PLANNED TASK OBSERVATION Effective Date : 21 June 2015

Ref No :
Brake Testing

Name _______________ Coy. No. _________________

Section _____________ Work place _______________

Brake Testing
Sequence of observation Acceptable Hazard / Damage Comments Corrective Action
Yes No Required

1 Wearing correct PPE for task Failure to wear correct PPE may
(i.e.: safety glasses) result in injury
2 Checks ventilation is adequate (where applicable) & Lack of oxygen, slips / trips, falls,
Inspects workplace in accordance with standards truck in an unsafe position
3 Checks for personnel working on or near the TMM Unexpected truck movement
4 Checks isolator switch for Out of Service & Personal Unidentified hazards, faulty
Danger Tags, if all Ok turns isolator ON equipment
5 Performs pre-start inspection in accordance with Falls, slips /trips
standards
6 Uses 3 points of contact when mounting & Falls, slips / trips
dismounting truck
START UP
7 Check park brake and apply Run away vehicle causing injury
8 Ensure transmission and hydraulic controls are in Unexpected truck movement
neutral position
9 Adjusts seat to achieve a comfortable driving Back injury, incorrect fitting seat belt
position & fastens seat belt
10 Turns cabin isolation switch on & presses the panel Unexpected truck movement,
TEST button to check for faults equipment damage
11 Sounds the horn once & waits five (5) seconds Unexpected truck movement
before starting the engine
12 Start and warm engine in accordance with Engine damage
manufacturers instructions(Level ground)
13 Checks gauges & warning lights for correct readings, Engine / equipment damage
pressures & illuminations
 PLANNED TASK OBSERVATION Effective Date : 21 June 2015

Ref No :
Brake Testing

Sequence of observation Acceptable Hazard / Damage Comments Corrective Action

Required
Yes No
14 Checks the fuel level is sufficient for the shift Running out of fuel
15 Checks the reverse alarm is operational Dirt build up, leaks
16 Checks hydraulic operations in accordance with Equipment damage
manufacturers instructions
TESTING PROCEDURE FOR PARK BRAKE – STATIC
Sequence of observation Acceptable Hazard / Damage Comments Corrective Action
Yes No Required
17 Select 2nd gear (manual) or drive (automatic) in the
transmission
18 Release the service brake and retarder brake where
applicable
19 Increase the engine speed to OEM recommended
rpm (1000)
20 Selects correct gear to suit driving conditions
21 Slowly released the clutch (manual transmission)
22 Monitor engine RPM decrease
TESTING PROCEDURE FOR SERVICE BRAKE – STATIC TEST
Sequence of observation Acceptable Hazard / Damage Comments Corrective Action
Yes No Required
23 On a level surface, safe to move start the engine
24 Engage service brake
25 Release park brake
26 Select the 2nd gear (manual) or drive (automatic) in
the transmission
27 Increase the engine speed to OEM recommended
RPM (1000) (excluding manual transmission)
 PLANNED TASK OBSERVATION Effective Date : 21 June 2015

Ref No :
Brake Testing

TESTING PROCEDURE FOR EMERGENCY BRAKE (WHERE PROVIDED) – STATIC TEST

Sequence of observation Acceptable Hazard / Damage Comments Corrective Action
Yes No Required
28 On level surface, safe to move start the engine
29 Engage emergency brake
30 Release park brake
31 Select OEM recommended gear in the transmission
32 Increase the engine speed to OEM recommended
RPM(1000)
TESTING PROCEDURE FOR RETARDER BRAKE (WHERE PROVIDED) – STATIC TEST
Sequence of observation Acceptable Hazard / Damage Comments Corrective Action
Yes No Required
33 On level surface, safe to move start the engine
34 Engage retarder brake
35 Release park brake)
36 Select OEM recommended gear in the transmission
37 Increase the engine speed to OEM recommended
RPM(1000)

Person Observed: ……………………………… Employee Nr. / ID Nr. :……………………………….. Signature: ……………….. Date: ………………….

Name of Observer: …………………………… Employee Nr. / ID Nr. :………………………………… Signature: ……………….. Date: …………………..

Approved By: Signature: Date: