Pre-Start Mine Vehicle Inspection Checklist

• Document No.

• Conducted on

  Date

• Conducted By

  Joel Stemp

  Tod Myers

  Elliott Danks

  Stewart Brown

  Erick Marquez

• Vehicle Fleet Number

  GC01

  Other

• Vehicle Fleet and Regoistration Number

• Vehicle Fleet Number

  GC05

  Other

• Vehicle Fleet and Regoistration Number

• Vehicle Fleet Number

  GC02

  Other

• Vehicle Fleet and Regoistration Number

• Vehicle Fleet Number

  GC12

  Other

• Vehicle Fleet and Regoistration Number

• Vehicle Fleet Number

  GC04

  Other

• Vehicle Fleet and Regoistration Number

• Site

  Gencom Singleton

  Gencom Newcastle

  Gencom Sydney

  Onsite

• Site Location

• NOTE:
  
  These items are to be inspected at the beginning of each and every shift before the vehicle is put into service.
  Each item is to be checked individually. Items that require repair must be reported to your supervisor.
  If safety items fail the inspection, the vehicle is to be taken out of service immediately.
  
  

Checks

• Brakes

  Compliant

  Non-Compliant

  N/A

• Body

  Compliant

  Non-Compliant

  N/A

• Fire Extinguisher

  Compliant

  Non-Compliant

  N/A

• First Aid kit

  Compliant

  Non-Compliant

  N/A

• Fuel Level

  Compliant

  Non-Compliant

  N/A

• Gauges

  Compliant

  Non-Compliant

  N/A

• Glass

  Compliant

  Non-Compliant

  N/A

• Horn

  Compliant

  Non-Compliant

  N/A

• Lights/Beacon

  Compliant

  Non-Compliant

  N/A

• Oil Level

  Compliant

  Non-Compliant

  N/A

• Seat Belts

  Compliant

  Non-Compliant

  N/A

• Steering

  Compliant

  Non-Compliant

  N/A

• Tires

  Compliant

  Non-Compliant

  N/A

• Wheel Chocks

  Compliant

  Non-Compliant

  N/A

• Wipers

  Compliant

  Non-Compliant

  N/A

• Windscreen Fluid

  Compliant

  Non-Compliant

  N/A

• Turn Signals

  Compliant

  Non-Compliant

  N/A

• Flag

  Compliant

  Non-Compliant

  N/A

Completion

• Driver name and signature:

  Sign