Grader Service
Grader Service
Procedure Number
S H E R
DP-ENG-EQUIP-MAINT-PROC-001
Q
CARD
Date of Last Revision 2023-01-06 Rev No 01 Inspection Frequency Every 250 Hours / OEM Specifications
Vehicle Information
Vehicle Model
Fleet Number
Site
Date
Next Service
SMR Reading
Mechanic Name and Surname
My Commitment to Safety
My Commitment
No My Safety Check Signature
1 I have conducted the Risk Assessment prior to the task required
2 I am fully conversant with the Hazards and Risks and their controls associated with this activity
3 I have communicated the Hazards and Risk and their controls with my fellow employees
4 Me and my fellow employees complies with the PPE requirements as determined by the Risk Assessment
5 All tools and equipment have been inspected by me prior to use
6 I am fully competent to perform the required task
7 I have enforced the Isolation, Lock and Tag Out Procedure
8 I have tested the vehicle for Zero Potential Energy – Stored Energy
9 I will ensure good Housekeeping Practices at all times
10 I am familiar with the Emergency evacuation plan
11 I know that I have the right to refuse dangerous work
Work Done
No Description of Work By Whom Signature
General Inspection
In Order
No Inspection Frequency Comments
Yes No
1 Vehicle license Check Always
2 General condition (clean) Check Always
3 First aid kit Check Always
4 Fire extinguisher Check Always
5 Safety belts Check Always
6 Reflective stripes Check Always
7 Fleet number Check Always
8 Two way radio Check Always
9 Pre use book Check Always
10 Seats and movement Check Always
11 Carpets Check Always
12 Windscreen Check Always
13 Door windows Check Always
14 Rear window Check Always
15 Front bumper Check Always
16 Rear bumper Check Always
17 Grill Check Always
18 Mud guards Check Always
19 Body panels Check Always
20 Dash Check Always
21 Window winders Check Always
22 Diesel / petrol cap Check Always
Electrical Inspection
In Order
No Inspection Frequency Comments
Yes No
1 Head lights Check Always
2 Tail Lights Check Always
3 Indicators Check Always
4 Heater Check Always
5 Air conditioner Check Always
6 Gauges Check Always
7 Roof light Check Always
8 Reverse hooter Check Always
9 Wiper motor & wiper blades Check Always
10 Electrical windows Check Always
11 Amber strobe light Check Always
12 Hooter Check Always
13 Batteries and Clamps Check Always
Damages Survey
Left Right
No Damages No Damages
1 1
2 2
3 3
4 4
5 5
6 6
7 7
8 8