Title Page

  • Company

  • Document No.

  • Audit Title

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

1. General Check

  • Operator's PPEs

  • Driver' licence

  • Operator attended Reach Stacker training Course?

  • Road licence/ Motor vehicle license

  • Insurance

  • Revenue sticker

  • Go to safety week

  • Warning sticker ( 7M away) - Kaa mbali na mashine zaidi ya Mita 7

  • Pre- start checklist signed by the supervisor and driver?

  • Boom, superstructure or welds: wear, conditioned, rust, loose parts.

  • Hydraulic rams/ hoses/ lines.

  • Wheels/ tyre pressure and condition.

  • Cabin/ ROPS/ FOPS for damage or wear.

  • Fluid levels: engine oil, hydraulic oil level, transmission oil, brake

  • Fuel levels, engine oil, hydraulic oil level, transmission oil, brake fluids, coolant, power steering fluid.

  • General condition: signs of visual weakness, stress welds, paint separation.

  • Outriggers/ stabilisers: clean, secure

  • Windows and mirrors: clean, secure.

  • Nuts, bolts, pins, connection points,: any damage, wear, loose parts

  • Decals and signage

  • Leaks under vehicle.

  • Safety devices including extinguisher.

2. Internal Cabin Check

  • Levers and gears for wear. Damage, labels

  • General wear and tear

  • Seat and seat belt

  • Logbook, running sheet, vehicles history, service sheets: present and correct.

3. Start-up Check.

  • Test for free-play on the steering

  • Test pressure on brake pedals.

  • Start the machine

  • Warm up for at least three minutes

  • Test all lights and indicators

  • Test the hooter

  • Test the tilt cylinders

  • Test the lifting cylinders

  • Air conditioning

  • Check all gauges and instruments: fuel, engine temperature, hydraulic.

  • Test the park brake

  • Test the foot brake

  • GPS/ Positioning system

  • Outriggers/ stabilisers functioning

  • Communication Equipment

  • General housekeeping inside the cab

4. Spreader Check

  • Rotation device

  • Tilt cylinder

  • Side shift wagon

  • T- beam

  • Twistlocks

  • Spreader signalling lamps.

  • Comments

  • More Pictures.

  • Driver's Signature

  • QHSE Representative

  • QHSE Auditor Signature

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.