Title Page

  • Conducted on

  • Prepared by

  • Location
  • Customer

  • H&S shipping number (ex. 41111)

  • Inspection Type

  • Model

  • Serial Number Ex. 111111

  • Operational hours (if known)

  • Last service (if known)

MRZV

  • Cleanliness

  • Function/ operation

  • Maintenance

  • Slew motor function

  • Carriage frame (cracks, wear and tear, etc.?)

  • Limit stop

  • Elastomers rubbers

  • Slide strips & rails

  • Lube oil condition & level

  • Lube oil filters

  • Control block

  • Cooling system

  • Hydraulic couplers

  • Hydraulic coupler cover plate

  • Hydraulic hoses

  • Electrical system & sensors

  • Warning stickers

  • Type plate

  • Proper greasing

  • Transport stand

  • Transport alignment marks

  • Paint & finish

SKZ clamp

  • Model

  • Serial Number

  • Cleanliness

  • Hydraulic hoses & fittings

  • Function

  • Clamping cylinder

  • Frame and casting

  • Jaw pads

  • Pitching chain (with cert tag)

  • Chain holders & retainers

  • Bolts & hardware

  • Proper greasing

  • Type plate

  • Paint & finish

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.