Premobilisation Inspection - Surface Mobile Plant

• 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/certification current

  Yes

  No

  N/A

• Plant regularly serviced and maintained

  Yes

  No

  N/A

• Date do last service

  Date

In Cab

• 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

• Horn audible

  Yes

  No

  N/A

• Seat belts installed and in good condition

  Yes

  No

  N/A

• Roll over protection in place

  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

• Hydrocarbon spill kit available and fully stocked

  Yes

  No

  N/A

• Cab door can be opened from inside and outside

  Yes

  No

  N/A

• Cab 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

• Cab glass is free from cracks and scratches that restrict operator view

  Yes

  No

  N/A

• Windscreen wipers and water operational

  Yes

  No

  N/A

External check

• Fire extinguisher or suppression fitted, serviced and currently tagged

  Yes

  No

  N/A

• 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

• Tracks in good condition and tensioned

  Yes

  No

  N/A

• Track idle/return rollers secure and rotate

  Yes

  No

  N/A

• Track trouser plates are secure and in good condition

  Yes

  No

  N/A

• Drive sprocket segments are tight

  Yes

  No

  N/A

• Implement linkage, PTO, towing pins secure and retaining plates in place

  Yes

  No

  N/A

• Bucket, ripper, blade free from cracks or damage

  Yes

  No

  N/A

• Cutting teeth, edges, adapters serviceable

  Yes

  No

  N/A

• Steering system serviceable

  Yes

  No

  N/A

• Chassis crack free

  Yes

  No

  N/A

• Engine, drive system, hub 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

• Dynamic brake testing conducted and confirmed OK

  Yes

  No

  N/A

• Slew and track brakes function correctly

  Yes

  No

  N/A

• Brake system is fully functional including park brake, emergency and retarder

  Yes

  No

  N/A

• Control levers operate smoothly

  Yes

  No

  N/A

• Gauges are visible and legible

  Yes

  No

  N/A

• Fire extinguisher or suppression system fitted, fully charged and currently tagged

  Yes

  No

  N/A

• Exhaust system secure and leak free

  Yes

  No

  N/A

• Exhaust emissions are acceptable

  Yes

  No

  N/A

• Accessible hot surfaces such as exhaust systems protected or lagged

  Yes

  No

  N/A

• Hydraulic hoses in good condition and leak free

  Yes

  No

  N/A

• Hydraulic hoses secured, away from hot surfaces and wear points sheathed

  Yes

  No

  N/A

• Hydraulic systems are serviceable and do not creep when raised

  Yes

  No

  N/A

• Mounting steps and ladders non-slip and in good condition

  Yes

  No

  N/A

• Handrails and grab rails in place and secured on platforms, ladders and steps

  Yes

  No

  N/A

• Guarding installed on rotating parts of engine and pumps

  Yes

  No

  N/A

• Isolation points operational and lockable with location signs

  Yes

  No

  N/A

• Safe Working Load displayed on lifting equipment

  Yes

  No

  N/A

• Load charts available (if required)

  Yes

  No

  N/A

• Lifting equipment including cables, slings, shackles and hooks in good condition and currently tagged

  Yes

  No

  N/A

• Lifting lugs in good condition with SWL specified

  Yes

  No

  N/A

• Conventional engine shutdown system operational

  Yes

  No

  N/A

• Throttle and decelerator operates smoothly

  Yes

  No

  N/A

• Engine alarm or shut down system functional

  Yes

  No

  N/A

• Auto grease operates correctly

  Yes

  No

  N/A

• Air pressure or brake actuating pressure operational

  Yes

  No

  N/A

Inspector comments:

• Comments:

• Inspector Signature

  Sign

• Action Plan

Actions

• Issue to be resolved

• Due date

  Date

• Assigned to