Periodic Equipment Safety Check- Club Car 232

• Conducted on

  Date

• Prepared by

• Location
  Address

Periodic Equipment Safety Check For Club Car 232

• Department- Please select

  Grounds and Gardens

  Building Services

• Inspection by-

  Select Alan James Paul Thompson Dorian Bell-Stephens Lewis Charles Other

  • Alan James
  • Paul Thompson
  • Dorian Bell-Stephens
  • Lewis Charles
  • Other

• 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

  Yes

  No

  N/A

• Date and time of Audit-

  Date

• Photograph here

  Media

• 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.

• 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.

• Pre-Operational and daily check list carried out?

  Yes

  No

  N/A

• Engine level checked and replaced if required?

  Yes

  No

  N/A

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

  Yes

  No

  N/A

• Tyres checked for condition, tread and air pressure?

  Yes

  No

  N/A

• Tyres checked for wheel alignment and chamber?

  Yes

  No

  N/A

• Check or replace air filter?

  Yes

  No

  N/A

• Fuel filters checked and changed if required?

  Yes

  No

  N/A

• Check vehicle for loose hardware and tighten if required?

  Yes

  No

  N/A

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

  Yes

  No

  N/A

• Record any faults identified-

• Record any faults identified-

• Record any faults identified-

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

  Yes

  No

  N/A

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