Mobile Plant Checklist - Appendix 3

• Site conducted

  Select

• Conducted on

  Date

• Prepared by

• Location
  Address

• Vehicle type:

• Vehicle ID:

Cabin

• Horn sounds

  Yes

  No

  N/A

• VOR truck and complete a defect notification form, hand to supervisor

  Yes

  No

  N/A

• Windows clean

  Yes

  No

  N/A

• Clean windows prior to commencing work

  Yes

  No

  N/A

• Gauges working

  Yes

  No

  N/A

• Detail the problem

• Seat condition

  Yes

  No

  N/A

• Backrest extension ok/working?

  Yes

  No

  N/A

• Detail the issue

• Operating position ok?

  Yes

  No

  N/A

• Detail the issue

Exterior

• Head lights working

  Yes

  No

  N/A

• Carriage plate visable

  Yes

  No

  N/A

• Tail lights working

  Yes

  No

  N/A

• Warning beacon working

  Yes

  No

  N/A

• External condition

  Good

  Fair

  Poor

  N/A

• Wheel & Tyre condition

  Good

  Fair

  Poor

  N/A

Lifting attachments

• Rated Capacity/SWL plate in place

  Yes

  No

  N/A

• Fork Arms in good condition

  Yes

  No

  N/A

• Mast free from damage

  Yes

  No

  N/A

• Mast rollers/slides in good condition

  Yes

  No

  N/A

• Lifting chains in good condition

  Yes

  No

  N/A

• Chain Pulleys in good condition

  Yes

  No

  N/A

• Hydraulics all working

  Yes

  No

  N/A

Under Bonnet

• Water Levels are correct

  Yes

  No

  N/A

• Battery/ies appear in good condition

  Yes

  No

  N/A

• Battery leads are in good condition

  Yes

  No

  N/A

• Fluid levels are adequate

  Yes

  No

  N/A

• Engine Mounts are in good condition

  Yes

  No

  N/A

Start up

• Foot brake check, all working

  Yes

  No

  N/A

• Dead mans pedal working

  Yes

  No

  N/A

• Steering check, all in good condition

  Yes

  No

  N/A

• Fuel level/charge is adequate

  Yes

  No

  N/A

• Reversing alarm is working

  Yes

  No

  N/A

• Cameras are working

  Yes

  No

  N/A

• Seat belt is functional

  Yes

  No

  N/A

• Starting procedure Electric

  Yes

  No

  N/A

• Starting procedure Gas

  Yes

  No

  N/A

• Starting procedure Engine

  Yes

  No

  N/A

Confirmation

• Is the plant safe for use?

  Yes

  No

  N/A

• VOR the vehicle immediately and complete the defect notification report, hand this into your line manager asap.

  Yes

  No

  N/A

• Operators Name:

• Operators Signature:

  Sign