Information
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Document No.
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Audit Title
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Client / Site
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Conducted on
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Prepared by
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Location
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Personnel
General Identification | Cabin Interior
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Date and Time audit began
General Details
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Basic Photographic Identification (4 x Corner Shots)
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Manufacturer
- Caterpillar
- Komatsu
- Hitachi
- Terex
- Liebherr
- Volvo
- O&
- K
- Link Belt
- Euclid
- Other
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Type
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Model
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Serial Number
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ID Plate/s Photo
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Engine Number
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Year Of Manufacture
- 1990
- 1991
- 1992
- 1993
- 1994
- 1995
- 1996
- 1997
- 1998
- 1999
- 2000
- 2001
- 2002
- 2003
- 2004
- 2005
- 2006
- 2007
- 2008
- 2009
- 2010
- 2011
- 2012
- 2013
- 2014
- 2015
- 2016
- 2017
- 2018
- 2019
- 2020
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Road Registration
- NSW
- Vic
- Qld
- Wa
- SA
- Tas
- NT
- ACT
- N/A
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Plant Identification Number (if used)
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SMU / Hour Meter Reading
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Is The Hour Meter Working
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Hour Meter Photo
Control Station Functions | Cabin Interior
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Driver Seat in Good Repair
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Windshield Wipers Functioning Appropriately
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Heater and Defroster Operational
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Air Conditioning Operational
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Dashboard Lights Operational
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All Gauges are Operating and Show Within Appropriate Ranges
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Interior Compartment Lights Operational
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Entry Grab Bar/Rails Secure
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Interior is Clean and Free of Loose Objects
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Passenger Seat Belts Operational (if applicable)
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Passenger Seats in Good Repair (if applicable)
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Interior Cabin Photo's
Safety Equipment - internal
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Securely Mounted First Aid Kit
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Vehicle is Equipped with Two Way Radio System
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Fire Extinguisher Fitted
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Emergency Stop Fitted and Operational
Tyres / Wheels | Chassis | Bucket
Tyres / Wheels
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Size And Type
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LH Font
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LH Front Photo
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RH Front
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RH Front Photo
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LH Rear
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LH Rear Photo
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RH Rear
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RH Rear Photo
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Rims,Wheel Studs, Nuts And Lugs All Intact And In Good Order
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Additional Photos As Applicable
Chassis
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Is Any Major Damage Apparent
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On Which Date Did The Damage Occur
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Is A Company Incident Report Available
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Detailed Description
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Please Photograph Damaged Area's
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Frame Condition
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Loader Frame Condition
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Articulation Joint
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Steering Linkage
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Steering Rams
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Lift Rams
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Crowd/Dump Rams
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Brake Lines/Hoses
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Brake Function
Loader Bucket
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Type
- GP with Teeth
- GP with Edge
- 4 in 1
- Coal
- LM
- Hi-Lift
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Size
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Condition
Engine | Drive Train | Hydraulics
Engine
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Rebuild History (Supporting Documentation Required)
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Hours Completed On Rebuild
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Date Completed
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Engine Make/Model
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Fuel Type
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Is The Starter Operational
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Turbo Functional
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Injector Pump Functional
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Exhaust System Condition OK
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Radiator Condition OK
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Free of Oil Leaks
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Free of Fuel Leaks
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Free of Cooling System Leaks
Drive Train
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Rebuild History (Supporting Documentation Required)
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Hours Completed On Rebuild
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Date Completed
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Transmission OK
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Travel Speeds - All OK
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Rear Axle OK
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Front Axle OK
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Service Brakes Functional
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Final Drives OK
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General Comments
Hydraulics
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Rebuild History (Supporting Documentation Required)
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Hours Completed On Rebuild
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Date Completed
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Valves OK
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Pumps OK
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Hydraulic Tank OK
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Hoses OK
Exterior Panels / Glass | Lighting | Safety Equipment
Exterior Panels / Glass
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Windshield Free of Cracks and Chips
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Left Mirrors Adjustable and Free of Damage
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Left Fender Free of Damage
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Left Door Free of Damage
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Left Side Free of Damage
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Left Side Windows Free of Cracks and Chips
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Rear WIndow Free of Cracks and Chips
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Right Side Free of Damage
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Paint Condition
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Additional Photos As Required
Exterior Lighting
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Rotating Amber Beacon Functional
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Working Lights Front Fitted
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Working Lights Rear Fitted
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Additional Lighting
Safety Equipment - external
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Audible Back-up Alarm Operational
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Exterior emergency stop fitted and operational
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Fire extinguisher fitted
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Fire suppression system fitted
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ROPS/FOPS Fitted and Intact
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Steps/Hand Rails etc
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Additional Photos As Applicable
Dimensions | Documentation
General Dimensions
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Overall Width (mm)
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Overall Length Inc Bucket (mm)
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Overall Height To Top Of Cabin (mm)
Available Documentation
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Is Vehicle Serviced According to the Manufacturers Schedule?
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Date of Last Service And Type
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Are Adequate Preventative Maintenance and Service Repair Records Kept
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Sighted Documents
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Additional Comments
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View Our Website www.assetassured.com.au
http://www.assetassured.com.au
