Revegetation Contractors Pty Ltd

• Document No.

• Conducted on

  Date

• Prepared by

• Location
  Address

General Information

• The below inspection to be carried out by each individual prior to operating any plant.

• No personnel are to use any item of plant unless they have read and signed off on the appropriate "Safe Operating Procedure" / " Work Method Statement".

• Date:

  Date

• Time:

  Date

• Vehicle Type:

  Light Vehicle

  Truck

  Machinery

• Registration numbers

• Registration numbers

• Registration numbers

• Odometer / Hour reading before leaving:

• Odometer / Hour reading upon return:

• Operator Name & Signature:

  Sign

Before Leaving Depot

1. Job Information

• Log Book / Memo Book

  Yes

  No

  N/A

• Mobile Phone

  Yes

  No

  N/A

• Job Sheet (Budget/Actual)

  Yes

  No

  N/A

• JSEA / SLAM Book

  Yes

  No

  N/A

• Job Instruction Sheet

  Yes

  No

  N/A

• ITP Forms / Water Permit

  Yes

  No

  N/A

2. Stock

• Materials as per Job Sheet

  Yes

  No

  N/A

3. Equipment Needed / Carried

• Stand Pipe & Hose/Pump

  Yes

  No

  N/A

• Shovel/Rakes etc

  Yes

  No

  N/A

• Hoses/Cleaning hoses

  Yes

  No

  N/A

• Scales

  Yes

  No

  N/A

• Irrigation tools

  Yes

  No

  N/A

• Road / Safety signs

  Yes

  No

  N/A

• Dog & Chain

  Yes

  No

  N/A

• Tow Chain & Shackles

  Yes

  No

  N/A

4. Mechanical

• Engine / Oil Level

  Pass

  Fail

  N/A

• Gear Box / Oil Level

  Pass

  Fail

  N/A

• Oil Leaks

  Pass

  Fail

  N/A

• Coolant Level

  Pass

  Fail

  N/A

• Steering

  Pass

  Fail

  N/A

• Suspension

  Pass

  Fail

  N/A

• Exhaust

  Pass

  Fail

  N/A

5. Lights

• Flashing Safety Lights

  Pass

  Fail

  N/A

• Headlights

  Pass

  Fail

  N/A

• Tail Lights

  Pass

  Fail

  N/A

• Brake Lights

  Pass

  Fail

  N/A

• Indicators

  Pass

  Fail

  N/A

• Clearance Lights

  Pass

  Fail

  N/A

6. Brakes

• Park Brake

  Pass

  Fail

  N/A

• Brakes

  Pass

  Fail

  N/A

7. Clear Vision

• Windscreen

  Pass

  Fail

  N/A

• Windows

  Pass

  Fail

  N/A

8. Wheels and Tyres

• Jack & Wheel Brace

  Pass

  Fail

  N/A

• Tyres & Spare Roadworthy

  Pass

  Fail

  N/A

• Tyres & Nuts Secure

  Pass

  Fail

  N/A

• Air Pressure Correct

  Pass

  Fail

  N/A

9. Safety

• Witches Hat / Triangles

  Pass

  Fail

  N/A

• 1st Aid Kit

  Pass

  Fail

  N/A

• Fire Extinguisher

  Pass

  Fail

  N/A

• Hard Hats

  Pass

  Fail

  N/A

• Safety Vests

  Pass

  Fail

  N/A

• Pressure Hoses / Couplings

  Pass

  Fail

  N/A

10. Communication

• UHF Operational

  Pass

  Fail

  N/A

• UHF Channel No.

• Mobile Phone No.

11. Equipment Transported & Load

• Equipment Secured

  Pass

  Fail

  N/A

• Load Secured

  Pass

  Fail

  N/A

On Return To Depot

1. Shut Down

• Idle 2 mins prior to turning off

  Yes

  No

  N/A

• Clean external

  Yes

  No

  N/A

• Wash out tank / tray

  Yes

  No

  N/A

• Wash out seeder / spreader

  Yes

  No

  N/A

• Oil & grease

  Yes

  No

  N/A

• Any other machinery cleaning

  Yes

  No

  N/A

• Any maintenance needed

  Yes

  No

  N/A

2. Equipment

• Clean and stored correctly

  Yes

  No

  N/A

• Return Keys To Office

  Yes

  No

  N/A

3. Job Information

• Fill in and return Job Sheet

  Yes

  No

  N/A

• Fill in and return Job Completion

  Yes

  No

  N/A

Maintenance / Safety

• Maintenance Needed / Safety Concerns:

• Photo:

  Media

Sign Off

• Signature:

  Sign

• Time:

  Date

• Failure to complete and sign this form by the delegated driver will lead to a Non-Conformance being issued and three (3) such non- conformances will result in formal warning being issued against that employee.