Light Vehicle Prestart

• Document No.

• Vehicle Registration

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

Engine

• Is the vehicle serviced according to schedule?

  Yes

  No

  N/A

• Is the engine in good working condition?

  Yes

  No

  N/A

• Is the water level correct?

  Yes

  No

  N/A

• Is the oil level correct?

  Yes

  No

  N/A

• Is the vehicle free of leaks?

  Yes

  No

  N/A

• Is the windscreen washer fluid topped up?

  Yes

  No

  N/A

Tyres

• Are tyres at the correct pressure?

  Yes

  No

  N/A

• Are the tyres in good condition (including spare)?

  Yes

  No

  N/A

Vehicle Body and Parts

• Is there any new damage to the vehicle body?

  Yes

  No

  N/A

• Is the outside of the vehicle clean enough (hygiene)?

  Yes

  No

  N/A

• Are windows clean?

  Yes

  No

  N/A

• Are the windscreen wipers effective?

  Yes

  No

  N/A

• Is the interior of the vehicle clean?

  Yes

  No

  N/A

Safety Equipment

• Are fire extinguishers present and tagged/current?

  Yes

  No

  N/A

• Is the amber flashing beacon operational?

  Yes

  No

  N/A

• Is the first aid kit fully stocked?

  Yes

  No

  N/A

• Is the safety whip/flag present?

  Yes

  No

  N/A

• Is the reverse quacker operational?

  Yes

  No

  N/A

• Is the hand brake working efficiently?

  Yes

  No

  N/A

Lights

• Are the headlights working (high/low)?

  Yes

  No

  N/A

• Are the indicators working?

  Yes

  No

  N/A

• Are the reverse lights working?

  Yes

  No

  N/A

• Are the brake lights working?

  Yes

  No

  N/A

• Are the park lights working?

  Yes

  No

  N/A

• Are the tail lights working?

  Yes

  No

  N/A

• Are the hazard lights working?

  Yes

  No

  N/A

List any other action items that need to be corrected

• List any other action items that need to be corrected

Communication

• Two-way radios

• Alcoa radio

Vehicle Stocks

• Tape

• Metholated spirits

• Pick/Mattock

• Sample bags

• Cable ties

• Metal tags

• Cardboard tags

• Sample book

• Pen

• Hygeine signs

• Nails

Emergency Items

• Recovery strap

• Recovery tracks

• SPOT Satellite GPS Messenger

Signatures

• Employee 1

  Sign

• Employee 2 (if applicable)

  Sign

• Employee 3 (if applicable)

  Sign