WAVE (Work Assist Vehicle) Pre-Start Checklist - Zest Safety Ltd

• Site conducted

• Location
  Address

• Conducted on

  Date

• Prepared by

• Is there any damage anywhere?

  Pass

  Fail

  N/A

• Is the battery charged sufficiently?

  Yes

  No

  N/A

• Are the wheels in good condition?

  Yes

  No

  N/A

• Free from oil or battery leaks under the vehicle? (check under and around the vehicle particularly around the mast hoses)

  Yes

  No

  N/A

• Vehicle starts ok and no warning indicators displayed?

  Yes

  No

  N/A

• Turn the key on: The bleeper and all display lights are working?

  Yes

  No

  N/A

• The Emergency Disconnect button works correctly?

  Yes

  No

  N/A

• Horn working?

  Yes

  No

  N/A

• The service panel door is closed?

  Yes

  No

  N/A

• Check the raise and lower (with gates open). The platform did not elevate above 20 inches with the gates open?

  Yes

  No

  N/A

• The steering is smooth?

  Yes

  No

  N/A

• Vehicle drives well in all directions?

  Yes

  No

  N/A

• The vehicle drives slower with the gates closed? (check speed when gates are open & closed)

  Yes

  No

  N/A

• The stopping distance is good in both forward & reverse?

  Yes

  No

  N/A

• Walk around & check the areas where the WAVE will be operated – there are no objects in the way that will be a hazard?

  Pass

  Fail

  N/A

• The operators clothing is tucked in and no loose sleeves etc?

  Yes

  No

  N/A

• Tools are secured to operator to prevent falling at height?

  Yes

  No

  N/A

• Cones & warning signs are ready to place at aisle ends when WAVE operating down aisles?

  Yes

  No

  N/A

Review & Sign-Off

• WAVE is safe to use?

  Yes

  No

  N/A

• 1. I have applied a defect tag (LOTO) or warning sign?

  Yes

  No

  N/A

• 2. Keys have been removed & handed to Team Leader?

  Yes

  No

  N/A

• 3. You have notified the Team Leader or Manager?

  Yes

  No

  N/A

• 4. Arrange repair

  Yes

  No

  N/A

• Signature of person completing the inspection.

  Sign

Team Leader Weekly Checks (To be completed weekly by the Team Leader or Manager)

• Operators have been observed making the pre-start checks at least once in past 2-weeks?

  Yes

  No

  N/A

• Operators appear to be competent in making the pre-start checks on the WAVE machine?

  Yes

  No

  N/A

• If not competent then additional training has been arranged or conducted?

  Yes

  No

  N/A

• Team Leader or Manager Name

• Date / Time

  Date

• Signature

  Sign