Title Page
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Document No.
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Plant No.
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Make / Type
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Odometer / Hour Clock Reading (if applicable, or type N/A)
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Service Due (If within 10hours, 5 days or 500km - set an action for AJ on this item)
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Hubometer (if applicable, or type N/A)
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COF / WOF Expiry (if applicable)
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Registration Due (if applicable)
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RUC / Time Licence Expiry (if applicable, or type N/A)
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Completed on
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Form completed by
GENERAL CHECKS - Mechanical
GENERAL CHECKS - Mechanical
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Engine oil
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Coolant
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Hydraulic oil
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Belts / chains
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Fluid or Air Leaks
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Lubrication / Greasing
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Other mechanical items of note
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GENERAL CHECKS - Exterior
GENERAL CHECKS - Exterior
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Tyres / Rims / Tracks / Rollers
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Lights / Beacons
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Glass / Mirrors
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ROPS and Guards
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Body / Panel / Housings
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Towbar / Linkages
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Other exterior items of note
GENERAL CHECKS - Cab / Operative Area
GENERAL CHECKS - Cab / Operative Area
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Seat belts
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Horn
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Gauages / Meters
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Wipers
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Cab clean
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First aid kit / extinguisher
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Other mechanical items of note
SPECIALIST CHECKS - Trucks
SPECIALIST CHECKS - Trucks
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Are you inspecting a truck?
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Air System
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Load Restraints
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Fifth Wheel
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Landing Legs
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Kingpin / Drawbar
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Arrow Board
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Other truck items of note
SPECIALIST CHECKS - Cranes / Rigs
SPECIALIST CHECKS - Cranes / Rigs
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Are you inspecting a crane or rig?
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Boom Function and Condition
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Winches / Wires / Ropes
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Pins
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Structure and Outriggers
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Certs and Permits
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Load Charts
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Other crane / rigging items of note
Sign Off
SIGN OFF
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Any other notes or description of faults
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Operator Signature - I confirm that I have completed the checks as detailed in this form and have recorded any known defects or emerging faults to the best of my ability.
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Supervisor Signature
