Light Vehicle Pre-Start

• Conducted on

  Date

• Prepared by

  Shane Higgins

  Pat Richards

  Grant Hine

  Guest/visitor
• Location
  Address

• Machine ID

  Holden Colorado . WRA 504

  Hire Vehicle

  Other company vehicle

• Odometer Reading

Pre-start Checks (ensure your vehicle is Isolated and Locked Out)

• Check if sufficient fuel for the day?

  Yes

  No

  N/A

• Coolant level

  Safe

  At Risk

  N/A

• Check Engine Oil Level

  Safe

  At Risk

  N/A

• Check for any Oil/Water Leaks

  Pass

  Fail

  N/A

• Check Battery Condition and Terminals

  Good

  Fair

  Poor

  N/A

• Remove or Tie Down Loose Item in Tray

  Safe

  At Risk

  N/A

• Check Tray, Body Work, Drop Sides

  Good

  Fair

  Poor

  N/A

• Check Tyres, Tyre inflation, studs and Wheel Nuts and spare tyre.

  Good

  Fair

  Poor

  N/A

• Check Fan Belts and Tensions

  Pass

  Fail

  N/A

• Check Fire Extinguisher

  Safe

  At Risk

  N/A

• Check 2-Way Radio Operation

  Pass

  Fail

  N/A

• Check First Aid Kit is in Vehicle

  Yes

  No

  N/A

• Is the Vehicle on a Mine Site?

  Yes

  No

  N/A

• Is your Beacon Working?

  Yes

  No

  N/A

• Do you have a Pit/Whip Flag?

  Yes

  No

  N/A

• Is there reflective tape on vehicle in good condition?

  Yes

  No

  N/A

• Do you have wheel chocks available?

  Yes

  No

  N/A

• Do you have a minimum of 5 litres of fresh drinking water per person on board?

  Yes

  No

  N/A

• Tyre changing gear/Tools/Triangles?

  Yes

  No

  N/A

• Check Operation of Seat Belts

  Pass

  Fail

  N/A

• Check Cargo Barrier (if applicable)

  Pass

  Fail

  N/A

• Is there a trailer mounted?

  Yes

  No

  N/A

• Is it attached properly with chains, rated shackles?

  Yes

  No

  N/A

• Do all the Lights work?

  Yes

  No

  N/A

• Do the trailer brakes work?

  Yes

  No

  N/A

• General Condition of Use (inside and outside)

  Good

  Fair

  Poor

  N/A

Test Operation of:

• Foot Brakes

  Good

  Fair

  Poor

  N/A

• Park Brakes

  Good

  Fair

  Poor

  N/A

• Horn and Gauges

  Pass

  Fail

  N/A

• All Lights/Indicators

  Pass

  Fail

  N/A

• Steering Feel

  Good

  Fair

  Poor

  N/A

Inspect and Clean

• Windscreen (inside and outside)

  Pass

  Fail

  N/A

• All Mirrors and Windows

  Pass

  Fail

  N/A

• Add signature

  Sign