Pre-Use Check. (Mobile Equipment)

• Conducted on

  Date

• Prepared by

  Select Astley Cliffe Jay Doyle Ivan Savage Paul Worswick Jack Turner Sean Gaskill Ross Cain Colin Brown Kevin Jones James Brinkley Billy Tunstall Paul Marshall Barry Bennett Mike Davies OTHER, (Please include name in Notes section below)

  • Astley Cliffe
  • Jay Doyle
  • Ivan Savage
  • Paul Worswick
  • Jack Turner
  • Sean Gaskill
  • Ross Cain
  • Colin Brown
  • Kevin Jones
  • James Brinkley
  • Billy Tunstall
  • Paul Marshall
  • Barry Bennett
  • Mike Davies
  • OTHER, (Please include name in Notes section below)

• Please Check the Battery and then select the best response from the answers below

  Select Case & Cables intact and Clean Corroded Terminal(s) Cracked Case and/or Bare Cables, Split Insulation

  • Case & Cables intact and Clean
  • Corroded Terminal(s)
  • Cracked Case and/or Bare Cables, Split Insulation

• Proximity Alarm Check

  Alarm Sounding

  Alarm Box Damaged

  Alarm Not Working

• Hydraulic Fluid

  No Leaks detected

  Small Puddle after parked

  large or Steady Leah

• Motor Oil

  Full

  Low (Re-fill)

  Significantly Low

• Forks

  Select Free from any Damage. (Check Cylinder securing Bolts) Minor damage. (Bolts need tightening) Twisted or Cracked. (Bolts missing or damaged)

  • Free from any Damage. (Check Cylinder securing Bolts)
  • Minor damage. (Bolts need tightening)
  • Twisted or Cracked. (Bolts missing or damaged)

• Carriage

  Select Straight: No foreign Objects, Properly lubricated Minimal Twist / Bow / Lubrication. Twisted or Bowed. Foreign Object or No Lubrication

  • Straight: No foreign Objects, Properly lubricated
  • Minimal Twist / Bow / Lubrication.
  • Twisted or Bowed. Foreign Object or No Lubrication

• Safety Glass

  Select Good Visibilty: No Cracks Minor Cracks / Scratches, soon to be replaced. Scratched or cracked or lose

  • Good Visibilty: No Cracks
  • Minor Cracks / Scratches, soon to be replaced.
  • Scratched or cracked or lose

• Mast Chains / Pulleys

  All Intact

  Missing Links / Bearings

• Inspect Beneath the Truck

  No Damage

  Debris Visible or hanging

• Wheels & Tyres

  No Damage

  Some slight Damage

  Critical Damage

• Lights

  Select All Illuminated One Light Out, or lose parts Headlights not working, or warning lights not functioning

  • All Illuminated
  • One Light Out, or lose parts
  • Headlights not working, or warning lights not functioning

• Seat Belt

  Select No Visible Damage; Functions correctly Minor Fraying or Will not retract fully Greater than half width Frayed. Knotted, or will not secure>

  • No Visible Damage; Functions correctly
  • Minor Fraying or Will not retract fully
  • Greater than half width Frayed. Knotted, or will not secure>

• Horn

  Sounds Loudly

  Quiet, or NOT Working

• Service Brake

  Select Minimal Pedal travel, Stops well Some pedal travel, (less than half distance), but still holds truck. Greater than half pedal travel. Spongy feel. Does not hold truck!

  • Minimal Pedal travel, Stops well
  • Some pedal travel, (less than half distance), but still holds truck.
  • Greater than half pedal travel. Spongy feel. Does not hold truck!

• Parking Brake

  Select Holds Truck in Gear / Neutral Will not hold truck in gear, but OK in neutral Will not hold truck

  • Holds Truck in Gear / Neutral
  • Will not hold truck in gear, but OK in neutral
  • Will not hold truck

• Steering

  Select No Free Play, Smooth Turning Some minor free play OR Slight Resitance Major Free play, difficult to turn, OR not smooth operation.

  • No Free Play, Smooth Turning
  • Some minor free play OR Slight Resitance
  • Major Free play, difficult to turn, OR not smooth operation.

• Transmission

  Select Precise Shift: Smooth operation Noticeable Power Loss Vehicle Hesitates OR Free Play in Shifter

  • Precise Shift: Smooth operation
  • Noticeable Power Loss
  • Vehicle Hesitates OR Free Play in Shifter

• Hazard Beacon

  Working

  Not Operating

• Emergency STOP

  Working

  Not Operating

• Door/Seat isolation Switch

  Working

  Not Operating

• Bodywork

  Select Clean & Free from Damage Minor Damage. (Please take photograph using this device) Major Damage. (Please take photograph using this device)

  • Clean & Free from Damage
  • Minor Damage. (Please take photograph using this device)
  • Major Damage. (Please take photograph using this device)

• Stillage Locations. Ensure all Stillage inspections have been completed and recorded in the HBR Location Inspection Sheets.

FLT Questions ONLY

• Fire Extinguisher

  Select Full, Sealed & Secure No Seal, Pin Missing, OR Not Full Extinguisher Missing

  • Full, Sealed & Secure
  • No Seal, Pin Missing, OR Not Full
  • Extinguisher Missing

• Fuel Oil (Petrol/Diesel)

  Select Full Half, or less than half full. (Please ensure that you fill) Empty, or nearly empty

  • Full
  • Half, or less than half full. (Please ensure that you fill)
  • Empty, or nearly empty

• Please take a photograph of the Front, Rear and both sides of the vehicle.

• Front

  Media

• Left Hand Side

  Media

• Rear

  Media

• Right Hand Side

  Media

• Cockpit / Dashboard

  Media

Incidents during operation of vehicle

• Collision / Damage. (Please take a photograph, using this device of the damage created by the collision and add a note of the incident).

  Media

• OIL Leak. (Please take a photograph of the Oil Leak, using this device).

  Media

• Screen Crack(s) (please take a photograph of the crack(s) on the device).

  Media

• Mechanical OR Electrical Failure

  Drawing

• Other issue

  Media

Sign Off

• Signature

  Sign

• Name

  Select Astley Cliffe Jay Doyle Ivan Savage Paul Worswick Jack Turner Sean Gaskill Ross Cain Colin Brown Kevin Jones James Brinkley Billy Tunstall Paul Marshall Barry Bennett Mike Davies OTHER, (Please include name in Notes section below)

  • Astley Cliffe
  • Jay Doyle
  • Ivan Savage
  • Paul Worswick
  • Jack Turner
  • Sean Gaskill
  • Ross Cain
  • Colin Brown
  • Kevin Jones
  • James Brinkley
  • Billy Tunstall
  • Paul Marshall
  • Barry Bennett
  • Mike Davies
  • OTHER, (Please include name in Notes section below)

• Date

  Date