MACHINERY PRESTART CHECKLIST
THIS FORM
MUST BE COMPLETED BY THE
OPERATOR P
RIOR TO
STARTING OR OPERATING MACHINERY
.
DATE:
*
/
Day
/
Month
Year
LOCATION:
*
Please Select
YARD / OTHER
0060 - Moorebank (BMD)
0076 - Mulgoa Rd (Seymour Whyte)
0078 - Appin Rd (Georgiou)
0080 - Austral (RJO)
0081 - Mount Ousley (Fulton Hogan)
0082 - M12 (RJO)
0084 - WSA Cargo (RJO)
0085 - Garie Road (Fulton Hogan)
0087 - Wetherill Pk (RJO)
0090 - Singleton Bypass (Acciona)
0093 - Middleton Grange (DSA)
0094 - Kelly Street (DSA)
0095 - Port to Rez (BMD)
0096 - Minchinbury (Adorini)
0097 - Kingswood (ATC)
0098 - Leppington (Regal Innovations)
0099 - Strathfield (Neverstop Water)
0100 - Colo Heights (Hurst Concepts)
0101 - Heatherbrae (Seymour Whyte)
0102 - Dunheved Rd (Georgiou)
Operator
*
First Name
Last Name
PLANT NUMBER
HOURS:
*
Machine Hours
Next Service Due:
*
Hours til service:
LIFTING EQUIPMENT CHECK
Rows
ACCOUNTED FOR
IN TEST/FIT FOR USE
Hook and Shackle
2 legged chains
LIFTING EQUIPMENT FOR REPAIR/REPLACEMENT
Description, identifying marking, serial number or similar
Safety List:
*
Rows
YES
NO
N/A
Service Brakes
Park Brake
Steering
Mirrors
Steps & Hand Rails
Seat / Seat Belt
Load Cover (Tip Trucks)
Quick Hitch Safety Pin
Coolant
Engine Oil
Transmission Oil
Hydraulic Oil
Fire Ext. in date? (6 months)
Systems
*
Rows
YES
NO
N/A
Motion Alarm
Windscreen / Windows
Lights / Gauges / Warning Light
System Alarms
Fan Belts
Exhaust
Air Pressure
Suspension
Drive Shafts
Tyre Condition
Wheel Nuts
Hoses
Cylinders
Pins and Bushes
Structural Cracks
Cutting Edges / Tips
Registration Label
Wipers / Washers
Cabin Cleaned
Greased machine TODAY?
2 X Red shifters in the machine?
Cleaning products in the machine?
List all Machine Damage/Defects
Back
Next
Image Upload
Browse Files
Drag and drop files here
Choose a file
Upload images of damage, ect.
Cancel
of
I have carried out all the above inspections & will ensure that ALL company WH&S & Environmental Policies are adhered to at ALL times. Checking this box will be accepted as your signature:
*
I Agree
Submit
Should be Empty: