Qams VEHICLE PRE-START (WEEKLY)

• Document No.:

• Person Conducting pre-start

• Conducted on:

  Date

• Tablet:

Declaration

• Have you read and signed a copy of the 'Vehicle Use Code of Conduct'?

  Yes

  No

  N/A

• **** DO NOT CONTINUE, YOU DO NOT HAVE PERMISSION TO DRIVE A QAMS VEHICLE**** (Please ensure an a vehicle use code of conduct is signed and completed in the office before using any vehicle)

• Click here to read the code.
  http://internal.qams.com.au/vehicle_code_of Conduct

• Do you have a valid Queensland Drivers license to legally operate this vehicle?

  Yes

  No

  N/A

• Do you need to display "P" plates to legally operate this vehicle?

  Yes

  No

  N/A

• Are they correctly displayed on the vehicle

  Yes

  No

  N/A

• What vehicles are you using?

  Select Work Ute Trailer Work Truck

  • Work Ute
  • Trailer
  • Work Truck

Work Trailer:

General Condition of vehicle

• What is the Trailer Registration

• Is the Trailer in a clean state (Inside & out) with no rubbish?

  Yes

  No

  N/A

• Is the Trailer free of any external damage?

  Yes

  No

  N/A

• Take photos of all damage

  Media

• Is there a fire extinguisher in the vehicle?

  Yes

  No

  N/A

• Is the fire extinguisher, in date, charged, in good condition?

  Yes

  No

  N/A

• Enter the Asset Number of the fire extinguisher:

• Is there a First Aid Kit in the vehicle?

  Yes

  No

  N/A

• Is the kit in good condition, stocked, consumables in date?

  Yes

  No

  N/A

• Enter the Asset Number of the First Aid Kit:

Class A Safety Checks - **Do Not Operate The Vehicle if Any Class A Defects are Found** (until corrected)

• All lights (Tail Lights, Brake Lights, Reverse Lights, Hazards, Headlights & indicators) Functional?

  Yes

  No

  N/A

• Is the Safety Chain in good condition and has Rated Shackles attached?

  Yes

  No

  N/A

• Is the Tow Hitch operational and functioning correctly?

  Yes

  No

  N/A

• Are all items loaded onto / into Trailer correctly secured for travel?

  Yes

  No

  N/A

Class B Safety Checks - Report and Fix Any Defects ASAP

• Tyres in good condition and correct pressure (check for wear and damage)?

  Yes

  No

  N/A

• Photo of the tyres

  Media

• Is the Jockey Wheel operational and functioning correctly?

  Yes

  No

  N/A

Heavy Vehicle Inspection (Work Truck)

General Condition of vehicle

• What is the Vehicle Registration

• What is the Vehicle Speedometer reading:

• Is the Fuel Card in the vehicle?

  Yes

  No

  N/A

• Is the vehicle in a clean state (Inside & out) with no rubbish?

  Yes

  No

  N/A

• Are the Windows in a clean state, good visibility?

  Yes

  No

  N/A

• Is the vehicle free of any external damage?

  Yes

  No

  N/A

• Take photos of all damage

  Media

• Is there a fire extinguisher in the vehicle?

  Yes

  No

  N/A

• Is the fire extinguisher, in date, charged, in good condition?

  Yes

  No

  N/A

• Enter the Asset Number of the fire extinguisher:

• Is there a First Aid Kit in the vehicle?

  Yes

  No

  N/A

• Is the kit in good condition, stocked, consumables in date?

  Yes

  No

  N/A

• Enter the Asset Number of the First Aid Kit:

Class A Safety Checks - **Do Not Operate The Vehicle if Any Class A Defects are Found** (until corrected)

• Check Vehicle dash, is it free from any warning lights?

  Yes

  No

  N/A

• All lights (Tail Lights, Brake Lights, Reverse Lights, Hazards, Headlights & indicators) Functional?

  Yes

  No

  N/A

• Are the Windscreen Wipers operational and functioning correctly?

  Yes

  No

  N/A

• Is the Hand Brake operational and functioning correctly?

  Yes

  No

  N/A

• Are the Seatbelts undamaged and operational?

  Yes

  No

  N/A

• Is the Steering operational and functioning correctly (not loose etc.)?

  Yes

  No

  N/A

• Is the Foot Brake operational and functioning correctly?

  Yes

  No

  N/A

• Is the Clutch and Gears operational and functioning correctly?

  Yes

  No

  N/A

Class B Safety Checks - Report and Fix Any Defects ASAP

• Tyres in good condition and correct pressure (check for wear and damage)?

  Yes

  No

  N/A

• Photo of the tyres

  Media

• Is the Horn operational and functioning correctly?

  Yes

  No

  N/A

• Are the Belts / Hoses operational and functioning correctly (not loose, damaged, etc)?

  Yes

  No

  N/A

• Check Fluid levels (Oil, Water, Brake Fluid, Windscreen Washer) are they at correct levels?

  Yes

  No

  N/A

• Is the safety equipment available and in good working condition (Jack, Wheel Spanner, Etc.)?

  Yes

  No

  N/A

• Is the Hi-Ab greased, operational and functioning correctly ?

  Yes

  No

  N/A

• Is the Air Conditioning operational and functioning correctly?

  Yes

  No

  N/A

Light Vehicle Inspection (Work Ute)

General Condition of vehicle

• What is the Vehicle Registration

• What is the Vehicle Speedometer reading:

• Is the Fuel Card in the vehicle?

  Yes

  No

  N/A

• Is the vehicle in a clean state (Inside & out) with no rubbish?

  Yes

  No

  N/A

• Are the Windows in a clean state, good visibility?

  Yes

  No

  N/A

• Is the vehicle free of any external damage?

  Yes

  No

  N/A

• Take photos of all damage

  Media

• Is there a fire extinguisher in the vehicle?

  Yes

  No

  N/A

• Is the fire extinguisher, in date, charged, in good condition?

  Yes

  No

  N/A

• Enter the Asset Number of the fire extinguisher:

• Is there a First Aid Kit in the vehicle?

  Yes

  No

  N/A

• Is the kit in good condition, stocked, consumables in date?

  Yes

  No

  N/A

• Enter the Asset Number of the First Aid Kit:

Class A Safety Checks - **Do Not Operate The Vehicle if Any Class A Defects are Found** (until corrected)

• Check Vehicle dash, is it free from any warning lights?

  Yes

  No

  N/A

• All lights (Tail Lights, Brake Lights, Reverse Lights, Hazards, Headlights & indicators) Functional?

  Yes

  No

  N/A

• Are the Windscreen Wipers operational and functioning correctly?

  Yes

  No

  N/A

• Is the Hand Brake operational and functioning correctly?

  Yes

  No

  N/A

• Are the Seatbelts undamaged and operational?

  Yes

  No

  N/A

• Is the Steering operational and functioning correctly (not loose etc.)?

  Yes

  No

  N/A

• Is the Foot Brake operational and functioning correctly?

  Yes

  No

  N/A

• Is the Clutch and Gears operational and functioning correctly?

  Yes

  No

  N/A

• Is the Horn operational and functioning correctly?

  Yes

  No

  N/A

Class B Safety Checks - Report and Fix Any Defects ASAP

• Tyres in good condition and correct pressure (check for wear and damage)?

  Yes

  No

  N/A

• Photo of the tyres

  Media

• Are the Belts / Hoses operational and functioning correctly (not loose, damaged, etc)?

  Yes

  No

  N/A

• Check Fluid levels (Oil, Water, Brake Fluid, Windscreen Washer) are they at correct levels?

  Yes

  No

  N/A

• Is the safety equipment available and in good working condition (Jack, Wheel Spanner, Etc.)?

  Yes

  No

  N/A

• Is the Air Conditioning operational and functioning correctly?

  Yes

  No

  N/A

• I hereby certify that all information is accurate and that an actual inspection was conducted.

• Driver's Printed Name & Signature

  Sign