1-Ton Dump

• Equipment Number

• Operator Name

UNIT NUMBERS

• Plow Number

• Vehicle Number

MISCELLANEOUS

• Shovel and Spud Bar

  Pass

  Fail

  N/A

UNIT OVERVIEW

• General Condition

  Good

  Fair

  Poor

  N/A

• Condition of Tires and Lug Nuts

  Safe

  At Risk

  N/A

• Windshield (wipers, washers, condition)

  Pass

  Fail

  N/A

• Horn

  Pass

  Fail

  N/A

• Back-up Alarm and Camera

  Pass

  Fail

  N/A

• Tarp (condition and operation)

  Pass

  Fail

  N/A

• Aggregate Heater

  Pass

  Fail

  N/A

ELECTRICAL

• Start Motor (check volt meter w/all lights on)

  Pass

  Fail

  N/A

• Exterior Lights

  Pass

  Fail

  N/A

• Strobes

  Pass

  Fail

  N/A

Front Plow

• General Condition

  Good

  Fair

  Poor

  N/A

• Plow Mounted

  Pass

  Fail

  N/A

• Cutting Edge, Shoes, Wheels, Raise, Lower, Swing, Close

  Pass

  Fail

• Plow Lines

  Pass

  Fail

• Controller Condition

  Good

  Fair

  Poor

  N/A

Paperwork

• Driver's License and CDL

  Pass

  Fail

• Medical Certificate, Exp. Date

  Pass

  Fail

  N/A

• Insurance and Registration

  Pass

  Fail

  N/A

Cab Interior

• General Cleanliness

  Good

  Fair

  Poor

  N/A

• First Aid Kit, Flares (3), Fire Extinguisher, Flashlight

  Pass

  Fail

  N/A

• PPE (Hard Hat, Vest, Safety Glasses, Work Gloves)

  Pass

  Fail

  N/A

• Seat Belts

  Pass

  Fail

  N/A

• Interior Lights

  Ok

  Needs Maintenance

• Heater and Defroster

  Ok

  Needs Maintenance

• Radio Check

  Pass

  Fail

  N/A

• Tool Box/Storage General Cleanliness

  Good

  Fair

  Poor

  N/A