• Site

  • LV Fleet Number

  • LV Rego

  • KM's/Hours

  • Prepared by

  • Conducted on

P - Pass M - Maintenance Required X - Do Not Operate NA - Not Applicable

CATEGORY A - The machine is not to be operated. Notify Supervisor immediately

  • Seat

  • Seat Belts

  • Horn

  • Park Brake

  • Brake Lights

  • Service Brake

  • Fuel/Oil/Water Levels

  • Steering

  • Indicators/Hazards

  • Brake Lights

  • Warning System

  • Tyre Stud Indicators

  • Lights

CATEGORY B - This machine must not be operated unless fault is rectified or approved by workshop (fitter, tyre fitter)

  • Fuel/Oil/Water Leaks

  • Hoses and Belts


  • Gauges

  • Wipers/Washers

  • Mirrors

  • Windscreen

  • Reverse Alarm

  • Fire Extinguisher/AFFF

  • Lights

  • Tyres

CATEGORY C - The machine may be operated. Corrective action is required. Report to Supervisor.

  • Aerials

  • Cab Clean

  • Damage

  • Air Conditioning

  • ID (Clean and Good Order)

  • Jack and Tools

  • Triangles

  • Cargo Barrier

  • Tow Hitch

  • First Aid Kit

  • Operator Signature

Email copy to admin and maintenance department.

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