CM-510.10 Dozer Checklist

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Form No.

Checklist Rev No.: 1

Dozer Date: August 2017

Page: Page 1 of 1

Contractor Name: Assessor’s Name: Date

Vehicle ID No:

Checks GO No N/A Remarks


GO
Brakes

Steering Controls
Any type of oil leak

Reverse Hooters
Seat and Safety Belt
Excessive Fume Emissions
Blade & Ripper (Teeth and Blades)
Tracks (Wear) and Drive sprockets
Front / Tail Lights
Cab and ROPS

Windscreen and windows

Hand rails

Steps

Air conditioner / Fan

Fire Extinguisher

Drip tray

General Plant Condition

Vehicle

Complying Not complying

……………………………………………………….. ………………………………………
Assessor’s Signature Date

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