Wk. Ending Friday xx/xx/2017

Safety

Seatbelts

Vision Aids

Mirrors

Side x 2

Rear x 1

Windows

Free of Cracks

Cleaned

Brakes

Handbrake

Foot Brake

Tyres

Air Pressure

Wheel Nuts

Condition OK

Engine

Oil Level OK

Water Level

Lights

Main

Indicator

Brakes

Reversing

Visual Inspection

OK

Comments:

I have visually inspected the plant each day and all results indicated above are true at the time of inspection:
Select date
Add signature

Wk. Ending Friday xx/xx/2017 - duplicate

Safety

Seatbelts

Vision Aids

Mirrors

Side x 2

Rear x 1

Windows

Free of Cracks

Cleaned

Brakes

Handbrake

Foot Brake

Tyres

Air Pressure

Wheel Nuts

Condition OK

Engine

Oil Level OK

Water Level

Lights

Main

Indicator

Brakes

Reversing

Visual Inspection

OK

Comments:

I have visually inspected the plant each day and all results indicated above are true at the time of inspection:
Select date
Add signature

Wk. Ending Friday xx/xx/2017 - duplicate - duplicate

Safety

Seatbelts

Vision Aids

Mirrors

Side x 2

Rear x 1

Windows

Free of Cracks

Cleaned

Brakes

Handbrake

Foot Brake

Tyres

Air Pressure

Wheel Nuts

Condition OK

Engine

Oil Level OK

Water Level

Lights

Main

Indicator

Brakes

Reversing

Visual Inspection

OK

Comments:

I have visually inspected the plant each day and all results indicated above are true at the time of inspection:
Select date
Add signature

Wk. Ending Friday xx/xx/2017 - duplicate - duplicate - duplicate

Safety

Seatbelts

Vision Aids

Mirrors

Side x 2

Rear x 1

Windows

Free of Cracks

Cleaned

Brakes

Handbrake

Foot Brake

Tyres

Air Pressure

Wheel Nuts

Condition OK

Engine

Oil Level OK

Water Level

Lights

Main

Indicator

Brakes

Reversing

Visual Inspection

OK

Comments:

I have visually inspected the plant each day and all results indicated above are true at the time of inspection:
Select date
Add signature
Please note that this checklist is a hypothetical example and provides basic information only. It is not intended to take the place of, among other things, workplace, health and safety advice; medical advice, diagnosis, or treatment; or other applicable laws. You should also seek your own professional advice to determine if the use of such checklist is permissible in your workplace or jurisdiction.