Title Page
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Site conducted
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Service/Maintenance?
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Date
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Driver
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Engineer
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Location
Vehicle Information
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Vehicle Model
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Vehicle Make
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VIN/Serial No.
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Machine Hours/Mileage
Dynamic Risk Assessment - Are you at RISK from:
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Coming into contact with moving machinery?
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What is the Hazard?
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How have you controlled the Risk?
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Flying or falling objects?
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What is the Hazard?
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How have you controlled the Risk?
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Weather conditions?
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What is the Hazard?
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How have you controlled the Risk?
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Being struck by a vehicle?
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What is the Hazard?
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How have you controlled the Risk?
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Striking a fixed object?
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What is the Hazard?
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How have you controlled the Risk?
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Being cut by a sharp object?
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What is the Hazard?
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How have you controlled the Risk?
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Manual Handling
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What is the Hazard?
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How have you controlled the Risk?
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Falling from height?
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What is the Hazard?
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How have you controlled the Risk?
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Tripping or slipping?
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What is the Hazard?
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How have you controlled the Risk?
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Pressurised systems?
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What is the Hazard?
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How have you controlled the Risk?
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Becoming trapped?
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What is the Hazard?
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How have you controlled the Risk?
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Drowning or suffocating?
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What is the Hazard?
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How have you controlled the Risk?
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Exposure to harmful substances?
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What is the Hazard?
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How have you controlled the Risk?
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Exposure to heat or fire?
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What is the Hazard?
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How have you controlled the Risk?
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Exposure to noise or vibration?
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What is the Hazard?
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How have you controlled the Risk?
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Lone working?
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What is the Hazard?
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How have you controlled the Risk?
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Electrocution (including overhead power lines)
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What is the Hazard?
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How have you controlled the Risk?
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Radiation, welding fumes, dust, particles or gasses?
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What is the Hazard?
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How have you controlled the Risk?
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Waste & spillages?
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What is the Hazard?
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How have you controlled the Risk?
Cab Check
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Do you wish to check the cab of this vehicle in this inspection?
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Is inside the vehicle in a clean and tidy condition?
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Check Glass/Cab Windows
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Check seat/seat belt & sensor
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Check door lock is operational
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Check mirrors
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Check wipers & washers are functional
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Check all steps & handrails
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Reset service light (if required)
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Check control levels/pedals
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Check steering wheel
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Check safety bar
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Check safety lever to pedals
Brakes
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Do you wish to check the brakes of this vehicle in this inspection?
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Check handbrake efficiency
Electrics
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Do you wish to check the electrics of this vehicle in this inspection?
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Is the horn working?
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Are amber & green lights operational?
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Check the reverse camera & reverse alarm are operational
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Check neutral start
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Check battery
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Check starter
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Check alternator
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Check lights/instruments
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Check wiring
Hydraulics
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Do you wish to check the hydraulics of this vehicle in this inspection?
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Is the oil level correct?
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Check oil filters
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Is is free from unusual noises?
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Is the pump free of oil leaks?
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Are hoses in good condition?
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Check servo lever isolator
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Check valve banks
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Check oil cooler
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Check pump mounts
Hydrostatics
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Do you wish to check the hydrostatics of this vehicle in this inspection?
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Check drive motors
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Check pumps
Engine Maintenance
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Do you wish to conduct a engine check of this vehicle in this inspection?
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Are engine oil levels within acceptable ranges?
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Check oil pressure
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Check oil filter
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Is engine breathing heavily and free from unusual noises?
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Check the water level & anti freeze content %
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Check Alt belts
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Check engine mounts
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Check air filter/hoses
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Check water pump
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Check radiator & hoses
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Check exhaust & muffler
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Check fuel system & filter
Main Frame
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Do you wish to check the main frame of this vehicle in this inspection?
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Check body condition
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Check center pin
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Check door catches
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Check roll bar
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Check cab grab handles
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Check mounting bolts
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Check for any cracks
Drive System
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Do you wish to check the drive system on this inspection?
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Check steering pins & bushes
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Check steering linkage
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Check wheels & tyres
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Check drum rollers & roller nuts
Water System
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Do you wish to check the water system on this inspection?
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Check spray bars
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Check spray nozzles
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Check water pump
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Check water tank
Defect and Damage Log
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Please log all damages and defects noted on the vehicle
Defect
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Select the location of this individual defect
- General
- No location
- Bonnet / hood
- Bumper
- Fender (wing or mudguard)
- Grille (grill)
- Engine
- Brakes
- Accelerator
- Front Right Side Wheel
- Front Left Side Wheel
- Rear Right Side Wheel
- Rear Left Side Wheel
- Rims / Hubcap
- Tire / Tyre
- Interior (General)
- Front Right Side Seat
- Front Left Side Seat
- Rear Right Side Seat
- Rear Middle Seat
- Rear Left Side Seat
- Dashboard
- Electrical (General)
- Electrical (Entertainment / Computer)
- Steering Wheel
- Pedals
- Trunk / boot
- Front Right door
- Front Left door
- Rear Right door
- Rear Left door
- Trunk / boot door
- Fuel tank (inc. fuel door)
- Front Right Side Glass
- Front Left Side Glass
- Rear Right Side Glass
- Rear Left Side Glass
- Windshield / windscreen
- Other
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If possible, describe where in the engine this defect is located
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Describe the location of this defect
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What type of defect is this individual defect?
- Vehicle Won't Start
- Operating Unexpectedly
- Non-functional
- Damage (Paint / Cosmetic)
- Damage (Body)
- Damage (Glass)
- Abnormal Noise
- Battery Issue
- Engine issue
- Light issue
- Electrical Issue
- Requires attention
- Flat Tyre
- Other
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Briefly describe this defect
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Attach photos of this defect (if applicable)
General Comments
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Any further comments or recommendations arising from this inspection?
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Add any additional relevant photos
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Have all required corrective actions been added as Actions to this inspection?
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Please add any corrective actions to the appropriate questions above before completing this report
Sign Off
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I, the undersigned, hereby certify that all information is accurate and that an actual inspection was conducted.
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Engineer Name and Signature
