Tasman Power Vehicle Pre-Start Form

• Site conducted

• Conducted on

  Date

• Prepared by

• Odometer

• Vehicle Asset

Area to Check

• Lighting (Stop, Park, Head, Tail, Reverse and beacon)

  Yes

  No

  N/A

• Horn (Horn and Reversing Alarm)

  Yes

  No

  N/A

• Brakes (Hand and Foot)

  Yes

  No

  N/A

• Wheel Assembly (Tires, Spares, Rims, Inflation, Wheel Nuts)

  Yes

  No

  N/A

• Engine (Level and Leaks)

  Yes

  No

  N/A

• Fire Extinguisher (Tested and Tagged to Correct Period, In Good Condition)

  Yes

  No

  N/A

• Vision (Windscreen, Mirrors, Washers)

  Yes

  No

  N/A

• Interior (Windscreen, Mirrors, Washers)

  Yes

  No

  N/A

• Safety Equipment (Safety Triangle, Wheel Chocks, Jack and Tools)

  Yes

  No

  N/A

• First Aid Kit (Complete Kit and in Good Condition)

  Yes

  No

  N/A

• Communications (Two Way Radio Operational, VHF Operational)

  Yes

  No

  N/A

• Vehicle Documentation (Risk Assessment, Site Entry Forms, Registration Plates)

  Yes

  No

  N/A

• Flag (Whip Aerial, Flag, Lights)

  Yes

  No

  N/A

• General Cleanliness (Loose Items, Interior and Exterior Cleanliness)

  Yes

  No

  N/A

• Supervisor Notified of Any Faults

  Yes

  No

  N/A