Vehicle Prestart Inspection

• Inspection Number (Leave Blank)

• Conducted on

  Date

• Prepared by

• Location
  Address

• CYNRM Vehicle

  Select 974EF4 Toyota Landcruiser Prado - Atherton 704TTQ Toyota Prado Blue - Atherton 776EP8 Hilux - Atherton 237WUM Subaru Forester Wagon - Cairns 637XRW Hilux - Cooktown 641ZXS Toyota Landcruiser Dual Cab Ute - Cooktown 232YPX Toyota Hilux - Cooktown Hired Vehicle Personal Vehicle Contractor Vehicle

  • 974EF4 Toyota Landcruiser Prado - Atherton
  • 704TTQ Toyota Prado Blue - Atherton
  • 776EP8 Hilux - Atherton
  • 237WUM Subaru Forester Wagon - Cairns
  • 637XRW Hilux - Cooktown
  • 641ZXS Toyota Landcruiser Dual Cab Ute - Cooktown
  • 232YPX Toyota Hilux - Cooktown
  • Hired Vehicle
  • Personal Vehicle
  • Contractor Vehicle

• Travel Destination

• Odometer Reading

Check List

• When "At Risk or Fail" is selected option to add comments and photo is enabled, also report defects to WHS

• Check Ignition Key (Bent, Worn, damaged, etc)<br>

  Pass

  Fail

  N/A

• Check Windscreen integrity (cracks/chips)

  Safe

  At Risk

  N/A

• Check Windshield Wipers / Washers and fluid (front and rear)

  Pass

  Fail

  N/A

• Visual Inspection for Exterior Damage <br>(Recommend taking pic of any vehicle damage and report to WHS Officer)

  Safe

  At Risk

  N/A

• Check Service Sticker (on windscreen) for scheduled service date/kms

  Pass

  Fail

  N/A

• Fluid Leaks under the vehicle

  Yes

  No

• Check inside the engine compartment for any leaks and loose items

  Safe

  At Risk

  N/A

• Check Oil Level

  Full

  Half

  Less than half

  Empty

• Check Coolant Level

  Full

  Half

  Less than half

  Empty

• Check Power Steering Fluid Level

  Full

  Half

  Less than half

  Empty

• Start Engine and Check Transmission Fluid

  Full

  Half

  Less than half

  Empty

• Fuel/ Diesel level

  Full

  Half

  Less than half

  Empty

• Check Tyres for Wear and Pressure, inc. spare (Manufacturers specification pressure)

  Pass

  Fail

  N/A

• Check Horn

  Pass

  Fail

  N/A

• Check Heater / Defroster / Air conditioner

  Pass

  Fail

  N/A

• Check Headlights / Turn Signal Lights / Hazard Lights / Tail Lights / Reverse Lights

  Pass

  Fail

  N/A

• Check Mirrors for Damage and Adjustments

  Pass

  Fail

  N/A

• Check First Aid Kit

  Pass

  Fail

  N/A

• Check Emergency Communication Devices (PLB/ EPIRB, UHF Radio, Satellite phone)

  Pass

  Fail

  N/A

• Check Fire Extinguisher (in date, in good condition, secure to mount bracket)

  Pass

  Fail

  N/A

• Check Wheel chocks, Warning Signs, Jack and Wheel spanner

  Pass

  Fail

  N/A

• Check Winch (+ remote operates in/out)

  Pass

  Fail

  N/A

• Is your load secured? (are loose items stored in a box, is equipment outside of cabin tied down and covered?)

  Safe

  At Risk

  N/A

• Check Dixie box kit

  Compliant

  Non-Compliant

  N/A

• CYNRM Staff sign-off

  Sign

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• Is the Vehicle in a safe and reasonable condition to operate

  Yes

  No

• Do you feel in a competent state and condition to operate the vehicle?

  Safe

  At Risk

  N/A

• Drive safe, to the conditions of the road and obey all road rules, and take driving brakes.