Information

  • Audit Title

  • Document No.

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • 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

  • Model

  • Serial Number

  • Registration Number

  • Hours

  • Is this vehicle under a supplier warranty or insurance programme

Vision

  • Front windscreen wipers and washers

  • Front windscreen

  • Rear windscreen wipers and washers

  • Rear window

  • Side windows

  • Doors

  • Inside mirrors

  • Wing mirrors

Wheels & Tyres

  • Front tyre pressure

  • Rear tyre pressure

  • Brake connectors

  • Steering mounting

  • Wheel bearings

  • Front axle pins

  • Front wheel nuts

  • Rear wheel nuts

  • Wheel rim fixings

  • King pin grease points

  • Handbrake function

  • Brake pedal assembly

  • Master cylinder

  • Power steering unit

  • Pipe work & fittings

  • Mechanical couplings

Lights

  • Flashing beacon

  • Headlights

  • Front side lights

  • Rear side lights

  • Front indicators

  • Rear indicators

  • Function of lights

  • Indicator fixings

  • Brake lights

  • Front work lights

  • Rear work lights

  • Registration plate lights

  • 7pin connector

  • Reversing light / alarm

  • Horn

  • Hazard warning

Superstructure

  • Footsteps

  • Seat fixings /adjustments

  • Seat belt anchors

  • ROPS

Miscellaneous

  • Pick up hitch

  • Hydraulic lift arms

  • Top link

  • Trailer hook wear and lock

  • Clovis hitch wear and lock

  • Lift arm assembly

  • Check chain wear

  • Engine oil level and filter

  • Transmission oil level and filters

  • Hydraulic oil level and filters

  • Coolant level

  • Radiator cap

  • Radiator / oil cooler / air conditioning condenser cleanliness

  • Fuel filters

  • Air filters

  • Cab filters

  • Fan belts

  • Fuel tank cap

  • Fuel leaks

  • Oil leaks

  • Coolant leaks

  • Battery levels

  • Battery fixings

  • Engine speed controls

  • Engine cut out controls

  • Gear selector systems

  • Clutch pedal function

  • Hydrostatic dump pedal function

  • PTO on / off controls

  • PTO guarding

  • Exhaust system and fixings

  • Cab heating and controls

  • Cab air conditioning and controls

  • Control decals

  • Safety warning decals

  • Operator manuals available

Declaration

  • Enter date and time

  • Name and signature of competent person carrying out inspection

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.