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Pre Trip 360 Inspection

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Daily Date.

: Location: James Hardy


Go No Go
February 05, 2020 Cabuyao, Laguna Pre Trip 360˚
1.1 Cleanliness √ Category: Body #: Inspection
1.2 Seat Condition √ 12Wheeler LDT 001
1.3 Operator Restraint Provided
2. Warning √ Devices 1. Cabin
1.4 Instruments Operational & Labelled 2.1 Horn √ 7. 1.1Seatbelt
Cleanliness
2.2 Reverse Alarm 7.1 1.2‘SEATSeat
BELTS MUST BE WORN’
Condition
1.5 Levers / Controls Operational 2.3 Flashing √
Amber Beacon 8.
1.3 Technical
Operator Restraint Provided
8.1
1.4 Exhaust
Instruments Operational & Labelled
1.6 Pedals in Good Condition √ 1.5 Levers / Controls Operational
1.6 Pedals in Good Condition
1.7 Windows / Wipers / Washers √ 9.
1.7 Dashcam
Windows / Wipers / Washers
9.1
1.8 Dashcam
Rear View(Check
Mirrorsif operational)
1.8 Rear View Mirrors √ 1.9 Fire Extinguisher
1.10 Operator Instruction
1.9 Fire Extinguisher √ (available on plant)
1.10 Operator Instruction √
2.1 Horn √
2.2 Reverse Alarm √
2.3 Flashing Amber Beacon √
3.1 Tyres & Wheels √
3.2 Brakes √
3.3 Park Brakes √
4.1 Handrails & Steps √
5.1
5. Front
Lights Lights √
5.1 Front lights
5.2
5.2
Reversing
Reversing fights
Fights √ 6. Hydraulics
5.3 Tail lights
5.3 Tail Lights √ 6.1 Cylinders
5.4 Brake lights 3. Wheels 6.2 Hoses
5.4 Brake Lights 3.1 Tyres & Wheels 4. Access√ 6.3 Connections (check for excessive
3.2 Brakes wear, leaks and creep)
4.1 Handrails & Steps
6.1 Cylinders 3.3 Park Brake √
6.2 Hoses √
6.3 Connections(wear,leaks & creep) √
7.1 Seatbelt √
Checks performed by Driver: Verification by Supervisor/Coordinator:
8.1 Exhaust √
9.1 Dashcam (Check if operational) √
Name & Signature: Juan Dela Cruz Name & Signature: Rosnel Vana
Final Recommendation:
Date: February 05, 2020 Date: February 05, 2020
The Truck is in Good Condition
Instructions: Indicate every day with √ if ok; ‘× if not ok; ‘-‘ if not applicable.
Clear To Go The checklist must be signed by the Driver and verified by the Supervisor.

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