Information

  • Document No.

  • Audit Title

  • Client / Site

  • Client / Site Address

  • Client / Site Contact

  • Conducted on

  • Prepared by

Repair Sheet

Purpose Of Visit

  • Machine / Vehicle Type

  • Plant / Fleet Number

  • Reason For Visit

  • Time On Site

  • Time Off Site

  • Mileage To Site

  • Mileage From Site

Works Carried Out

  • Description

  • Cause of damage or failure?

  • Parts Used / Required.

Check Sheet

Plant / Vehicle Checks

  • Machine Hours

Fuel / Lubricants

  • Fuel

  • Engine Oil Level

  • Hydraulic Oil Level

  • Coolant Level

  • Antifreeze %

  • Grease All Points

Lights

  • Spot Light

  • Flashing Beacon

  • Indicators

  • Reverse / Brakes

  • Front Lights

Tyre Condition

  • N/S/F - Serviceable

  • N/S/R - Serviceable

  • O/S/F - Serviceable

  • O/S/F - Serviceable

  • Spare Wheel

  • Jockey Wheel

  • Pressures Checked

Mirror / Wipers

  • Cab N/S

  • Cab O/S

  • Rear Counterweight

  • Front Wiper

  • Rear Wiper

  • Window Catches

Quick Hitch

  • Cracks / Wear

  • Hoses

  • Operation Buzzer

  • Pins & Clips

  • Hydraulic Rams

Tracks

  • N/S - Serviceable

  • O/S - Serviceable

  • Running Gear

  • Tension

Glass

  • Front Upper

  • Front Lower

  • Rear Screen

  • Near Side Cab

  • Off Side Cab

  • Roof Glass

Safety Items

  • SWL Sticker

  • Q/Hitch Sticker F/A

  • Lift Cert Valid

  • Lap / Seat Belt

  • Reverse Camera

  • Reverse Bleeper

  • Horn

Brake Operations

  • Foot Brake

  • Hand Brake

Trailer

  • Tow Hitch

  • Breakaway Cable

  • Ramp Clips

  • 12v/24v Fitted

Bodywork Condition

  • N/S Panels

  • O/S Panels

  • Rear Counterweight

  • Exhaust System

Other

  • Operation Manual Supplied

  • Inner Cab Clean

  • Outer Cab Clean

  • Rams / Guards / Hoses

  • Quick Release Coupling Size

  • Notes

  • Faults Rectified

  • Fitter Signature

  • Site Contact Signature

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.