Premobilisation Inspection - Light Vehicles

• Site

• Manufacturer

• Vehicle Photo

  Media

• Type

  Truck Mounted

  Purpose Bulit

• Model

• Year Make

• Identification

• Owner

• I'm

• Conducted on

  Date

• Conducted By

• Location
  Address

Registration

• Registration current

  Yes

  No

  N/A

• Vehicle regularly serviced and maintained

  Yes

  No

  N/A

• Date do last service

  Date

• Prestart checklist available

  Yes

  No

  N/A

• Reversing beepers audible and engaged automatically

  Yes

  No

  N/A

• Flashing light operational and visible

  Yes

  No

  N/A

• Indicators, head lights, brake lights and reversing lights operational

  Yes

  No

  N/A

• Dune flag to at least 2.7 m in height

  Yes

  No

  N/A

• Horn audible

  Yes

  No

  N/A

• Seat belts installed and in good condition

  Yes

  No

  N/A

• Fixed UHF radio operational and works on site channels

  Yes

  No

  N/A

• First aid available and fully stocked

  Yes

  No

  N/A

• Fire extinguisher mounted, fully charged and currently tagged

  Yes

  No

  N/A

• Vehicle is clean, free from loose objects, dirt and seeds

  Yes

  No

  N/A

• Air conditioning installed and operational

  Yes

  No

  N/A

• Seats are secure and in good condition

  Yes

  No

  N/A

• Windscreen is free from cracks and scratches that restrict operator view

  Yes

  No

  N/A

• Windscreen wipers and water operational

  Yes

  No

  N/A

• Cargo barrier in place (wagons only)

  Yes

  No

  N/A

• Recovery equipment available including a jack, base plate and recovery straps

  Yes

  No

  N/A

• Wheel chocks x 2 available

  Yes

  No

  N/A

• Breakdown triangles x 3 available

  Yes

  No

  N/A

External check

• Truck free from soil and vegetation

  Yes

  No

  N/A

• Tyres in good condition, correctly inflated, valve caps fitted and pressure marked

  Yes

  No

  N/A

• Rims free from cracks or damage and segments secured in place

  Yes

  No

  N/A

• Wheel nuts in place and tight. Wheel weights evident

  Yes

  No

  N/A

• Steering system serviceable

  Yes

  No

  N/A

• Engine free from fluid leaks

  Yes

  No

  N/A

• Fluid and lubricant levels correct

  Yes

  No

  N/A

• Engine compartment free from excess grease or foreign materials

  Yes

  No

  N/A

• Batteries secured

  Yes

  No

  N/A

• Hand brake operational

  Yes

  No

  N/A

• Exhaust emissions are acceptable

  Yes

  No

  N/A

Inspector comments:

• Comments:

• Inspector Signature

  Sign

• Action Plan

Actions

• Issue to be resolved

• Due date

  Date

• Assigned to