FRM_3103 TRUCK & CRANE PRE-START CHECKLIST ONLINE FORM 1CAM 077

Truck REGO Truck Make [Truck Make & Odometer at [Odometer

[Truck Reg No] Date: [Date]
No.: & Model: Model] Start of Day: at Start]
CHECK Before Starting the Vehicle Yes/No Comments
Engine, Power Steering, Differential & Transmission Oils, Coolant and
Fluids
Windscreen washing fluids – levels, no leaks
N/A [Fluids Comments]
Any damage visible; Body, Air & Fuel Tanks, Tools, Bars, Registration
Vehicle Body
Labels, Plates & Signs
N/A [Vehicle Body Comments]
Air Brake Compressors, Drive Belts & Exhausters, Air Brake Lines,
Brakes
Hoses, Valve Drain Plugs, Hydraulic Brake Fluid Reservoirs, Couplings
N/A [Brakes Comments]
Wheels & nuts secure, Tyres, Tyre Pressures, Spare Wheel, Mud Flaps
Wheels
& Guards
N/A [Wheels Comments]
Interior, Entry Steps, Grab Handles, Fire Extinguisher, First Aid, Spill
Cabin
Kit, Seats & Seat Belts, Windows, PPE, Doors, Locks & Manuals
N/A [Cabin Comments]
CHECK After Starting the Vehicle Yes/No Comments
Service Brakes, Engine run smooth, gauges, Park Brake, Horn,
Systems
Reversing Beeper, Communications, Steering, Aircon
N/A [Systems Comments]
No warning lights on, Brake lights, Headlights, Indicators, Hazards,
Lighting
Taillights, Plate lights & Mirrors
N/A [Lighting Comments]

Operator Name: [Operator Name] Initials: [Operator Initials]

Crane Type [Crane Type & Hour meter at [Hour Meter

Crane Serial No.: [Crane Serial No] Date: [Crane Date]
& Model: Model] Start of Day: at Start]
Remote & Instruction Manual Available, Remote Control is operational - spare
Manual batteries, Emergency stop, *SWL, Warning signs & decals fitted
N/A [Remote & Manual Comments]

Controls & Crane Operating Controls: Movement of each lever & accelerator,
Warnings *PTO operation & warning lights, warning signs clear & intact
N/A [Controls & Warnings Comments]

Boom & Swing Boom Cylinders: Smooth operation, Turntable smooth operation, no
System leaks or damage
N/A [Boom & Swing System Comments]

Hoisting & Hoisting winch, chains, ropes, kinks, twists, outriggers, no damage,
Support Jack, Float, Stowing, Hook, smooth operation, safety latch
N/A [Hoisting & Support Comments]

Operator Name: [Crane Operator Name] Initials: [Crane Operator Initials]

*PTO – Power Take Off *SWL – Safe Workload

If any items above are not working, the Truck / Crane is to be tagged out and reported to the Supervisor for repair.

Description of Issue: [Description of Issue]

SRS No.: [SRS No]

Date & time tagged out: [Date & Time Tagged Out] Tagged-out by: [Tagged By] Date Returned to Service: [Date Returned to
Service]

Weekly Supervisor sign off; Name: [Weekly Supervisor] Signature: ___________________ Date: [Sign Off Date]

CommandButton1 CommandButton1

FRM_3103 Revision: 2.0 Status: Approved Issue Date: 10/02/2022 Page 1 of 2

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 FRM_3103 TRUCK & CRANE PRE-START CHECKLIST ONLINE FORM 1CAM 077

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FRM_3103 Revision: 2.0 Status: Approved Issue Date: 10/02/2022 Page 2 of 2

Uncontrolled when printed