Title Page

  • Document No.

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  • Please enter trench route

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Checklist

  • Which machine are you operating?

  • What are the vehicle hours/kms?

  • Engine Oil Level?

  • Hydraulic Oil Level?

  • Coolant Level

  • Fuel Level?

  • Is the vehicle free of leaks?

  • Are rotating and driving lights working?

  • Is the air-conditioner/heater working?

  • Is there an in-date fire extinguisher on the vehicle?

  • When was the expiry date?

  • Is there a First Aid Kit in the vehicle

  • Is the vehicle free of general damage and defects?

  • Has the vehicle been greased?

  • Are all hand rails/door handles in place?

  • Does the horn work?

  • Are the hydraulic hoses free of excessive wear and leaks?

  • Are all mirrors in place and clean?

  • Is the draw-bar pin locked?

  • Does the reversing buzzer work?

  • Does the radiator and hoses pass a visual inspection for damage?

  • Does the vehicle have a seatbelt?

Please wear it.

  • Are the tyres inflated correctly and appear in good order?

  • Are you satisfied the machinery is safe for its intended use to the best of your knowledge?

  • Sign here.

  • What are the vehicle hours/kms?

  • Engine Oil Level?

  • Coolant Level?

  • Slew Motor Oil

  • Hydraulic Oil Level?

  • Fuel Level?

  • Are there any leaks?

  • Where are the leaks?

  • Does the air-conditioner/heater work?

  • Are the bucket teeth and pins in good working order?

  • Is the safety pin in place?

  • Is the cabin clean?

  • Are there any defects or is there any damage to the vehicle?

  • Please note down defects/damage:

  • Is there an in-date fire extinguisher fitted?

  • When did the fire extinguisher expire?

  • Is there a First Aid Kit in the vehicle?

  • Are all hand rails/door handles in place?

  • Does the horn work?

  • Check the hydraulic hoses for wear

  • Are all lights (driving & revolving) working?

  • Are all mirrors/windows clean and free from damage?

  • Are the wipers working?

  • Does the vehicle have a seatbelt?

Please wear it!

  • Are the tracks/chains/grousers in good working condition?

  • Are there any other comments or actions you feel you need to be taken to ensure your safety?

  • Enter comments here:

  • Sign here.

  • What are the vehicle hours/kms?

  • Engine Oil Level?

  • Coolant Level?

  • Hydraulic Oil Level?

  • Fuel Level?

  • Are there any leaks from the vehicle?

  • Where are the leaks?

  • Are there any other defects or is there any damage to the vehicle?

  • Please note down defects/damage?

  • Does the air-conditioning/heater work?

  • Are the bucket teeth and pins in good working order?

  • Does the reversing buzzer work?

  • Is there an in-date fire extinguisher fitted to the vehicle?

  • When did the fire extinguisher expire?

  • Is there a First Aid Kit fitted?

  • Has the vehicle been greased?

  • Are all hand rails/door handles in place?

  • Does the horn work?

  • Check hydraulic hoses for wear.

  • Are all lights (revolving & driving) working?

  • Are all mirrors/windows clean and free of damage?

  • Is the bucket attachment in good working order?

  • Does the vehicle have a seatbelt?

Please wear it!

  • Please check radiator and hoses for damage.

  • Are the tyres correctly inflated and in good working condition?

  • Do you have any additional comments or are there any actions you feel need to be taken to ensure your safety?

  • List comments/action needed:

  • Sign here.

  • What are the vehicle hours/kms?

  • Engine Oil Level?

  • Coolant Level?

  • Hydraulic Oil Level?

  • Transmission Oil Level?

  • Fuel Level?

  • Are there any leaks on the vehicle?

  • Where are the leaks?

  • Are there any defects or is there any damage to the vehicle?

  • List defects/damage

  • Does the air-conditioner/heater work?

  • Is the blade and its attachment points in good working order?

  • Is the cabin clean?

  • Is there an in-date fire extinguisher fitted to the vehicle?

  • When did it expire?

  • Is there a First Aid Kit fitted.

  • Has the vehicle been greased?

  • Are all hand rails/door handles fitted?

  • Does the horn work?

  • Check hydraulic hoses for wear.

  • Are all lights (driving & revolving) working?

  • Are all mirrors/windows (and wipers) clean and free from damage?

  • Check radiator and hoses for damage?

  • Is there a seat belt fitted?

Please wear it!

  • Are the tracks/chains/grousers or wheels & tyres in good working order?

  • Do you have any other comments or actions that you feel need to be taken to ensure your safety?

  • List comments/actions needed.

  • Sign here.

  • What are the vehicle hours/kms?

  • Engine Oil Level?

  • Coolant Level?

  • Hydraulic Oil Level?

  • Transmission Oil Level?

  • Fuel Level?

  • Are there any leaks from the vehicle?

  • Where are the leaks?

  • Are there any general defects or is there any damage to the vehicle?

  • Please list defects/damage.

  • Is the trailer hitch secure?

  • Does the air-conditioner/heater work?

  • Is the cabin clean?

  • Are all mirrors/windows/wipers clean and free from damage?

  • Is there an in-date fire extinguisher fitted to the vehicle?

  • When did it expire?

  • Is there a First Aid Kit fitted to the vehicle?

  • Has the vehicle been greased?

  • Are all hand rails and door handles in place?

  • Does the horn work?

  • Check hydraulic hoses for wear.

  • Are all lights (driving/revolving) working?

  • Does the reversing buzzer work?

  • Please check the radiator and hoses for damage.

  • Does the vehicle have a seat belt fitted?

Please wear it!

  • Are the tyres correctly inflated and in good condition?

  • Do you have any other comments or is there any actions you feel need to be taken to ensure your safety?

  • List comments/actions needed.

  • Sign here.

  • What are the vehicle hours/kms?

  • Engine Oil Level?

  • Coolant Level?

  • Hydraulic Oil Level?

  • Transmission Oil Level?

  • Fuel/Gas Level?

  • Is the gas cylinder properly secured?

  • Are there any general defects or is there any damage to the vehicle?

  • List defects/damage.

  • Does the vehicle have any visible fluid leaks?

  • Where are the leaks?

  • Are the tyres and wheels in good condition?

  • Are the tynes/forks evenly spread and able to be locked in place?

  • Check the mast/boom for signs of damage or leaks.

  • Does the vehicle have rollover protection?

  • Are the windows/mirrors clean and undamaged?

  • Does the vehicle have a seat belt?

Please wear it!

  • Is the handbrake operational?

  • Does the horn work?

  • Does the reversing buzzer work?

  • Do all lights (driving & revolving) work?

  • Do you have any other comments or actions you feel need to be taken to ensure your safety?

  • List comments/actions:

  • Sign here.

  • Vehicle Hours/Kms?

  • Are remote batteries charged or charging?

  • Are all tags and locks in place?

  • Do you know where all emergency stop buttons are located?

  • Here they are...

    binderstop.jpg
  • Are all safety guards in place?

  • Do you need a two-way radio to communicate?

  • Does the horn work?

  • Is there an in-date fire extinguisher on the vehicle?

  • When did it expire?

  • Does the reversing buzzer work?

  • Check isolation switch on remote works.

  • Are all warning decals readable?

  • Are all lights (driving & revolving) working?

  • Engine Oil Level?

  • Coolant Level?

  • Fuel Level?

  • Check the track assembly for damage and operation.

  • Is the remote control panel operational?

  • Perform visual check for damage/defects/leaks on machine.

  • Is the binding mechanism operational?

  • IS the vehicle clean and tidy?

  • Do you have any other comments or actions you feel need to be taken to ensure your safety?

  • List comments/actions needed.

  • Sign here.

  • Engine Oil Level?

  • Hydraulic Oil Level?

  • Coolant Level?

  • Fuel Level?

  • Are there any leaks on the vehicle?

  • Where are the leaks?

  • Are there any defects or is there any damage on the vehicle?

  • List damage/defects:

  • What are the vehicle hours/kms?

  • Are all tags and locks in place?

  • Do the emergency stop buttons work?

  • Are the safety guards fitted in place?

  • Does your two-way radio work?

  • Does the vehicle have a seatbelt?

Please wear it!

  • Does the horn work?

  • Is there an in-date fire extinguisher fitted?

  • When did it expire?

  • Is the reversing buzzer working?

  • Is there a First Aid Kit fitted?

  • Is the battery isolation switch working?

  • Are all warning decals readable?

  • Are all lights (driving & revolving) working?

  • Are all windows and mirrors clean and undamaged?

  • Is the cabin ladder chain in place?

  • Perform a visual check of the track assemblies for damage and wear.

  • Perform a visual check of the hydraulic lines.

  • Perform a visual check of the hydraulic rams for front and rear drums.

  • Are the cable drum brakes in place?

  • Is the vehicle clean and tidy?

  • Do you have any other comments or do you feel any actions need to be taken to ensure your safety?

  • List comments/actions:

  • Sign here.

  • Vehicle hours/kms?

  • Engine Oil Level?

  • Hydraulic Oil Level?

  • Coolant Level?

  • Fuel Level?

  • Are there any leaks from the vehicle?

  • Where are the leaks?

  • Are there any defects or is there any damage to the vehicle?

  • List defects/damage:

  • Are all tags and locks in place?

  • Do the emergency stop buttons work?

  • Are all safety guards in place?

  • Do you have a two-way radio?

  • Does the horn work?

  • Is there an in-date fire extinguisher fitted to the vehicle?

  • When did it expire?

  • Is there a First Aid Kit in the vehicle?

  • Does the battery isolator work?

  • Are all warning decals in place?

  • Inspect track assembly for wear and damage.

  • Inspect undercarriage for damage to chassis and hoses

  • Inspect wheel assembly for damage and operation.

  • Is the vehicle clean and tidy?

  • Do you have any comments or actions you feel need to be taken to ensure your safety?

  • List comments/actions needed:

  • Sign here.

  • Vehicle hours/kms?

  • Check emergency stop.

  • Inspect digging teeth.

  • Grease various points.

  • Check engine oil.

  • Check engine coolant.

  • Clean air filters.

  • Check fuel level.

  • Hydraulic oil level check and inspect for leaks.

  • Inspect vehicle for leaks.

  • Inspect flywheel gearbox for level and leaks.

  • Inspect track gearbox for leaks.

  • Inspect coupler gearbox for leaks.

  • Inspect digging chain for wear and damage.

  • Inspect tool holder baseplates.

  • Inspect digging boom wear plates.

  • Inspect vehicle for cracks to be welded.

  • Inspect digging chain sprockets.

  • Inspect radiator and heat exchangers for clogging and leaks.

  • inspect digging boom tailwheel.

  • Inspect nuts and bolts for loose hardware.

  • Inspect flexible pipes.

  • Inspect hydraulic piston rods.

  • Ensure vehicle is generally clean and tidy.

  • Inspect undercarriage for material buildup.

  • Inspect driving and revolving lights.

  • Inspect fire extinguisher for mounting, charge and compliance.

  • Inspect first aid kit is fitted and stocked.

  • Inspect UHF fitted and working.

  • Inspect windows and mirrors for cleanliness and damage.

  • Inspect handrails and steps for wear and damage.

  • Are there any other comments you wish to make or actions you feel need to be taken to ensure your safety?

  • List comments/actions needed:

  • Sign here.

  • Generator hours?

  • Tags & Locks

  • Emergency stop

  • Safety guards

  • Circuit diagram label

  • Operating instructions

  • Fire extinguisher

  • Isolation and lockout(s)

  • Wheel chocks

  • Positive identification signage

  • Tail lights and indicators

  • Service/inspection log book up to date

  • Tyres and wheels

  • Brakes

  • Towing hitch

  • Towing frame

  • Push bar

  • Battery isolation

  • Battery condition

  • Exhaust system

  • Lifting hooks and shackles

  • Earth leakage (RCD) on auxiliary power

  • Earth bonds

  • Earth stake and cable

  • Welding leads

  • Engine/drives

  • Control panel and guages

  • Fuel system (no leaks, fuel cap present)

  • Do you have any other comments or actions you feel need to be taken to ensure your safety?

  • Enter comments/actions needed:

  • Sign here

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.