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
- Yes
- No
- N/A
-
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
- General
- No location
- Bonnet / hood
- Bumper
- Fender (wing or mudguard)
- Grille (grill)
- Engine
- Brakes
- Accelerator
- Front Right Side Wheel
- Front Left Side Wheel
- Rear Right Side Wheel
- Rear Left Side Wheel
- Rims / Hubcap
- Tire / Tyre
- Interior (General)
- Front Right Side Seat
- Front Left Side Seat
- Rear Right Side Seat
- Rear Middle Seat
- Rear Left Side Seat
- Dashboard
- Electrical (General)
- Electrical (Entertainment / Computer)
- Steering Wheel
- Pedals
- Trunk / boot
- Front Right door
- Front Left door
- Rear Right door
- Rear Left door
- Trunk / boot door
- Fuel tank (inc. fuel door)
- Front Right Side Glass
- Front Left Side Glass
- Rear Right Side Glass
- Rear Left Side Glass
- Windshield / windscreen
- Other
-
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?
- Vehicle Won't Start
- Operating Unexpectedly
- Non-functional
- Damage (Paint / Cosmetic)
- Damage (Body)
- Damage (Glass)
- Abnormal Noise
- Battery Issue
- Engine issue
- Light issue
- Electrical Issue
- Requires attention
- Flat Tyre
- Other
-
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