SF-012 v0.1 Operator's Daily Safety & Maintenance Checklist

• Conducted on

  Date

• Prepared by

• Location
  Address

• Supplier:

  JBV

  Hired

• Where is machine hired from?

• Plant Id

• Machine Model/type:

  Hyundai

  JCB

  Sennebogen

  Takeuchi

• Model Number:

  480

  520

• Serial No: HHKHZB05CF0000077

• Loler Expiry: 20/11/2020

  

• Serial No: HHKHKB02VH0000067

• Loler Expiry: 07/04/2020

  

• Model Number:

  JZ140

  Tele Handler

• Serial No: JCBJZ14EEG2375116-SEE

• Loler Expiry: 20/11/2020

  

• Serial No: JCB5AAJGL81424981

• Loler Expiry: 20/11/2020

  

• Plant Number:

  S01

  S02

• Serial Number: 82552366

• Loler Expiry: 10/06/2020

  

• Serial Number: 82552371

• Loler Expiry: 20/11/2020

  

• Model Number: TB290

• Loler Expiry: 10/04/2020

  

• Machine Hour Meter Reading

• Operators Name:

Operators’ Daily Safety and Maintenance Checklist

• If any of the below are answered NO, you must give a description of exactly what is wrong with that section. If it's something that can be resolved onsite (eg Oil level wants topping up/ Ad Blue wants topping up/ Bolts loose etc etc) these should be completed by the operator immediatley and marked as done.

• I the operator have read and understood the above statement, I will keep on top of all maintenance on the machine wherever possible.

  I Agree

  I Disagree

• You must contact the Plant Manager/ Managing Director immediatley and explain why you won't keep on top of general maintenance.

Checklist

• Yes = Satisfactory, No = defective and a comment must be added, N/A = Not applicable

• Is the access and egress into the machine free from accumulation of debris.

  Yes

  No

  N/A

• Add Comment:

• Take a photo

  Media

• All engine oils, coolants and brake fluids are at correct operating levels

  Yes

  No

  N/A

• Add Comment:

• Take a photo

  Media

• Visual inspection of tyres and wheels. In good condition, inflated with all wheel nuts present

  Yes

  No

  N/A

• Add Comment:

• Take a photo

  Media

• Tracks in good condition – correct tension – no missing pads/grousers

  Yes

  No

  N/A

• Add Comment:

• Take a photo

  Media

• Operation of lights, horn, warning beacon and reversing alarm

  Yes

  No

  N/A

• Add Comment:

• Take a photo

  Media

• Windows and wipers

  Yes

  No

  N/A

• Add Comment:

• Take a photo

  Media

• All operating controls are clearly marked and function correctly

  Yes

  No

  N/A

• Add Comment:

• Take a photo

  Media

• Service and parking brakes operate and have been tested daily

  Yes

  No

  N/A

• Add Comment:

• Take a photo

  Media

• Seat belt present and operational. Flashing beacon working (if Present)

  Yes

  No

  N/A

• Add Comment:

• Take a photo

  Media

• All round vision - can you see anyone in your work zone including use of Visibility aids - mirrors and CCTV

  Yes

  No

  N/A

• Add Comment:

• Take a photo

  Media

• Steering operating correctly

  Yes

  No

  N/A

• Add Comment:

• Take a photo

  Media

• Quick hitch/coupler, hoses and attachments operating correctly and safety pin used where applicable

  Yes

  No

  N/A

• Add Comment:

• Take a photo

  Media

• Visual inspection for external damage to machine and ROPS/FOPS structure

  Yes

  No

  N/A

• Add Comment:

• Take a photo

  Media

• Access steps, handrails and footholds

  Yes

  No

  N/A

• Add Comment:

• Take a photo

  Media

• All guards are in position

  Yes

  No

  N/A

• Add Comment:

• Take a photo

  Media

• Ad Blue level checked

  Yes

  No

  N/A

• Add Comment:

• Take a photo

  Media

• Shut Off Lever/Dead Man (mobile plant) or emergency stop (fixed plant) operates correctly

  Yes

  No

  N/A

• Add Comment:

• Take a photo

  Media

• JBV operate a Zero Defects policy, if a defect arises stop work, report to the Plant Manager Immediately and do not start work again until rectified.

Operators Section

• I confirm that all the above checks have been carried out thoroughly before the start off shift.

• Operators Signature:

  Sign

• Machine operators to ignore the next section and complete the inspection.

Manager/Supervisor's Section

• Title Onsite:

  Site Manager

  Site Supervisor

• Full Name:

• Signature:

  Sign

• Date & Time Checklist received:

  Date

• If any failed items have been recorded on this sheet, they have automatically been sent to the Plant Manager via email.