Operators’ Daily Safety and Maintenance Checklist

• Conducted on

  Date

• Contract No:

• Operators name:

• Week Ending:

  Date

• Prepared by

Machine Information

• Is the machine own plant or hired ?

  Own Plant

  Hired

• Supplier's Name

• Machine Model/type:

• Plant Number:

• Take picture of machine

  Media

• Machine Hours (Start of Shift)

• Machine Hours (End of Shift)

Items to Check

• P = Satisfactory, X = defective, NA = Not applicable

• The machine is free from accumulation of debris

  P

  X

  NA

• Add Comment

• Take Picture

  Media

• All engine oils, coolants and brake fluids are at correct operating levels

  P

  X

  NA

• Add Comment

• Take Picture

  Media

• Visual inspection of tyres and wheels. In good condition, inflated with all wheel nuts present

  P

  X

  NA

• Add Comment

• Take Picture

  Media

• Tracks in good condition – correct tension – no missing pads/grousers

  P

  X

  NA

• Add Comment

• Take Picture

  Media

• Operation of lights

  P

  X

  NA

• Add Comment

• Take Picture

  Media

• Operation of horn

  P

  X

  NA

• Add Comment

• Take Picture

  Media

• Operation of warning beacon

  P

  X

  NA

• Add Comment

• Take Picture

  Media

• Operation of reversing alarm

  P

  X

  NA

• Add Comment

• Take Picture

  Media

• Windows and wipers

  P

  X

  NA

• Add Comment

• Take Picture

  Media

• All operating controls are clearly marked and function correctly

  P

  X

  NA

• Add Comment

• Take Picture

  Media

• Service and parking brakes operate and have been tested daily

  P

  X

  NA

• Add Comment

• Take Picture

  Media

• Seat belt present and operational. Flashing beacon working (if Present)

  P

  X

  NA

• Add Comment

• Take Picture

  Media

• All round vision - can you see anyone in your work zone including use of Visibility aids - mirrors and CCTV

  P

  X

  NA

• Add Comment

• Take Picture

  Media

• Steering operating correctly

  P

  X

  NA

• Add Comment

• Take Picture

  Media

• Quick hitch/coupler, hoses and attachments operating correctly and safety pin used where applicable

  P

  X

  NA

• Add Comment

• Take Picture

  Media

• Visual inspection for external damage to machine and ROPS/FOPS structure

  P

  X

  NA

• Add Comment

• Take Picture

  Media

• Access steps, handrails and footholds

  P

  X

  NA

• Add Comment

• Take Picture

  Media

• All guards are in position

  P

  X

  NA

• Add Comment

• Take Picture

  Media

• Ad Blue level checked

  P

  X

  NA

• Add Comment

• Take Picture

  Media

• Shut Off Lever/Dead Man (mobile plant) or emergency stop (fixed plant) operates correctly

  P

  X

  NA

• Add Comment

• Take Picture

  Media

• Battery isolator operates correctly

  P

  X

  NA

• Add Comment

• Take Picture

  Media

• JBV operate a Zero Defects policy, if a defect arises stop work, report to the Site Supervisor Immediately and do not start work again until rectified.

• All DEFAULTS will automatically be emailed to the Plant Manager.

• Driver to SIGN on completion of checks

  Sign

• Supervisor/Manager's Name & Signature:

  Sign