Title Page
-
Conducted on
-
Prepared by
-
Location
Operators’ Daily Safety and Maintenance Checklist
-
Supplier:
-
Where is machine hired from?
-
Plant Id
-
Machine Model/type:
-
Model Number:
-
Serial No: HHKHZB05CF0000077
-
Loler Expiry: 20/11/2020
-
Serial No: HHKHKB02VH0000067
-
Loler Expiry: 13/07/2021
-
Model Number:
-
Serial No: JCBJZ14EEG2375116-SEE
-
Loler Expiry: 20/11/2020
-
Serial No: JCB5AAJGL81424981
-
Loler Expiry: 20/11/2020
-
Plant Number:
-
Serial Number: 825.5.23
-
Loler Expires - 16-07-21
-
Serial Number - 825.5.2371
-
Loler Expires - 20/11/20
-
Model Number: TB290
-
Loler Expiry: 10/04/2020
-
Machine Hour Meter Reading
-
Operators Name:
Items to be Checked
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.
-
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.
-
Add Comment:
-
Take a photo
-
All engine oils, coolants and brake fluids are at correct operating levels
-
Add Comment:
-
Take a photo
-
Visual inspection of tyres and wheels. In good condition, inflated with all wheel nuts present
-
Add Comment:
-
Take a photo
-
Tracks in good condition – correct tension – no missing pads/grousers
-
Add Comment:
-
Take a photo
-
Operation of lights, horn, warning beacon and reversing alarm
-
Add Comment:
-
Take a photo
-
Windows and wipers
-
Add Comment:
-
Take a photo
-
All operating controls are clearly marked and function correctly
-
Add Comment:
-
Take a photo
-
Service and parking brakes operate and have been tested daily
-
Add Comment:
-
Take a photo
-
Seat belt present and operational. Flashing beacon working (if Present)
-
Add Comment:
-
Take a photo
-
All round vision - can you see anyone in your work zone including use of Visibility aids - mirrors and CCTV
-
Add Comment:
-
Take a photo
-
Steering operating correctly
-
Add Comment:
-
Take a photo
-
Quick hitch/coupler, hoses and attachments operating correctly and safety pin used where applicable
-
Add Comment:
-
Take a photo
-
Visual inspection for external damage to machine and ROPS/FOPS structure
-
Add Comment:
-
Take a photo
-
Access steps, handrails and footholds
-
Add Comment:
-
Take a photo
-
All guards are in position
-
Add Comment:
-
Take a photo
-
Ad Blue level checked
-
Add Comment:
-
Take a photo
-
Shut Off Lever/Dead Man (mobile plant) or emergency stop (fixed plant) operates correctly
-
Add Comment:
-
Take a photo
Sign Off
-
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:
-
Machine operators to ignore the next section and complete the inspection.
Manager/Supervisor's Section
-
Title Onsite:
-
Full Name:
-
Signature:
-
Date & Time Checklist received:
-
If any failed items have been recorded on this sheet, they have automatically been sent to the Plant Manager via email.