Mobile plant pre mobilisation inspection

• Site

• Manufacturer

• Vehicle Photo

  Media

• Type of machine (excavator / Elevated work platform)

• Model

• Year Make

• Identification

• Owner

• Conducted on

  Date

• Conducted By

• Location
  Address

• Personnel

Registration

• Registration/ machine No

  Yes

  No

  N/A

• Plant regularly serviced and maintained (log book)

  Yes

  No

  N/A

• Date of last service

  Date

In Cab

• Prestart checklist available

  Yes

  No

  N/A

• Reversing beepers audible and engaged automatically

  Yes

  No

  N/A

• Flashing light operational and visible

  Yes

  No

  N/A

• Indicators, head lights, brake lights and reversing lights operational

  Yes

  No

  N/A

• Horn audible

  Yes

  No

  N/A

• Seat belts installed and in good condition

  Yes

  No

  N/A

• Roll over protection in place

  Yes

  No

  N/A

• Fixed UHF radio operational and works on site channels

  Yes

  No

  N/A

• Fire extinguisher mounted, fully charged and tag in date

  Yes

  No

  N/A

• Cab is clean, free from loose object

  Yes

  No

  N/A

• Cab glass is free from cracks and scratches that restrict operator view

  Yes

  No

  N/A

External check

• Machine tracks / wheels free from soil and vegetation ( clean from potential contamination)

  Yes

  No

  N/A

• Tyres / tracks in good condition

  Yes

  No

  N/A

• Rims free from cracks or damage and segments secured in place

  Yes

  No

  N/A

• Wheel nuts in place

  Yes

  No

  N/A

• Tracks in good condition and tensioned

  Yes

  No

  N/A

• Gauges are visible and legible

  Yes

  No

  N/A

• Hydraulic hoses in good condition and leak free

  Yes

  No

  N/A

• Mounting steps and ladders non-slip and in good condition

  Yes

  No

  N/A

• Handrails and grab rails in place and secured on platforms, ladders and steps

  Yes

  No

  N/A

• Safe Working Load displayed on lifting equipment

  Yes

  No

  N/A

• Load charts available (if required)

  Yes

  No

  N/A

Inspector comments:

• Comments:

• Inspector Signature

  Sign

• Action Plan

Actions

• Issue to be resolved

• Due date

  Date

• Assigned to