Title Page

  • Document No.

  • Vehicle Number

  • Klm

  • Hours

  • Conducted on

  • Location
  • Prepared by

  • Driver

Pre-Start

  • Pre-Start Complete

Truck

  • Vehicle clean inside and out

  • In cab photo

  • Exterior photos

  • Vehicle free from accident damage

  • Windows clean and free of damage

  • Mirrors working and in good condition

  • Wipers working and good condition

  • Seatbelt working and in good condition

  • Vehicle book present and complete

  • Spill kit present and complete

  • First aid kit present and complete

  • Equipment secured correctly in cab

  • Engine oil level

  • Coolant level

  • Auto trans level

  • Brake fluid level

  • Power steering fluid level

  • Air tanks drained of moisture

  • All lights working

  • Tyre tread and pressure good

  • Vehicle free from leaks

Sweeper

  • Hopper and sweep gear clean

  • Hopper flaps and deflectors in good condition

  • Screen and fan clean and in good condition

  • Hopper and spigot seals in good condition

  • Nozzle rubbers adjusted correctly and in good condition

  • Nozzle wheels and bearings in good condition

  • Nozzle, tubes and Cables in good condition

  • All skirts in good condition and adjusted correctly

  • All lights work

  • Beacons work

  • Water tank sock in good condition

  • Engine oil level

  • Hydraulic oil level

  • Coolant level

  • Free from leaks

Operational test

  • Single or twin engine

  • Hydrostatic works including lights

  • Both l/h and R/h forward and reverse work

  • Fan operates correctly including boost

  • All brooms operate correctly including super sweep

  • All broom up/down pressure works correctly

  • Broom tilts both work

  • Broom speeds adjust correctly

  • Nozzle operates

  • Nozzle gobbler works

  • Low pressure water works

  • Front bar

  • L/h side broom

  • L/h nozzle

  • L/h spigot

  • R/h side broom

  • R/h nozzle

  • R/h spigot

  • High pressure water

  • Front bar

  • Nozzle bars if fitted

  • Handlance

  • Fan wash

Sign off

  • Driver

  • Auditor

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.