Vehicle Daily Safety Check Sheet

• Conducted on

  Date

• Prepared by

  Sign

Vehicle Selection

• Select vehicle being audited

  Select Komatsu 360 Komatsu 290 Komatsu 470 Komatsu D65 Komatsu D61 CAT 950 Volvo A40

  • Komatsu 360
  • Komatsu 290
  • Komatsu 470
  • Komatsu D65
  • Komatsu D61
  • CAT 950
  • Volvo A40

• Plant No.

• Hours

Vehicle Selection

• Plant No.

• Hours

• Select vehicle being audited

  Select Komatsu 360 Komatsu 290 Komatsu 470 Komatsu D65 Komatsu D61 CAT 950 Volvo A40

  • Komatsu 360
  • Komatsu 290
  • Komatsu 470
  • Komatsu D65
  • Komatsu D61
  • CAT 950
  • Volvo A40

• Oil, Fuel And Coolant Levels

  Pass

  Fail

  N/A

• Oil, Fuel And Coolant Leaks

  Pass

  Fail

  N/A

• Tracks

  Pass

  Fail

  N/A

• Windows And Wipers

  Pass

  Fail

  N/A

• Mirrors

  Pass

  Fail

  N/A

• Steps And Handrails

  Pass

  Fail

  N/A

• Lights

  Pass

  Fail

  N/A

• Horn

  Pass

  Fail

  N/A

• Reverse Bleeper

  Pass

  Fail

  N/A

• Seat Belt

  Pass

  Fail

  N/A

• Instruments

  Pass

  Fail

  N/A

• Fire Extinguisher

  Pass

  Fail

  N/A

• Steering

  Pass

  Fail

  N/A

• Air Conditioning

  Pass

  Fail

  N/A

• TV Camera

  Pass

  Fail

  N/A

• Radar

  Pass

  Fail

  N/A

• Lift And Crowd Operation

  Pass

  Fail

  N/A

Comments

• Any comments or observations?

  Yes

  No

  N/A

• Oil, Fuel And Coolant Levels

  Pass

  Fail

  N/A

• Oil, Fuel And Coolant Leaks

  Pass

  Fail

  N/A

• Tracks

  Pass

  Fail

  N/A

• Windows And Wipers

  Pass

  Fail

  N/A

• Mirrors

  Pass

  Fail

  N/A

• Steps And Handrails

  Pass

  Fail

  N/A

• Lights

  Pass

  Fail

  N/A

• Horn

  Pass

  Fail

  N/A

• Reverse Bleeper

  Pass

  Fail

  N/A

• Seat Belt

  Pass

  Fail

  N/A

• Instruments

  Pass

  Fail

  N/A

• Fire Extinguisher

  Pass

  Fail

  N/A

• Steering

  Pass

  Fail

  N/A

• Air Conditioning

  Pass

  Fail

  N/A

• TV Camera

  Pass

  Fail

  N/A

• Radar

  Pass

  Fail

  N/A

• Lift And Crowd Operation

  Pass

  Fail

  N/A

Comments

• Any comments or observations?

  Yes

  No

  N/A

• Oil, Fuel And Coolant Levels

  Pass

  Fail

  N/A

• Oil, Fuel And Coolant Leaks

  Pass

  Fail

  N/A

• Wheels And Nuts

  Pass

  Fail

  N/A

• Tyres/Tracks

  Pass

  Fail

  N/A

• Windows And Wipers

  Pass

  Fail

  N/A

• Mirrors

  Pass

  Fail

  N/A

• Steps And Handrails

  Pass

  Fail

  N/A

• Lights

  Pass

  Fail

  N/A

• Horn

  Pass

  Fail

  N/A

• Reverse Bleeper

  Pass

  Fail

  N/A

• Seat Belt

  Pass

  Fail

  N/A

• Instruments

  Pass

  Fail

  N/A

• Fire Extinguisher

  Pass

  Fail

  N/A

• Steering

  Pass

  Fail

  N/A

• Air Conditioning

  Pass

  Fail

  N/A

• TV Camera

  Pass

  Fail

  N/A

• Radar

  Pass

  Fail

  N/A

• Lift And Crowd Operation

  Pass

  Fail

  N/A

Brakes

• Park

  Pass

  Fail

  N/A

• Brake Test Area

  0-2

  2-4

  4-6

  6-8

Comments

• Any comments or observations?

  Yes

  No

  N/A

• Oil, Fuel And Coolant Levels

  Pass

  Fail

  N/A

• Oil, Fuel And Coolant Leaks

  Pass

  Fail

  N/A

• Tracks

  Pass

  Fail

  N/A

• Windows And Wipers

  Pass

  Fail

  N/A

• Mirrors

  Pass

  Fail

  N/A

• Steps And Handrails

  Pass

  Fail

  N/A

• Lights

  Pass

  Fail

  N/A

• Horn

  Pass

  Fail

  N/A

• Reverse Bleeper

  Pass

  Fail

  N/A

• Seat Belt

  Pass

  Fail

  N/A

• Instruments

  Pass

  Fail

  N/A

• Fire Extinguisher

  Pass

  Fail

  N/A

• Steering

  Pass

  Fail

  N/A

• Air Conditioning

  Pass

  Fail

  N/A

• TV Camera

  Pass

  Fail

  N/A

• Radar

  Pass

  Fail

  N/A

• Lift And Crowd Operation

  Pass

  Fail

  N/A

Brakes

• Park

  Pass

  Fail

  N/A

• Brake Test Area

  0-2

  2-4

  4-6

  6-8

Comments

• Any comments or observations?

  Yes

  No

  N/A

• Oil, Fuel And Coolant Levels

  Pass

  Fail

  N/A

• Oil, Fuel And Coolant Leaks

  Pass

  Fail

  N/A

• Tracks

  Pass

  Fail

  N/A

• Windows And Wipers

  Pass

  Fail

  N/A

• Mirrors

  Pass

  Fail

  N/A

• Steps And Handrails

  Pass

  Fail

  N/A

• Lights

  Pass

  Fail

  N/A

• Horn

  Pass

  Fail

  N/A

• Reverse Bleeper

  Pass

  Fail

  N/A

• Seat Belt

  Pass

  Fail

  N/A

• Instruments

  Pass

  Fail

  N/A

• Fire Extinguisher

  Pass

  Fail

  N/A

• Steering

  Pass

  Fail

  N/A

• Air Conditioning

  Pass

  Fail

  N/A

• TV Camera

  Pass

  Fail

  N/A

• Radar

  Pass

  Fail

  N/A

• Lift And Crowd Operation

  Pass

  Fail

  N/A

Brakes

• Park

  Pass

  Fail

  N/A

• Brake Test Area

  0-2

  2-4

  4-6

  6-8

Comments

• Any comments or observations?

  Yes

  No

  N/A

• Oil, Fuel And Coolant Levels

  Pass

  Fail

  N/A

• Oil, Fuel And Coolant Leaks

  Pass

  Fail

  N/A

• Wheels And Nuts

  Pass

  Fail

  N/A

• Tyres/Tracks

  Pass

  Fail

  N/A

• Windows And Wipers

  Pass

  Fail

  N/A

• Mirrors

  Pass

  Fail

  N/A

• Steps And Handrails

  Pass

  Fail

  N/A

• Lights

  Pass

  Fail

  N/A

• Horn

  Pass

  Fail

  N/A

• Reverse Bleeper

  Pass

  Fail

  N/A

• Seat Belt

  Pass

  Fail

  N/A

• Instruments

  Pass

  Fail

  N/A

• Fire Extinguisher

  Pass

  Fail

  N/A

• Steering

  Pass

  Fail

  N/A

• Air Conditioning

  Pass

  Fail

  N/A

• TV Camera

  Pass

  Fail

  N/A

• Radar

  Pass

  Fail

  N/A

• Lift And Crowd Operation

  Pass

  Fail

  N/A

Brakes

• Park

  Pass

  Fail

  N/A

• Brake Test Area

  0-2

  2-4

  4-6

  6-8

Comments

• Any comments or observations?

  Yes

  No

  N/A

• Oil, Fuel And Coolant Levels

  Pass

  Fail

  N/A

• Oil, Fuel And Coolant Leaks

  Pass

  Fail

  N/A

• Wheels And Nuts

  Pass

  Fail

  N/A

• Tyres/Tracks

  Pass

  Fail

  N/A

• Windows And Wipers

  Pass

  Fail

  N/A

• Mirrors

  Pass

  Fail

  N/A

• Steps And Handrails

  Pass

  Fail

  N/A

• Lights

  Pass

  Fail

  N/A

• Horn

  Pass

  Fail

  N/A

• Reverse Bleeper

  Pass

  Fail

  N/A

• Seat Belt

  Pass

  Fail

  N/A

• Instruments

  Pass

  Fail

  N/A

• Fire Extinguisher

  Pass

  Fail

  N/A

• Steering

  Pass

  Fail

  N/A

• Air Conditioning

  Pass

  Fail

  N/A

• Body-Up Buzzer

  Pass

  Fail

  N/A

• TV Camera

  Pass

  Fail

  N/A

• Radar

  Pass

  Fail

  N/A

• Lift And Crowd Operation

  Pass

  Fail

  N/A

Brakes

• Park

  Pass

  Fail

  N/A

• Brake Test Area

  0-2

  2-4

  4-6

  6-8

Comments

• Any comments or observations?

  Yes

  No

  N/A