Title Page

  • Unit Number

  • Date

  • Shift

  • Odometer Reading

A - Critical Defects (Vehicle must not be operated, Notify Supervisor)


  • Turn Signals

  • Stop / Tail Lights

  • Head Lights

  • Amber Flashing Light

Safety Equipment

  • Warning Triangles

  • Fire Extinguisher

  • First Aid Kit


  • Horn

  • Service Brake

  • Park Brake

  • Body Damage

  • Tyre/Rim Condition

  • Engine Collant

  • Major Fluid Leaks

  • Wheel Nuts

  • Engine Oil

Mine Site Specifications

  • Compliance Paperwork (Glovebox)


  • Flag

  • Mine Radio

  • Compliance Sticker in Date

B - Conditional Defects (Vehicle may be operated, report defects to supervisor)

  • Fuel level

  • Minor Fluid Leaks

  • Wiper / Washer

  • Glass

  • Cabin clean

  • ID Numbers

  • Fitted Items (Ladder rack, crane, canopy)

  • Air conditioner

  • Load Secured

  • Tow Hitch (hitch pin, safety locking pin)

C - Other Defects

  • Are there any other defects?


  • I certify that I have correctly completed the operational pre start as required and submitted a copy of the defect checklist

  • Name

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.