Title Page

Equipment Owner Information

  • Company

  • Phone Number

  • Email

  • Call Sign

Inspector Information

  • Name

  • Company

  • Date of Inspection

Vehicle Details

  • Project Name:

  • Inspection date:

  • Make:

  • Model/type:

  • Thiess Unit No.:

  • Odometer (km):

  • Asset description:

  • VIN No.:

  • Registered:

  • Registration No.:

  • Vehicle Loading Crane (VLC)

  • Model/Type:

  • Capacity (kg):

Light Vehicle Function (Select one)

  • Site use only (not road registered)

  • Site use and road registered

  • Non-site use and road registered

Ownership Status

  • Sub-contractor owned asset:

  • Hired or Client owned asset:

  • Existing Thiess owned asset (transfer or ex-idle)

  • New Thiess owned asset:

Maintenance Status

  • Maintained by Thiess

  • Maintained by Others

Scope

  • This checklist applies to:
    • All motor vehicles with a GVM less than or equal to 4.5 tonnes.
    • All trailers with an ATM less than or equal to 4.5 tonnes.
    Note:
    • GVM - Gross vehicle Mass / ATM - Aggregate Trailer Mass.
    • Use this checklist for all light vehicles surface and underground and all trailers for light vehicles.
    • Refer to the Towing Trailers and Lighting Plants Guideline for advice on trailers.
    This checklist may be used in various ways. The principal uses are:
    • By a Site Inspector to undertake a compliance check for commissioning an asset onto a site.
    • By site management as a prompt for external parties such as sub-contractors to ensure compliance prior to an asset being delivered to a site and to confirm that the asset have been and will continue to be maintained to Thiess standards.
    • By an Asset Manager or delegate as a prompt for a supplier or hirer to ensure compliance prior to an asset being delivered to a site.
    User instructions Instructions for Suppliers or Hirers
    This form may be issued to suppliers or hirers by Thiess prior to an asset being delivered to site.
    Upon receipt of this checklist, the supplier must complete the Asset details part of this checklist and any items marked with an asterisk symbol (*) prior to the asset being permitted on site.
    Suppliers must use any relevant Thiess Preventative Maintenance Schedule Form or an OEM recognized mechanical inspection checklist.
    Note to Asset Inspectors:
    • All checklist items completed in advance by a supplier or hirer must be confirmed by the Asset Inspector on site.
    Instructions for Suppliers, Sub-contractors or Hirers where they undertake the asset's maintenance This form must be issued to external parties introducing an asset to site as a supplier, sub-contractor or hirer and where the external party undertakes the asset's maintenance.
    External parties are not required to conduct a mechanical check using an asset relevant Thiess Preventative Maintenance Schedule Form but must:
    • Complete the Asset Details part of this checklist.
    • Complete any items marked with an asterisk symbol (*).
    • Provide all the requested documentation.
    • Complete the Owner's Declaration.
    Note to Asset Inspectors:
    • All checklist items completed in advance by a supplier or hirer must be confirmed by the Asset Inspector on site.
    Use of the Preventative Maintenance Schedule Form / Service Sheet from JDE (As required)
    For use by a competent inspector or trade person.
    Use the major service PM schedule check column.
    Do not change oils etc. as called for in the check column unless previously agreed with the Site Maintenance Manager.
    Top up oils and fluids with the correct types to the correct volumes as required.
    Additional inspection checklists
    Additional specialist inspection checklists may be required.
    Scoring:
    • Y = Yes / Compliant / Pass
    • X = No / Does not exist / Non-compliant / Fail
    • N/A = Not applicable.
    An explanation is required for any 'X' results.
    Commissioning advice tags
    Check for any OEM/Dealer commissioning advice tags or other supplier Information tags such as NO OIL, NO GAS etc. Resolve as required
    Safety procedures:
    Site relevant HSE requirements
    All isolation and live testing must comply with the Thiess Safety Essential - Isolation Standard
    All Work at Heights must comply with the Thiess Safety Essential - Heights Standard
    Access to any confined spaces must comply with the Confined Space Entry Procedure.

Part 1 - Pre-commissioning items

  • Report of any outstanding accident damage items. (Have repair responsibilities been agreed?)

Part 2 - Light Vehicle compliance items (minimum requirements)

Fire extinguishers

  • 1x 4.5kg Fire extinguisher fitted and secure

  • Fire extinguisher tag in date

Safety systems

  • Lockable battery isolator (red with label)

  • Lockable starter motor isolator (yellow with label)

  • Reverse/travel alarm: Fitted and tested

  • Reverse/travel alarm: In a secure location away from damage and mud ingress

  • Two (2) wheel chocks securely stowed on vehicle

  • Detachable Hi Visibility Flag pole in good condition

  • Roof mounted orange beacon/strobe light fitted and operational

  • Tyres in good condition with sufficient tread

  • Spare tyre fitted and in good condition

  • Vehicle Identity - Letters shall be no less than 150mm high with letter and background colours of contrasting black and high visibility lime/yellow

  • - All vehicles will be fitted with 50mm width lime/yellow Diamond Garde reflective tape

ROPS and FOPS

  • Is the vehicle 5 Star ANCAP rated? No separate ROPS required

  • Non-ANCAP 5 Star Rated: For Passenger vehicles - Internal OEM or 3rd party certified ROPS Cage with adequate padding of exposed bars

  • Non-ANCAP 5 Star Rated: For utility vehicles External OEM or 3rd party certified ROPS

Cabin

  • Air-conditioned

  • No non-ADR compliant brackets

  • Pre-start book (issue Thiess book where applicable)

  • Sun visors - only OEM certified sun visors

  • Window tinting to local legislation or client standards

  • No unauthorized decals, window tinting or other material blocking windows

  • Clean

  • Wind screen -No stone chips or cracks

  • LHS / RHS mirrors

  • Reversing and other cameras (As applicable)

  • Integral three-point inertia reel seat belts in good condition and functional:

  • o Non-inertia reel lap belts are to be tagged out and not used.
    o For road going vehicles, all seats must have integral three-point inertia reel seat belts.
    o Seat belts must comply with AS/NZS 2596 Seat belt assemblies for motor vehicles or direct local equivalent.

  • Airbags in Driver’s Compartment – Driver and Passenger

Radios:

  • Site two-way radio fitted and operational with correct channels

  • No loose or un secured items in cabin

Emergency equipment in cabin

  • Window glass breaker (as applicable.)

  • First Aid Kit

Safety decals in cabin:

  • Emergency actions decal

  • Vehicle heights

  • Fire extinguishers decal on door (As applicable)

  • First aid kit decal on door (as applicable)

  • Brake test completed and recorded on Australia Brake Test Record Form and attached

  • Date Completed

Part 3 - Towing vehicle and trailer compliance items

Light vehicle towing requirements

  • Light vehicle towing capacity clearly marked on a sticker on the vehicle near the tow bar or in the cabin

  • ADR compliant tow ball fitted. OR ADR compliant tow pintle hitch with safety pin fitted

  • Safety chains are secured using approved load rated shackles and devices: <br>

  • Note
    • Carabiners and padlocks are prohibited.
    • Stainless steel shackles and devices are prohibited.

  • Chain attachment points - in place / clean / functional

  • Electrical connectors - in place / clean / functional

  • Air connectors (If fitted) - in place / clean / functional

Trailer requirements

  • Is a trailer being inspected

  • Is the unit compliant to the Vehicle Visibility Standard? (Refer to Supervisor/Planners for guidance)

  • Is a trailer compliance plate visible on the trailer drawbar?

  • The trailer compliance plate must show the following as a minimum:
    • ADR compliant or not
    • Trailer tare weight
    • Aggregate Trailer Mass (ATM)
    • The VIN number (as available).
    • Trailer make and model (as available)
    • The year manufactured (as available).

Trailer classes (Select one A, B, C or D)

  • A. Very light trailers (GTM less than 750Kg):

  • Ball coupling OK

  • Brakes are not mandatory

  • Chains - one (1) safety chain minimum

  • Brake, tail and indicator lights

  • Off-site - mandatory

  • Site - as per site requirements

  • B. Light trailers (GTM greater than or equal to 750kg and less than 2t):

  • Ball coupling OK

  • Brakes are mandatory on one axle

  • Mechanical or hydraulic override brakes permitted

  • Chains - one (1) safety chain minimum

  • Brake, tail and indicator lights

  • Off-site - mandatory

  • Site - as per site requirements

  • C. Light and medium trailers (GTM greater than or equal to 2t and less than or equal to 4.5t):

  • Heavy duty (HD) ring coupling mandatory

  • Brakes operating on all wheels (with a break away system for road registered trailers)

  • Override brakes are not permitted as a primary brake

  • Chains

  • Trailers less than or equal to 2.5t - one (1) safety chain minimum

  • Trailers greater than 2.5t - two (2) safety chains fitted

  • Brake, tail and indicator lights

  • Off-site - mandatory

  • Site - as per site requirements

  • D. Thiess' T-Man lighting plants (Greater than 2t) (Less than 2t refer to sections A or B)

  • Heavy Duty (HD) Ring coupling mandatory

  • Mechanical or hydraulic override brakes on front axle only

  • Chains - two (2) safety chain

  • Brake, tail and indicator lights

  • Not required

  • Rear reflectors mandatory

Part 8.1 - Function and run tests

  • Function and run tests completed as per the relevant Preventative Maintenance Schedule

Part 10 - Inspection closeout - Asset Inspector

  • Have all the above Parts been completed, defects identified, and actions taken to rectify them?

  • Please provide photos of all 4 sides of the equipment

Asset Inspector:

  • Name:

  • Signature:

  • Date:

  • Position:

Part 14 - Release to work (Site Manager / Superintendent Use Only)

  • Does the asset need to be registered with the State or Territory Regulatory Authority? Refer to the applicable Acts or Regulations

  • For any outstanding accident damage items, have repair responsibilities been agreed?

  • Have all the items above been completed?

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.