Machine Pre Use Check sheet

Cleanfix SDV 4500

DATE ………………... Time of inspection ……………...… Serial № …..……...……...

CHECKLIST YES NO
IS THERE ANY NEW DAMAGE AROUND THE MACHINE?
IS THERE ANY PREVIOUS DAMAGE AROUND THE MACHINE?
ARE ALL HOSES IN GOOD CONDITION? (Check for cuts)
ARE THE TYRES IN GOOD CONDITION?
DOES ALL PANEL CONTROLS WORK?
IS THE POWER CABLE IN A GOOD CONDITION? (Check for cuts)
IS THE DIRTY WATER TANK CLEAN?

STATE ALL FAULTS YOU FOUND DURING THE CHECK ABOVE

ALL DAMAGE IS TO BE REPORTED TO YOUR SUPERVISOR

BEFORE YOU START TO OPERATE WITH THE MACHINE

OPERATOR: ........................................ SUPERVISOR………………………

SIGNED: ...................………………….. SIGNED………………………………

Machine After Use Check Sheet

 Time of inspection ……………...…

CHECKLIST YES NO
IS THERE ANY NEW DAMAGE AROUND THE MACHINE?
IS THE POWER CABLE IN A GOOD CONDITION? (Check for cuts)
ARE ALL HOSES IN GOOD CONDITION?
HAVE THE DIRTY WATER TANK BEEN CLEANED?
HAVE THE BODY OF THE MACHINE BEEN CLEANED?

STATE ALL FAULTS YOU FOUND DURING THE CHECK ABOVE

ALL DAMAGE IS TO BE REPORTED TO YOUR SUPERVISOR

OPERATOR: .........................................................……………………. (PRINT NAME)
SIGNED: ...................…………...............................…………….........….

Manager/Supervisor countersign: Name (PRINT)………………………………

Signature ……………………………………

Vehicle Operational? YES  NO  (Tick one of the boxes)

Supervisors comments: