Title Page

  • Photos

  • Asset #

  • Prepared by

  • Conducted on

  • Location
  • Duration

  • Finish Time

  • Make

  • Model

  • Serial/Vin No.

  • Hours/Km

  • Next Service Due At

  • Head/Work Lights

  • Brake/Tail Lights

  • Indicators

  • Reverse Lights

  • Reverse Alarm

  • Motion Alarm

  • Hitch Safety Mechanism

  • Hitch Free Play

  • Clutch/Gear Selection

  • Steps/Grab Rails

  • UHF

  • Radio/Speakers

  • Seat/Seatbelts

  • Cab Lights

  • Warning Lights

  • Gauges

  • Slew Motor

  • Safety Lever

  • Controls

  • Climate Controls

  • Mirrors

  • Windows/Glass

  • Wipers/Washers

  • Horn

  • Brakes Park Brake Operation

  • Brake Pads/Lining Wear %

  • Brakes Adjusted

  • Radiator Cap/Hoses

  • Radiator Core

  • Coolant Condition

  • Drive Belts Condition

  • Fan Condition

  • Battery Condition

  • E/Stops Operational

  • Fluid Leaks

  • Fluid Levels

  • Artic Joint

  • Breathers

  • Under Carriage

  • Tracks Condition & Tension

  • Tyre Condition & Pressures

  • Driveline Condition

  • Steering

  • Suspension

  • Exhaust System

  • Air Leaks

  • Pins & Bushes

Fluids and Grease

  • Engine Oil

  • Hydraulic Oil

  • Transmission Oil

  • Gear Oil

  • Coolant

  • Grease All Points

  • Air Filters

  • Cab Filters

Compliance

  • Plant Risk Assessment Present and In-Date (12 monthly)

  • Fire Extinguisher (6 monthly check, 5-year expiry)

  • Operators Manual Present

  • RCD Inspection Check

  • Service Record Present and within hrs/kms (sticker or checklist)

  • Wheel Nut Indicators

  • Asset # Present

Comments

  • Notes

  • 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.