Mobile Plant Pre-Start Inspection

• Audit Title

• Document No.

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

Plant Details

• Plant Owner

• Address

• Plant Number

• Plant Make & Model

• Serial No

• Plant hours

• Registration

• Date

  Date

• Plant Operators Signature

  Sign

Checks

• Water leak

  Safe

  At Risk

  N/A

• Engine oil leak

  Safe

  At Risk

  N/A

• Hydraulic oil leak

  Safe

  At Risk

  N/A

• Fuel leak

  Safe

  At Risk

  N/A

• Battery housing

  Safe

  At Risk

  N/A

• Pivot/wear

  Safe

  At Risk

  N/A

• Rams/leaks

  Safe

  At Risk

  N/A

• Hydraulic hoses

  Safe

  At Risk

  N/A

• Connections

  Safe

  At Risk

  N/A

• Non slip steps

  Safe

  At Risk

  N/A

• Access ladder

  Safe

  At Risk

  N/A

• Handrail

  Safe

  At Risk

  N/A

• Warning decals

  Safe

  At Risk

  N/A

• Seat belt/seat

  Safe

  At Risk

  N/A

• Horn

  Safe

  At Risk

  N/A

• Flashing light

  Safe

  At Risk

  N/A

• Motion/reverse alarm

  Safe

  At Risk

  N/A

• Instruments labelled

  Safe

  At Risk

  N/A

• Levers operational

  Safe

  At Risk

  N/A

• Gauges and warning alarms

  Safe

  At Risk

  N/A

• Pedals in good condition

  Safe

  At Risk

  N/A

• ROPS/FOPS

  Safe

  At Risk

  N/A

• Windows good condition

  Safe

  At Risk

  N/A

• Rear view mirror

  Safe

  At Risk

  N/A

• Fire extinguisher Class ABE

  Safe

  At Risk

  N/A

• Park/service brake

  Safe

  At Risk

  N/A

• Indicators/brake lights

  Safe

  At Risk

  N/A

• Work light/reverse light

  Safe

  At Risk

  N/A

• Steering

  Safe

  At Risk

  N/A

• Tyres

  Safe

  At Risk

  N/A

• Wheel nuts

  Safe

  At Risk

  N/A

• Tracks

  Safe

  At Risk

  N/A

• Guards in place

  Safe

  At Risk

  N/A

• Exhaust emissions

  Safe

  At Risk

  N/A

• Ground engaging tool

  Safe

  At Risk

  N/A

• Clean cabin

  Safe

  At Risk

  N/A

• UHF radio fitted

  Safe

  At Risk

  N/A

• SWL decals and chart

  Safe

  At Risk

  N/A

• Noise level ok

  Safe

  At Risk

  N/A

• Clean no soil/weeds attached

  Safe

  At Risk

  N/A

• Air conditioned

  Safe

  At Risk

  N/A

• Lock out switch

  Safe

  At Risk

  N/A

• Emergency stops

  Safe

  At Risk

  N/A

• Operators manual

  Safe

  At Risk

  N/A

• Pre start checklist

  Yes

  No

  N/A

• First aid kit

  Yes

  No

  N/A

• Reverse camera fitted

  Yes

  No

  N/A

• Quick hitch

  Yes

  No

  N/A

• Quick hitch safety pin

  Safe

  At Risk

  N/A

• Attachments

  Safe

  At Risk

  N/A

• Rippers fitted

  Yes

  No

  N/A

• Is plant sticker attached

  Yes

  No

  N/A

• Is machine safe to start work

  Yes

  No

  N/A

• Has operator completed plant pre start inspection

  Yes

  No

  N/A

For Use By

• Plant check by

• Position

• Date

  Date

• Add photo

  Media

• Induction sticker number