Vehicle Health Check

• Audit Title

• Document No.

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

• This check sheet is designed to help the user insure that the relevant vehicle is correctly and safely maintained. Any items which are found to need specific rectification would normally be dealt with by or under supervision of a member of engineering staff. Safety critical items must be dealt with before the machine is returned to service. The responsibility for the provision of a safe vehicle and it's safe use remains with the operator. The operator manual should be available at all times.

• Machine Make

  Massey Ferguson, John Deere, Kubota, Honda, International Harvester

• Model

  6465, 6230, 1630 PUH, 1630 DB, 8540, L3200, B2230, 8925 Forklift

• Serial Number

• Registration Number

• Hours

• Is this vehicle under a supplier warranty or insurance programme

  Yes, no

Vision

• Front windscreen wipers and washers

  Yes

  No

  N/A

• Front windscreen

  Yes

  No

  N/A

• Rear windscreen wipers and washers

  Yes

  No

  N/A

• Rear window

  Yes

  No

  N/A

• Side windows

  Yes

  No

  N/A

• Doors

  Yes

  No

  N/A

• Inside mirrors

  Yes

  No

  N/A

• Wing mirrors

  Yes

  No

  N/A

Wheels & Tyres

• Front tyre pressure

  Yes

  No

  N/A

• Rear tyre pressure

  Yes

  No

  N/A

• Brake connectors

  Yes

  No

  N/A

• Steering mounting

  Yes

  No

  N/A

• Wheel bearings

  Yes

  No

  N/A

• Front axle pins

  Yes

  No

  N/A

• Front wheel nuts

  Yes

  No

  N/A

• Rear wheel nuts

  Yes

  No

  N/A

• Wheel rim fixings

  Yes

  No

  N/A

• King pin grease points

  Yes

  No

  N/A

• Handbrake function

  Yes

  No

  N/A

• Brake pedal assembly

  Yes

  No

  N/A

• Master cylinder

  Yes

  No

  N/A

• Power steering unit

  Yes

  No

  N/A

• Pipe work & fittings

  Yes

  No

  N/A

• Mechanical couplings

  Yes

  No

  N/A

Lights

• Flashing beacon

  Yes

  No

  N/A

• Headlights

  Yes

  No

  N/A

• Front side lights

  Yes

  No

  N/A

• Rear side lights

  Yes

  No

  N/A

• Front indicators

  Yes

  No

  N/A

• Rear indicators

  Yes

  No

  N/A

• Function of lights

  Yes

  No

  N/A

• Indicator fixings

  Yes

  No

  N/A

• Brake lights

  Yes

  No

  N/A

• Front work lights

  Yes

  No

  N/A

• Rear work lights

  Yes

  No

  N/A

• Registration plate lights

  Yes

  No

  N/A

• 7pin connector

  Yes

  No

  N/A

• Reversing light / alarm

  Yes

  No

  N/A

• Horn

  Yes

  No

  N/A

• Hazard warning

  Yes

  No

  N/A

Superstructure

• Footsteps

  Yes

  No

  N/A

• Seat fixings /adjustments

  Yes

  No

  N/A

• Seat belt anchors

  Yes

  No

  N/A

• ROPS

  Yes

  No

  N/A

Miscellaneous

• Pick up hitch

  Yes

  No

  N/A

• Hydraulic lift arms

  Yes

  No

  N/A

• Top link

  Yes

  No

  N/A

• Trailer hook wear and lock

  Yes

  No

  N/A

• Clovis hitch wear and lock

  Yes

  No

  N/A

• Lift arm assembly

  Yes

  No

  N/A

• Check chain wear

  Yes

  No

  N/A

• Engine oil level and filter

  Yes

  No

  N/A

• Transmission oil level and filters

  Yes

  No

  N/A

• Hydraulic oil level and filters

  Yes

  No

  N/A

• Coolant level

  Yes

  No

  N/A

• Radiator cap

  Yes

  No

  N/A

• Radiator / oil cooler / air conditioning condenser cleanliness

  Yes

  No

  N/A

• Fuel filters

  Yes

  No

  N/A

• Air filters

  Yes

  No

  N/A

• Cab filters

  Yes

  No

  N/A

• Fan belts

  Yes

  No

  N/A

• Fuel tank cap

  Yes

  No

  N/A

• Fuel leaks

  Yes

  No

  N/A

• Oil leaks

  Yes

  No

  N/A

• Coolant leaks

  Yes

  No

  N/A

• Battery levels

  Yes

  No

  N/A

• Battery fixings

  Yes

  No

  N/A

• Engine speed controls

  Yes

  No

  N/A

• Engine cut out controls

  Yes

  No

  N/A

• Gear selector systems

  Yes

  No

  N/A

• Clutch pedal function

  Yes

  No

  N/A

• Hydrostatic dump pedal function

  Yes

  No

  N/A

• PTO on / off controls

  Yes

  No

  N/A

• PTO guarding

  Yes

  No

  N/A

• Exhaust system and fixings

  Yes

  No

  N/A

• Cab heating and controls

  Yes

  No

  N/A

• Cab air conditioning and controls

  Yes

  No

  N/A

• Control decals

  Yes

  No

  N/A

• Safety warning decals

  Yes

  No

  N/A

• Operator manuals available

  Yes

  No

  N/A

Declaration

• Enter date and time

  Date

• Name and signature of competent person carrying out inspection

  Sign