Title Page

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  • Prepared by

  • Location

Periodic Equipment Safety Check For Club Car 232

  • Department- Please select

  • Inspection by-

  • If Other please state-

  • Frequency of inspection- Weekly, Monthly, 3 or 6 Monthly, Annually, Other

  • Serial number or identification- ser.no.XL1030-112606, G&GP248

  • Date and time of Audit-

  • Photograph here

Equipment Requirements

  • Tools required- Screw drivers, spanners, spark plug remover, cloth for removing greases, air line.

  • PPE required- Safety boots and work clothing, disposable gloves, goggles.

  • Other materials required- Service parts if required- spark plug, oils, greases, filters.

General instruction of peroidic inspection-

  • Please state General instruction on how/ what the inspection id going to undertake-

    Carry out pre- operational, performance inspection, engine, tyres and wheel, brakes, electrical, filter and general condition checks.

Checks to be completed-

  • Pre-Operational and daily check list carried out?

  • Engine level checked and replaced if required?

  • Battery checked for condition, clean terminals and electrolyte level.

  • Tyres checked for condition, tread and air pressure?

  • Tyres checked for wheel alignment and chamber?

  • Check or replace air filter?

  • Fuel filters checked and changed if required?

  • Check vehicle for loose hardware and tighten if required?

  • All grease and lubricant points checked and greased/ lube as appropriate?

Faults Identified

  • Record any faults identified-

  • Record any faults identified-

  • Record any faults identified-

Sign Off

Sign Off

  • I hereby certify that all information is accurate and the actual inspection was conducted

  • Add signature

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