Plant Inspection

• Audit Title

• Document No.

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

COMPANY

• Company

• Company Supervisor

• Engaged by (VRC / Event Manager Etc)

PLANT

• Plant Type

  Select - Fork Lift - Knuckle Boom - Straight Boom - Scissor - Franner - Crane

  • - Fork Lift
  • - Knuckle Boom
  • - Straight Boom
  • - Scissor
  • - Franner
  • - Crane

• Manufacturer

• Model

• Serial Number

• Registration / Permit Number

• Expiry Date

  Date

• Hour Metre / KM Reading

• Add Photo

  Media

• Add Photo

  Media

INSPECTION

• Cabin - Access, Egress Seating, Seatbelts, Loose Objects, Controls

  Safe

  At Risk

  N/A

• Visibility - Windscreens, Windows, Wipes, Washers, Mirrors

  Safe

  At Risk

  N/A

• Electrical - Lights, Amber Beacon, Horn, Reversing Beeper

  Safe

  At Risk

  N/A

• Hydraulics - Rams, Hoses, Leaks, Wear

  Safe

  At Risk

  N/A

• Brakes - Emergency & Service

  Safe

  At Risk

  N/A

• Neutral Start

  Safe

  At Risk

  N/A

• Compulsory Signs, Reflective Tape, Reflectors

  Safe

  At Risk

  N/A

• Misc - Air Con, Fire Extinguisher

  Safe

  At Risk

  N/A

• Damage - Panels, Guards, Chassis, Frame, Body

  Yes

  No

  N/A

• Wheels, Tyres, Tracks - Wear, Tension, Pressure

  Safe

  At Risk

  N/A

• Hitch (Safety Pin) - Wear

  Safe

  At Risk

  N/A

• Articulated Joint/Linkage

  Safe

  At Risk

  N/A

• Environmental Spill Kit

  Yes

  No

  N/A

• Daily Check List

  Yes

  No

  N/A

• Plant Security

  Yes

  No

  N/A

OPERATORS

• Operator Name

• Photo of License

  Media

• Operator Name

• Photo of License

  Media

• Operator Name

• Photo of License

  Media

FAULT REPORT

• Does machine require immediate repair? If YES park machine, contact supervisor or contractor, place sign on machine taking equipment out of service.

  Yes

  No

  N/A

• Fault Reported To:

• Date Reported

  Date

APPROVAL

• Has Plant Past Inspection

  Yes

  No

  N/A

• Plant Inspection Sticker No.

• Inspector Signature

  Sign

PHOTOS

• Add Photo

  Media

• Add Photo

  Media

• Add Photo

  Media