Screener / Crusher Inspection

• Site conducted

  Select

• Service/Maintenance?

• Date

  Date

• Driver

• Engineer

• Location
  Address

Vehicle Information

• Machine Model

• Machine Make

• VIN/Serial No.

• Machine Hours/Mileage

Dynamic Risk Assessment - Are you at RISK from:

• Coming into contact with moving machinery?

  Yes

  N/A

  No

• What is the Hazard?

• How have you controlled the Risk?

• Flying or falling objects?

  Yes

  N/A

  No

• What is the Hazard?

• How have you controlled the Risk?

• Weather conditions?

  Yes

  N/A

  No

• What is the Hazard?

• How have you controlled the Risk?

• Being struck by a vehicle?

  Yes

  N/A

  No

• What is the Hazard?

• How have you controlled the Risk?

• Striking a fixed object?

  Yes

  N/A

  No

• What is the Hazard?

• How have you controlled the Risk?

• Being cut by a sharp object?

  Yes

  N/A

  No

• What is the Hazard?

• How have you controlled the Risk?

• Manual Handling

  Yes

  N/A

  No

• What is the Hazard?

• How have you controlled the Risk?

• Falling from height?

  Yes

  N/A

  No

• What is the Hazard?

• How have you controlled the Risk?

• Tripping or slipping?

  Yes

  N/A

  No

• What is the Hazard?

• How have you controlled the Risk?

• Pressurised systems?

  Yes

  N/A

  No

• What is the Hazard?

• How have you controlled the Risk?

• Becoming trapped?

  Yes

  N/A

  No

• What is the Hazard?

• How have you controlled the Risk?

• Drowning or suffocating?

  Yes

  N/A

  No

• What is the Hazard?

• How have you controlled the Risk?

• Exposure to harmful substances?

  Yes

  N/A

  No

• What is the Hazard?

• How have you controlled the Risk?

• Exposure to heat or fire?

  Yes

  N/A

  No

• What is the Hazard?

• How have you controlled the Risk?

• Exposure to noise or vibration?

  Yes

  N/A

  No

• What is the Hazard?

• How have you controlled the Risk?

• Lone working?

  Yes

  N/A

  No

• What is the Hazard?

• How have you controlled the Risk?

• Electrocution (including overhead power lines)

  Yes

  N/A

  No

• What is the Hazard?

• How have you controlled the Risk?

• Radiation, welding fumes, dust, particles or gasses?

  Yes

  N/A

  No

• What is the Hazard?

• How have you controlled the Risk?

• Waste & spillages?

  Yes

  N/A

  No

• What is the Hazard?

• How have you controlled the Risk?

• Have you isolated the machine using the isolation lock?

  Yes

  N/A

  No

Hydraulics

• Do you wish to check the hydraulics of this vehicle in this inspection?

  Yes

  N/A

  No

• Is the oil level correct?

  Yes

  N/A

  No

• Is is free from unusual noises?

  Yes

  N/A

  No

• Are cylinders in good condition?

  Yes

  N/A

  No

• Is the main hydraulic pump free of unusual noises & oil leaks?

  Yes

  N/A

  No

• Are hoses in good condition?

  Yes

  N/A

  No

• Are the drive motors in good condition?

  Yes

  N/A

  No

• Are the spool valves working correctly?

  Yes

  N/A

  No

Engine Maintenance

• Do you wish to conduct a maintenance check of this vehicle in this inspection?

  Yes

  N/A

  No

• Are engine oil levels within acceptable ranges?

  Yes

  N/A

  No

• Is the machine free of excessive oil leaks?

  Yes

  N/A

  No

• Is engine breathing heavily & free from unusual noises?

  Yes

  N/A

  No

• Are coolant levels within acceptable ranges & free of leaks?

  Yes

  N/A

  No

• Are coolant hoses & clips in good condition?

  Yes

  N/A

  No

• Check V belt for damage

  Good

  Fair

  Poor

  N/A

• Check for damaged V belt guards

  Good

  Fair

  Poor

  N/A

• Are fuel hoses & clips in good condition?

  Good

  Fair

  Poor

  N/A

• Is the machine free of fuel leaks?

  Yes

  N/A

  No

• Are the battery & leads in good condition?

  Good

  Fair

  Poor

  N/A

• Check inter-cooler levels & condition

  Good

  Fair

  Poor

  N/A

• Are inter-cooler hoses & clips in good condition?

  Good

  Fair

  Poor

  N/A

• Check radiator levels & condition

  Good

  Fair

  Poor

  N/A

• Check oil cooler levels & condition

  Good

  Fair

  Poor

  N/A

• Are mounting bolts & fixings secure?

  Yes

  N/A

  No

Machine Condition

• Check Side Skirts

  Good

  Fair

  Poor

  N/A

• Check Conveyor Belts

  Good

  Fair

  Poor

  N/A

• Check Guide Rollers & Drive Rollers

  Good

  Fair

  Poor

  N/A

• Check Bearings

  Good

  Fair

  Poor

  N/A

• Are the grease pipes in good condition & free of leaks?

  Yes

  N/A

  No

• Are Screen Meshes tight & in good condition?

  Yes

  N/A

  No

• Locking Pins in place and in good condition?

  Good

  Fair

  Poor

  N/A

• Are shaker springs on? Are they damaged?

  Yes

  N/A

  No

• Check Punch plate condition

  Good

  Fair

  Poor

  N/A

• Check Jaws & rotas condition

  Good

  Fair

  Poor

  N/A

• Check Hopper condition

  Good

  Fair

  Poor

  N/A

• Check drive belts v& condition

  Good

  Fair

  Poor

  N/A

Defect and Damage Log

• Please log all damages and defects noted on the vehicle

Defect

• Select the location of this individual defect

  Select General Engine Electrical Hydraulics Other

  • General
  • Engine
  • Electrical
  • Hydraulics
  • Other

• If possible, describe where this defect is located

• Describe the location of this defect

• What type of defect is this individual defect?

  Select Machine Won't Start Operating Unexpectedly Non-functional Damage (Paint / Cosmetic) Damage (Body) Abnormal Noise Battery Issue Engine issue Electrical Issue Requires attention Other

  • Machine Won't Start
  • Operating Unexpectedly
  • Non-functional
  • Damage (Paint / Cosmetic)
  • Damage (Body)
  • Abnormal Noise
  • Battery Issue
  • Engine issue
  • Electrical Issue
  • Requires attention
  • Other

• Briefly describe this defect

• Attach photos of this defect (if applicable)

  Media

General Comments

• Any further comments or recommendations arising from this inspection?

• Add any additional relevant photos

  Media

• Have all required corrective actions been added as Actions to this inspection?

  Yes

  No

  N/A

• Please add any corrective actions to the appropriate questions above before completing this report
  

Sign Off

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

• Engineer Name and Signature

  Sign