Title Page

  • Site conducted

  • Conducted on

  • Contractor Company

  • Prepared by

  • Location
  • Asset Number

  • Machine Hrs/Kms

On Ground Inspection

  • Overall Machine Appearance

  • Asset ID on Three Sides

  • Bucket, Boom and Cylinder Condition

  • Cutting Edge/Wear Plates/teeth and Adaptors Condition

  • Quick Coupler if Fitted

  • Scarifier, Lift Cylinder and Linkages Condition

  • Differential

  • Center Reticulation Area

  • Tyres, Rims and Lug Nuts

  • Access Steps and Handrails

  • Battery and Starter Isolator Functional

  • Battery Cover and Security

On Machine and Cabin Inspection

  • Fire Suppression (In Date and Charged)

  • Portable Fire Extinguishers (Mounted Securely, in Date and Charged)

  • Operators Manual Present

  • Pre Start Book Present or Electronically Filed

  • First Aid Kit in Date and has Tamper Proof Seal

  • Window Condition

  • Seat Condition and Function

  • Seat Belts and Function

  • Engine Information System/Gauges Operational

  • EEMIS Mounted and Functional

  • Weed and Seed Inspection Current

  • Overall Cabin Condition

Operational Inspection

  • Machine Movements Functional

  • Hydraulic Lock Out Functional

  • Beacon Operational

  • Horn Operational

  • Tramming/Reverse Alarm Operational

  • Lights Operational

  • Windshield Wipers and Washers

  • UHF/Communication System Operational

  • Emergency Stops Fitted and Operational

Sign Off

  • FMG Representative

  • Contractor Representative

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.