Title Page
-
Document No.
-
Conducted on
-
At
-
Location
-
Please enter trench route
-
By
- John Prestwood
- Jim Reid
- Nigel Owens
- Pierre-Anthony Niquet
- Sebastien Bony
- Andrew Phillips
- Brenton Pearce
- John Deer
- Michael Looker
- Toby Reimann
- Michael Dimech
- Anthony Thomas
- Kym Searle
- Sandy Jones
Checklist
-
Which machine are you operating?
- AgcoStar 8360 Tractor
- Bell B40D Moxy
- Caterpillar 730 Moxy
- Caterpillar 321D Excavator
- Caterpillar 324D Excavator
- Caterpillar D6 Dozer
- Hitachi ZX230 Excavator
- Hyundai HL770-9 Front End Loader
- John Deere 670D Grader
- Kenworth T659
- Manitou MLT625-75H
- Marais Drum Carrier #34
- Marais SMC200
- Ranger 938 Front End Loader
- Tesmec 1150 Rocksaw
- Tesmec TRS300 Binder
- Western Star FX4800
- Forklift
- Pertrain Welder Generator
-
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...
-
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