Title Page

  • Site

  • Conducted on

  • Operator Name

  • Plant Description

  • Make & Model

  • Machine Hours

  • Cabin access/egress, seat, seatbelts, controls, Loose objects

  • Windscreen, wipers, washers, mirrors

  • Lights, beacon, horn

  • Hydraulics - rams, hoses, leaks, wear

  • Leaks - engine, transmission, final drives, cooling systems

  • Brakes

  • Neutral start

  • Compulsory signs, reflective tape, reflectors

  • Fire extinguisher

  • Damage to panels, guards, chassis, frame, body

  • Wheels, tyres, tracks - wear/tension/pressure

  • Hitch (safety pin) wear

  • Articulated joint/linkeage

  • Spill-Kit present

  • Plant security

All faults must be reported immediately to Maz or Kate

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.