Title Page

  • Site conducted

  • Service/Maintenance?

  • Date

  • Driver

  • Engineer

  • Location

Vehicle Information

  • Vehicle Registration

  • Vehicle Model

  • Vehicle Make

  • VIN/Serial No.

  • Machine Hours/Mileage

Dynamic Risk Assessment - Are you at RISK from:

  • Coming into contact with moving machinery?

  • What is the Hazard?

  • How have you controlled the Risk?

  • Flying or falling objects?

  • What is the Hazard?

  • How have you controlled the Risk?

  • Weather conditions?

  • What is the Hazard?

  • How have you controlled the Risk?

  • Being struck by a vehicle?

  • What is the Hazard?

  • How have you controlled the Risk?

  • Striking a fixed object?

  • What is the Hazard?

  • How have you controlled the Risk?

  • Being cut by a sharp object?

  • What is the Hazard?

  • How have you controlled the Risk?

  • Manual Handling

  • What is the Hazard?

  • How have you controlled the Risk?

  • Falling from height?

  • What is the Hazard?

  • How have you controlled the Risk?

  • Tripping or slipping?

  • What is the Hazard?

  • How have you controlled the Risk?

  • Pressurised systems?

  • What is the Hazard?

  • How have you controlled the Risk?

  • Becoming trapped?

  • What is the Hazard?

  • How have you controlled the Risk?

  • Drowning or suffocating?

  • What is the Hazard?

  • How have you controlled the Risk?

  • Exposure to harmful substances?

  • What is the Hazard?

  • How have you controlled the Risk?

  • Exposure to heat or fire?

  • What is the Hazard?

  • How have you controlled the Risk?

  • Exposure to noise or vibration?

  • What is the Hazard?

  • How have you controlled the Risk?

  • Lone working?

  • What is the Hazard?

  • How have you controlled the Risk?

  • Electrocution (including overhead power lines)

  • What is the Hazard?

  • How have you controlled the Risk?

  • Radiation, welding fumes, dust, particles or gasses?

  • What is the Hazard?

  • How have you controlled the Risk?

  • Waste & spillages?

  • What is the Hazard?

  • How have you controlled the Risk?

Vehicle Inspection

  • Do you wish to check the exterior of this vehicle in this inspection?

External Check

  • Are front head lights free from damage & operational?

  • Are indicators free from damaged & operational?

  • Bodywork / paintwork in good condition?

  • Rear Lights free from damage & operational?

  • Are brake lights operational?

  • Are floodlights operational?

  • Do you wish to check the interior of this vehicle in this inspection?

Internal Check

  • Is inside the vehicle in a clean and tidy condition?

  • Is it free from leaks

  • Check Glass/Cab Windows

  • Free of damage, including RopS & Fobs if fitted

  • Check the operator seat & suspension functioning normally

  • Check the beacon for operation

  • Check seat belt & warning light operational

  • Check door lock is operational

  • Check heated/electric mirrors

  • Check passenger seat belt condition

  • Check the switch symbols are visible

  • Check Air Conditioning/heating/fans

  • Check the operators manual is present

  • Grease gun present & operational

  • Check the radio is operational

  • Check vandal guards & locks are functional

  • Check wipers & washers are functional

  • Check all steps & handrails

  • Reset service light (if required)

  • Check the pedal rubbers

  • Check the tyres & report

  • Check the wheel lock tabs

Brakes

  • Do you wish to check the brakes of this vehicle in this inspection?

  • Is the system free of leaks?

  • Does it operate normally?

  • Check all discs and pads for wear

  • Correct fluid level (if applicable)

Warning Indicators

  • Do you wish to check the warning indicators of this vehicle in this inspection?

  • Is the horn working?

  • Are warning lamps operational?

  • Parking brake warning operational?

  • Low brake pressure warning operational?

  • Is the warning buzzer operational?

  • Check overload warning for operation

  • Check the reverse camera & reverse alarm are operational

Hydraulics

  • Do you wish to check the hydraulics of this vehicle in this inspection?

  • Is the oil level correct?

  • Is is free from unusual noises?

  • Is it free from excessive cylinder drift?

  • Is the pump free of oil leaks?

  • Are hoses that are accessible serviceable?

  • Do the hydraulic functions operate normally?

  • Does the safety level operate normally?

  • Is boom suspension operating normally?

Axles

  • Do you wish to check the axles of this vehicle in this inspection?

  • Are oil levels correct?

  • Are the free of leaks?

  • Is oscillating bearing free of play?

  • Are driftshafts free of play?

  • Are driftshafts bolts secure?

  • Are driftshafts free from damage?

  • Are axles free of unusual noise?

  • Are suspension blocks serviceable?

Articulated Hitch

  • Do you wish to check the articulated hitch of this vehicle in this inspection?

  • Correct fluid level (if applicable)

  • Is it free from unusual noises?

  • Is it well greased?

  • No play in bearings?

  • Is the gap around radial seal normal?

  • Are bracket bores free from lift?

  • Is the steering action normal? No play in linkages?

  • Check the frame lock safety bar is present & operational

Front End Equipment

  • Do you wish to conduct a front end equipment check of this vehicle in this inspection?

  • Are joints well greased?

  • Is it free of noise?

  • Is it free of excessive lift between pins & bearings?

  • Check the quick fit is operational

  • Check the ram gaurds

  • Check for leakages

Undercarriage

  • Do you wish to check the undercarriage of this vehicle in this inspection?

  • Are sprocket teeth worn out?

  • Adjustment remaining on idler?

  • Are track pads bent / cracked or worn?

  • Are rollers intact & serviceable

  • Is tension correct?

  • Are mounting bolts intact and tight?

  • Is a detail undercarriage inspection required?

Superstructure

  • Do you wish to check the superstructure of this vehicle in this inspection?

  • Slew ring wear?

  • Slew ring back-lash?

  • Detailed inspection required?

Dump Bodies

  • Do you wish to check the dump body of this vehicle in this inspection?

  • Is the floor serviceable?

  • Are the sides serviceable?

  • Are welds free from cracks?

  • Is the tip body bores free from lift?

  • Check safety prop is operational

  • Check the skip pins & bushes for shimming

  • Check the buck up warning light is operational

  • Operate the skip up and down

Engine Maintenance

  • Do you wish to conduct a maintenance check of this vehicle in this inspection?

  • Are engine oil levels within acceptable ranges?

  • Is engine breathing heavily and free from unusual noises?

  • Are coolant levels within acceptable ranges and free of leaks?

  • Check the anti freeze content %

  • Check for damaged belt gaurds

  • Check V belt for damage

  • Is the vehicle free of excessive oil leaks?

  • Is the vehicle free of grease leaks?

  • Is the vehicle free of fuel leaks?

  • Are the vehicle power brakes operational and in good condition?

Transmission Maintenance

  • Do you wish to conduct a transmission maintenance check of this vehicle in this inspection?

  • Is the oil level correct?

  • Free from unusual noises?

  • Is gear selection satisfactory?

  • Is the drive selection satisfactory?

  • Is it free from any leaks?

Defect and Damage Log

  • Please log all damages and defects noted on the vehicle

Defect

  • Select the location of this individual defect

  • If possible, describe where in the engine this defect is located

  • Describe the location of this defect

  • What type of defect is this individual defect?

  • Briefly describe this defect

  • Attach photos of this defect (if applicable)

General Comments

  • Any further comments or recommendations arising from this inspection?

  • Add any additional relevant photos

  • Have all required corrective actions been added as Actions to this inspection?

  • Please add any corrective actions to the appropriate questions above before completing this report

Sign Off

  • I, the undersigned, hereby certify that all information is accurate and that an actual inspection was conducted.

  • Engineer Name and Signature

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