[MaryB] Inspection Checklist Docket Customer Details Docket No. Day * Date * On Site Customer * Site Address * Phone Cost Code/Order No. Driver Details Driver * Start Time * Finish Time * Deduct Lunch (-) Add Travel (+) Total Hours (=) * No. Of Loads No. Of Tolls Work Type Work Type Hourly Rate Contact Rate Day Work Night Work Equipment Type * B Double Bobcat Combo Dozer (D6) Dozer (D7) Dozer (D8) End Loader Excavator (5t) Excavator (8t) Excavator (14t) Excavator (22t) Excavator (30t) Excavator (48t) GPS Grader 140H Grader 140M Labour Low Loader Moxy (30t) Moxy (40t) Mulcher 175 Mulcher 300 Positrack Quadtrac Roller Drawn Roller Flat Roller Multi Scraper Semi Trailer Side Tipper Tandem Tipper Tractor Truck Dog Water Truck Other Other Equipment (if applicable) Plus Float? Plus Float Charges Job Description * This Job Has Been Completed To My Satisfaction Claims or complaints are not recognised unless received within 7 days. Printed Name Customer Signature Clear DAILY PLANT INSPECTION CHECKLIST Operators are required to check the following items before commencing work. These records form the basis of a plant maintenance procedure and will be subject to random inspection. Machine Rego No. Trailer Rego No. MCK Unit No. * Hour Metre / KM Reading Before Commencing, Operators Check OK - No Obvious Defect || X - Fault Identified || N/A - Item Not Applicable Cabin * OKXN/A Access, egress seating, seatbelts, loose objects, controls, rops or frops Visibility * OKXN/A Windscreen, windows, wipers, washers, mirrors for security damage & grime Electrical System * OKXN/A Lights, amber beacon, horn, rev travel alarm, all reflectors & lenses Hydraulics * OKXN/A Rams, hoses, leaks, wear Leaks * OKXN/A Engine, transmission, final drives, cooling systems, fuel, air Brakes * OKXN/A Emergency & service, break failure indicator, pressure/vacuum gauges Compulsory Signs * OKXN/A Reflective tape, reflectors Misc * OKXN/A Air Con, fire extinguish Damage To * OKXN/A Panels/Guards, Cracks to chassis/frame/body, structure & body work, all panels & structural members secure Wheels, Tyres, Tracks * OKXN/A Wear/tension/pressure, thread integrity & wheel security Hitch ( safety pin) * OKXN/A Wear Articulated Joint/Linkage * OKXN/A Plant Security * OKXN/A Bleed off contaminants from air tanks * OKXN/A Details of Faults or Defects & Action Taken Operator Name * Operators Email Address (Optional) Please enter your email address to receive a copy of the docket. (Optional) Additional Copy Email Address (Optional) Please enter your email address to receive a copy of the docket. (Optional) Operator Signature * Clear Operator Date * Foreman Name Foreman Signature Clear Foreman Date If you are human, leave this field blank.
