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Pre-Start Checklist for Machines.
Your safety is our number one priority.
31
Questions
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1
Take a photo of the front of the machine
*
This field is required.
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2
Take a photo of the right side of the machine
*
This field is required.
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3
Take a photo of the back of the machine
*
This field is required.
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4
Take a photo of the left side of the machine
*
This field is required.
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5
Time
*
This field is required.
1
2
3
4
5
6
7
8
9
10
11
12
1
2
3
4
5
6
7
8
9
10
11
12
Hour
00
10
20
30
40
50
00
10
20
30
40
50
Minutes
AM
PM
PM
AM
PM
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6
Date
*
This field is required.
-
Date
Day
Month
Year
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7
Person performing Pre-Start
*
This field is required.
Lee James
Ryan Saville
Chris Watson
Jayden Clue - Gardner
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8
Select Machine
*
This field is required.
Rotating - Komatsu 3t DIESEL Forklift
Non-Rotating Komatsu 3t DIESEL Forklift
Case 721 Front End loader
Case 621 Front End Loader
Hystler 2.5t Forklift
CAT 908k Front End Loader
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9
What fluids have been checked.
*
This field is required.
Engine oil
Transmission Oil
Brake Fluid
Coolant
Hydraulic Oil
Water / Wipers
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10
Fluid Levels
*
This field is required.
Low
Normal
Over full
Engine Oil
Row 0, Column 0
Row 0, Column 1
Row 0, Column 2
Transmission Oil
Row 1, Column 0
Row 1, Column 1
Row 1, Column 2
Hydraulic Oil
Row 2, Column 0
Row 2, Column 1
Row 2, Column 2
Brake fluid
Row 3, Column 0
Row 3, Column 1
Row 3, Column 2
Coolant
Row 4, Column 0
Row 4, Column 1
Row 4, Column 2
Engine Oil
Transmission Oil
Hydraulic Oil
Brake fluid
Coolant
Low
Row 0, Column 0
Normal
Row 0, Column 1
Over full
Row 0, Column 2
Low
Row 1, Column 0
Normal
Row 1, Column 1
Over full
Row 1, Column 2
Low
Row 2, Column 0
Normal
Row 2, Column 1
Over full
Row 2, Column 2
Low
Row 3, Column 0
Normal
Row 3, Column 1
Over full
Row 3, Column 2
Low
Row 4, Column 0
Normal
Row 4, Column 1
Over full
Row 4, Column 2
1
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11
Have you blown out the radiator ?
*
This field is required.
YES
NO
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12
Have you cleaned the air filters and pre filters ?
YES
NO
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13
Does the machine have any leaks ?
*
This field is required.
Engine Oil
Transmission Oil
Brake Fluid
Coolant
Hydraulic
No
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14
Information about fluid leak:
How bad is the leak
Minor
Moderate
Major
Minor
Moderate
Major
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15
Location of leak ?
Example.(Left Hydraulic cylinder on Mast) or (Bottom Radiator hose)
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16
Condition of Equipment
*
This field is required.
Poor Condition
Good Condition
Great Condition
N/A
Tyres
Row 0, Column 0
Row 0, Column 1
Row 0, Column 2
Row 0, Column 3
Wear Plate
Row 1, Column 0
Row 1, Column 1
Row 1, Column 2
Row 1, Column 3
Tynes
Row 2, Column 0
Row 2, Column 1
Row 2, Column 2
Row 2, Column 3
Attachment
Row 3, Column 0
Row 3, Column 1
Row 3, Column 2
Row 3, Column 3
Tyres
Wear Plate
Tynes
Attachment
Poor Condition
Row 0, Column 0
Good Condition
Row 0, Column 1
Great Condition
Row 0, Column 2
N/A
Row 0, Column 3
Poor Condition
Row 1, Column 0
Good Condition
Row 1, Column 1
Great Condition
Row 1, Column 2
N/A
Row 1, Column 3
Poor Condition
Row 2, Column 0
Good Condition
Row 2, Column 1
Great Condition
Row 2, Column 2
N/A
Row 2, Column 3
Poor Condition
Row 3, Column 0
Good Condition
Row 3, Column 1
Great Condition
Row 3, Column 2
N/A
Row 3, Column 3
1
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17
Lights checked and Operational
*
This field is required.
Headlights
Reversing Lights
Strobe / Beacon
Work Lights
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18
Does the reversing beacon work ?
*
This field is required.
YES
NO
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19
Is the horn operational ?
*
This field is required.
YES
NO
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20
Does the machine have a fire extinguisher ?
*
This field is required.
YES
NO
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21
If any faults please describe ?
Leave empty if there are no faults.
Huge
Large
Normal
Small
Ok
quote
Created with Sketch.
Ok
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22
What needs to be done to remedy any faults ?
Contact Mechanic
Contact Pirtek
Contact Hastings
Contact Komatsu
Contact Hystler
Auto Electrician
Contact Milne Bros
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23
Is there any structural damage to the machine ?
*
This field is required.
Please do a walk around of machine and take any photos.
YES
NO
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24
Please provide photos of structural damage on machine.
New or old damage.
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Max. file size
: 10.6MB
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25
Have you performed a Brake test ?
*
This field is required.
YES
NO
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26
Has the machine been greased ?
*
This field is required.
YES
NO
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27
Is the machine clean and free from debris ?
*
This field is required.
YES
NO
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28
Machine Hrs
*
This field is required.
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29
Do you have a current license ?
*
This field is required.
YES
NO
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30
Is the machine safe to operate ?
*
This field is required.
YES
NO
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31
If this report needs to be sent to a supervisor or manager to organise repairs or servicing please select Yes. If you have nothing to report select No.
YES
NO
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