Information

  • AUDIT TITLE

  • SITE LOCATION WHERE AUDIT IS CONDUCTED

  • AUDIT CONDUCTED ON

  • AUDIT TEAM MEMBERS

  • SITE PERSONNEL MET DURING THE AUDIT

Plant Check 1

  • Has a Roadbridge per-mobilisation check been carried out and is the 6 monthly check sticker in place?

  • Action Raised as part of plant inspection sheet in order to correct issue:

  • Action by Whom:

  • Date for action to be completed by:

  • Are tyres/tracks in good condition(s) and is there any visible brake fluid leak?

  • Action Raised as part of plant inspection sheet in order to correct issue:

  • Action by Whom:

  • Date for action to be completed by:

  • Visually check that there is no damage/leaks from the fuel, hydraulic, cooling, steering and break systems including lines, fittings and that all caps are in place?

  • Action Raised as part of plant inspection sheet in order to correct issue:

  • Action by Whom:

  • Date for action to be completed by:

  • Are the brakes working including handbrake and deadman leaver?

  • Action Raised as part of plant inspection sheet in order to correct issue:

  • Action by Whom:

  • Date for action to be completed by:

  • Are reverse beeper/motion sensor-Working or Audible?

  • Action Raised as part of plant inspection sheet in order to correct issue:

  • Action by Whom:

  • Date for action to be completed by:

  • Are the seat belts in good condition and the seat belt alarm in place and working?

  • Action Raised as part of plant inspection sheet in order to correct issue:

  • Action by Whom:

  • Date for action to be completed by:

  • Are the wing mirrors in position, adjusted and in good condition?

  • Action Raised as part of plant inspection sheet in order to correct issue:

  • Action by Whom:

  • Date for action to be completed by:

  • Is the reverse camera working and in good condition (lens clean)?

  • Action Raised as part of plant inspection sheet in order to correct issue:

  • Action by Whom:

  • Date for action to be completed by:

  • Is the steering in good order with no visible leaks/damage?

  • Action Raised as part of plant inspection sheet in order to correct issue:

  • Action by Whom:

  • Date for action to be completed by:

  • Is there an emergency stop and is it working?

  • Action Raised as part of plant inspection sheet in order to correct issue:

  • Action by Whom:

  • Date for action to be completed by:

  • Is all power are off guards in place including chains (PTO)?

  • Action Raised as part of plant inspection sheet in order to correct issue:

  • Action by Whom:

  • Date for action to be completed by:

  • Is the Quick Hitch(QH) mechanism in good working order and engaged including the QH safety pin if applicable?

  • Action Raised as part of plant inspection sheet in order to correct issue:

  • Action by Whom:

  • Date for action to be completed by:

  • Are all lifting appliances in date, certified and marked with an SWL sticker?

  • Action Raised as part of plant inspection sheet in order to correct issue:

  • Action by Whom:

  • Date for action to be completed by:

  • If towing, is the breakaway line in good condition (safety chain,pins clip saw and R pins)?

  • Action Raised as part of plant inspection sheet in order to correct issue:

  • Action by Whom:

  • Date for action to be completed by:

SUMMARY

  • Remarks:

  • PHOTO EVIDENCE

Plant Check 2

  • Housekeeping in plant maintained to the required level (no debris) including engine compartment and ROPS (roll over protection structure) in place?

  • Action Required to correct issue:

  • Action by Whom:

  • Date for action to be completed by:

  • Fire extinguisher and mobile spill kits (where required) in place?

  • Action Required to correct issue:

  • Action by Whom:

  • Date for action to be completed by:

  • Are door catches/tie backs in place and operational?

  • Action Required to correct issue:

  • Action by Whom:

  • Date for action to be completed by:

  • Are all lights clean and working including amber and green beacons?

  • Action Required to correct issue:

  • Action by Whom:

  • Date for action to be completed by:

  • Are the windows clean and windscreen in good condition?

  • Action Required to correct issue:

  • Action by Whom:

  • Date for action to be completed by:

  • Are all lifting attachments tested, certified, colour coded and in good condition?

  • Action Required to correct issue:

  • Action by Whom:

  • Date for action to be completed by:

  • Are all access steps, handrails and fall protection in place and in good condition?

  • Action Required to correct issue:

  • Action by Whom:

  • Date for action to be completed by:

  • Are all fluid levels adequate (fuel, hydraulic, cooling, steering and brake) and points greased as required?

  • Action Required to correct issue:

  • Action by Whom:

  • Date for action to be completed by:

SUMMARY

  • Remarks:

  • PHOTO EVIDENCE

Plant Check 3

  • Is the horn working?

  • Action Required to correct issue:

  • Action by Whom:

  • Date for action to be completed by:

  • Are the buffers on the left and right hand side in good condition?

  • Action Required to correct issue:

  • Action by Whom:

  • Date for action to be completed by:

SUMMARY

  • Remarks

  • PHOTO EVIDENCE

Sign off

  • Remarks

  • Supplementary Photos

  • Inspection Auditor

  • Date/Time

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.