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MOBILE PLANT

MOBILE PLANT WEEKLY CHECKS AND
FAULT FORM

SITE LOCATION

WEEK ENDING

OPERATORS NAME

PLANT DESCRIPTION

PLANT MAKE

PLANT MODEL

REVERSE SIREN

CHECKED

MIRRORS

CHECKED

REVERSE CAMERA

CHECKED

WIPERS

CHECKED

LIGHTS

CHECKED

HORN

CHECKED

LAP BELT

CHECKED

STEPS

CHECKED

HAND RAILS

CHECKED

EMERGENCY STOP

CHECKED

HAND BRAKE

CHECKED

BRAKES

CHECKED

DRIVERS SEAT

CHECKED

WINDOWS

CHECKED

FIRE EXTINGUISHER

CHECKED

GUARDS IN PLACE

CHECKED

BATTERY CONDITION

CHECKED

TYRES

CHECKED

STEERING

CHECKED

QUICK HITCH PIN

CHECKED

FOPS

CHECKED

ROPS

CHECKED

TRANSMISSION OIL

CHECKED

ENGINE OIL

CHECKED

HYDRAULIC FLUID

CHECKED

WATER

CHECKED

FUEL

CHECKED

BRAKE FLUID

CHECKED

MACHINE FULLY GREASED

CHECKED

OTHER

CHECKED

COMMENTS

All sections of this form MUST be completed before handing to your supervisor at the end of the week.

One form per item of Mobile Plant MUST be handed in every week

NAME

OPERATORS SIGNATURE

Select a date

Thanks for submitting!

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MOBILE PLANT

MOBILE PLANT WEEKLY CHECKS AND FAULT FORM

MOBILE PLANT WEEKLY CHECKS AND
FAULT FORM