Inspection Date and Time
Equipment ID/Serial Number
Equipment Type/Category
Mobile Plant
Fixed Machinery
Lifting Equipment
Vehicles
Power Tools
Electrical Equipment
Other:
Equipment Make and Model
Operator Full Name
Operator ID/License Number
Shift Type
Day Shift
Night Shift
Overtime/Extended
Emergency Call-out
Work Location/Area
Planned Tasks/Activities for This Shift
Conduct a thorough walk-around inspection of the equipment. Check for any visible damage, wear, or abnormalities that could affect safe operation.
Overall Equipment Condition Rating
Very Poor
Poor
Fair
Good
Excellent
Is there any visible structural damage, cracks, or welding defects?
Are there any fluid leaks (hydraulic oil, fuel, coolant, engine oil)?
Tire/Track Condition Status
Good - No visible damage, adequate tread depth
Acceptable - Minor wear, safe for operation
Poor - Significant wear, requires monitoring
Unsafe - Major damage, replace immediately
Are all attachments, buckets, or accessories properly secured?
Are all guards, covers, and panels in place and secure?
Start the equipment and test all critical operational systems. Do not proceed if any essential system fails the functional test.
Does the engine/motor start smoothly without unusual noises or excessive smoke?
Is the brake system responsive and effective (service brake, parking brake)?
Is the steering/control system functioning correctly with no excessive play?
Are all hydraulic systems operating smoothly without leaks or jerky movements?
Do all lights, indicators, and gauges work correctly?
Are all backup alarms, horns, and warning devices operational?
Is the communication equipment (radio, etc.) working properly?
Verify that all mandatory safety equipment is present, accessible, and in good working condition before beginning operations.
Select all Personal Protective Equipment (PPE) you are wearing for this task:
Hard Hat/Safety Helmet
Safety Glasses/Goggles
High-Visibility Vest/Clothing
Steel-Toed Safety Boots
Gloves (appropriate type)
Hearing Protection
Dust Mask/Respirator
Fall Protection Harness
Is a fire extinguisher fitted, accessible, and within its inspection date?
Is a first aid kit available in the equipment or immediate work area?
Is the emergency stop/shutdown device functioning correctly?
Are spill kits and containment materials available if required?
Assess the immediate and surrounding work area for hazards, obstacles, and environmental conditions that could impact safe equipment operation.
Have you performed a walk-around inspection of the work area for hazards?
Current Weather and Visibility Conditions
Clear/Good - No impact on operations
Light Rain/Overcast - Minor impact, caution required
Heavy Rain/Fog - Significant impact, high caution
High Winds - Operations may be unsafe
Extreme Conditions - Cease operations
Ground/Soil Stability and Condition
Stable and Level - Safe for operation
Moderately Uneven - Caution on maneuvering
Soft/Wet Ground - Risk of sinking/instability
Steep Gradient - High risk, special precautions needed
Unstable/Unsafe - Do not operate
Are there overhead hazards (power lines, structures, falling object risks)?
Is the work area adequately barricaded and are traffic/pedestrian controls in place?
Are all underground services (cables, pipes) identified and marked?
If ANY defects, issues, or concerns were identified during the pre-start inspection, record them in the table below. All defects must be assessed for risk and appropriate action taken before clearance is granted.
Defect/Concern Log and Action Tracker
Item Number | Defect Description | Location on Equipment | Severity Level | Immediate Action Taken? | Details of Action/Repair/Isolation | |
|---|---|---|---|---|---|---|
Provide photographic evidence of the equipment condition and work area. Photos are mandatory for record keeping and verification purposes.
Upload Photo 1: Overall Equipment Condition (Front View)
Upload Photo 2: Overall Equipment Condition (Side/Rear View)
Upload Photo 3: Operator's View/Controls Area
Upload Photo 4: Any Defects or Damage Identified (if applicable)
Upload Photo 5: Work Area and Surroundings
Overall Safety and Operational Readiness Rating
How confident are you in the safety of this equipment for today's tasks?
Additional Notes, Comments, or Special Precautions
Based on the pre-start inspection and safety assessment, make a final decision on equipment clearance. Any critical defects MUST result in immediate isolation and tagging out of equipment.
FINAL CLEARANCE DECISION
CLEARED - Safe to operate. No critical defects.
CLEARED WITH CONDITIONS - Safe, but monitor noted items.
NOT CLEARED - Critical defects found. Equipment must be isolated.
I confirm I have conducted this inspection truthfully and to the best of my ability.
Operator's Signature
Supervisor Review Date/Time (if required)
Supervisor's Signature - For confirmation of defects and isolation procedures.