Title Page

  • Conducted on

  • Prepared by

  • Location

  • Customer

  • H&S shipping number (ex. 41111)

  • Inspection type

  • Model

  • Serial number Ex. 535.6.1213

  • Operational hours

  • Last engine service

  • Last hydraulic service

  • Last vibro service

Undercarriage

  • Cleanliness

  • Function

  • Swing gear

  • Guiding wheels

  • Tracking pads

  • Track tension

  • Drive motors

  • Drive motor oil level

  • Brake

  • Steps

  • Hydraulic hoses & fittings

  • Telescopic function

  • Locking pins

  • Transport swing lock

  • Proper greasing

  • Paint & finish

Upper structure

  • Cleanliness

  • Function

  • Counterweight

  • Counterweight pins & bolts

  • Body panels/ doors/ cabinets

  • Belly pans

  • Slew motor

  • Speed 1/ speed 2

  • Swing brake

  • Engine

  • Engine oil level

  • Oil filter

  • Distributor gear

  • Cooling system

  • Exhaust system

  • Fuel tank

  • Fuel filter

  • Re-fueling pump

  • Tool kit

  • Steps/ walkways

  • Mast transport stand

  • Proper greasing

  • Paint & finish

Driver’s cabin

  • Cleanliness

  • Function

  • Door

  • Sun screen & visor

  • Wipers

  • Seat

  • Radio & speakers

  • Heat & air conditioning

  • Ventilation

  • Control levers

  • Pedals

  • Control elements/ buttons

  • Indicators

  • Mirrors

  • Grip & tool tray

  • Paint & finish

Safety devices

  • Rotating beacon

  • Horn

  • Function cut out cabin

  • Battery cut off

  • Fire extinguisher (cabin and hydraulic compartment)

  • Windshield hammer

  • FOPS

  • Warning stickers

  • Safety Railings

  • Load chart on window

  • Camera system

  • Operators manual

  • Spare parts manual

  • Type plate (SN plate)

Electrical system

  • Cleanliness

  • Alternator

  • Starter

  • Batteries

  • Cabin lighting

  • Carrier lighting

  • Engine control

  • DEF sensors

  • Fuses

  • Control cabinets

  • Inclination sensor (check alignment)

  • Limit switches

  • Leader l retracted sensor

  • Leader extended, slow slew sensor

  • Depth measuring (leader l & ll)

Hydraulic system

  • Cleanliness

  • Function

  • Tightness

  • Maintenance

  • Hydraulic oil level

  • Hydraulic filters

  • Hydraulic pumps

  • Valves

  • Control blocks (M4, M7, M8)

  • Hydraulic oil coolers

  • Gear oil cooler

  • Carrier hoses

  • Measuring points

  • Measuring gauges cabin

  • Main control block (Senneboggen)

  • Pressure multiplier

  • Control levers or pedals

Leader system

  • Cleanliness

  • Function

  • Condition

  • Inner leader

  • Outer leader

  • Pestressing cylinder (cyl l)

  • Stroke cylinder (cyl ll)

  • Load holding valves

  • Steel ropes upper

  • Steel ropes lower

  • Load holding valves

  • Fixed rope point

  • Guide strips

  • Protection chain (hose carrier)

  • Attachment carriage

  • Hydraulic quick connections

  • Hydraulic coupler cover

  • Locking cylinder

  • Pulleys

  • Pulley protection & retainers

  • Hydraulic hoses

  • Transportation markings

  • Paint & finish

Main boom kinematic

  • Cleanliness

  • Function

  • Condition

  • Main boom

  • Main boom cylinders

  • Load holding valves

  • Fold down cylinder

  • Cylinder support

  • Hydraulic hoses

  • Up-stop

  • Down-stop

  • Paint & finish

Slewing device

  • Cleanliness

  • Function

  • Condition

  • Inclination cylinders

  • Slew motor

  • Load holding valves

  • Locking pin

  • Limit stops

  • Transportation guides

  • Automatic slewing function

  • Paint & finish

Auxiliary winch

  • Cleanliness

  • Function

  • Steel rope

  • Hook (with cert tag), spring, plate

  • Hydraulic motor

  • Up-stop

  • Down-stop

  • Transport cylinder

  • Sheave wheel

  • Holding brake

  • Hydraulic hoses

  • Boom function cut off (aux mode)

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.