RADIO 2 CHECK - TRANSMIT & RECEIVE

  • RADIO 3 CHECK - TRANSMIT & RECEIVE

  • RADIO 4 CHECK - TRANSMIT & RECEIVE

  • 4 X SPARE BATTERIES CHARGED

BA SET 1

  • NAME OF PERSON(S) TESTING BA

  • BA SET NUMBER

  • CYLINDER PRESSURE (bar)

  • BATTERY CHECK DONE

BA SET 2

  • NAME OF PERSON(S) TESTING BA

  • BA SET NUMBER

  • CYLINDER PRESSURE (bar)

  • BATTERY CHECK DONE

FIRST AID KIT

  • RED TAG ATTACHED?

DEFIBRILLATOR

  • IS THE LIGHT FLASHING GREEN?

  • PADS IN DATE?

OXYGEN KIT

  • PRESSURE (kPa)

THERMAL IMAGING CAMERA

  • CLEAN AND IN GOOD CONDITION?

  • SPARE BATTERY CHARGED?

EQUIPMENT BATTERIES

  • LIGHT BATTERIES CHARGED

  • TOOL BATTERIES CHARGED

  • SPARE BATTERIES CHARGED

HYDRATION AND RATION PACKS

  • BOTTLED WATER - MINIMUM 10 BOTTLES

  • ELECTROLYTES

  • RATION PACKS - MINIMUM OF 4 AND IN DATE

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