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

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  • Serial No: HHKHKB02VH0000067

  • Loler Expiry: 13/07/2021

    loler520-2021.JPG
  • Model Number:

  • Serial No: JCBJZ14EEG2375116-SEE

  • Loler Expiry: 20/11/2020

    jcb loler.png
  • Serial No: JCB5AAJGL81424981

  • Loler Expiry: 20/11/2020

    jcb tele loler.png
  • Plant Number:

  • Serial Number: 825.5.23

  • Loler Expires - 16-07-21

    loler 825-5-23 sen.JPG
  • Serial Number - 825.5.2371

  • Loler Expires - 20/11/20

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  • Model Number: TB290

  • Loler Expiry: 10/04/2020

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  • 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.

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.