TLB DAILY CHECKLIST
OPERATORS NAME: EMPLOYEE NUMBER:
SITE: PLANT NUMBER:
WEEK ENDING:
INSPECTION MON TUE WED THU FRI SAT SUN
EXTERNAL INSPECTION ( External evaluation / visual
inspection only ) NB ! If the item doesn’t apply to your
machine, state as N/A.
1 Side mirrors ( Check for visibility and repair )
Windscreen ( Check for cracks, chips and visibility
2 )
Windscreen wipers ( Check blades and wiper
3 action is working )
Headlights, taillights ( Check for cracks, damage
4 and test )
5 Indicators ( Check for cracks, damage and test )
6 Hooter ( Test )
7 Tyre pressure ( Check outer wall damage, valves )
8 Wheel nuts / wheel hub
9 Grease nipples and grease on all joints
10 Oil leaks
11 Hydraulic pipes ( Check for damage and leaks )
12 Battery terminals
13 Safety system and features test and inspection
FLUID LEVELS
14 Diesel level
15 Water level
16 Hydraulic oil level
17 Transmission fluid level
Brake fluid level ( Failure to check these levels will
18 result in possible brake failure )
19 Engine oil level
OPERATORS SIGNATURE
DATE
SITE SUPERVISOR SIGNATURE
DATE
PROBLEMS FOUND ON TLB ( All
DATE
items marked with an “X” indicate REPORT TO WHOM AT TIME OF WHO REPORTED TO
REPORTED SIGNED
problems and must be reported to W/SHOP REPORT W/SHOP
TO W/SHOP
your foreman immediately )
CLEAN MACHINE DAILY.
OPERATE SAFELY AT ALL TIMES