Equipment and Operator Overview
CVA Unit Number
Unit Serial Number
Unit Hours Since Last Audit
Assigned CVA Agronomy Location
Name of Primary Operator
Name of Secondary Operator
Has this machine been operated by additional locations or operators
Name of Additional Operator(s)/Location(s)
Are Unit Service Records Available?
Is this unit accident free since last audit?
Is this unit free of any major repair costs since last audit?
Are Fluids Condition Reports accessible?
Has unit received bi-annual pan testing?
First Aid Kit Present and Adequate?
First Aid Kit Clean and Accessible?
Eye Wash Solution Present?
Eye Wash Container Sealed?
Eye Wash Container Clean and Accessible?
Soap, Paper Towels, and Water Available for Operator Decontamination?
Fire Extinguisher Present on Unit (min. 5 lb)?
Is Fire Extinguisher Readily Accessible?
Is Fire Extinguisher in a Mounting Bracket?
Is Fire Extinguisher Properly Charged?
Is operator restraint system fully functional?
Is operator seat fully functional?
Personal Protective Equipment
Chemical Goggle or Face Shield Protection Present?
Clean Chemical Gloves Present?
Chemical Cover-all Suit Available?
Appearance and Cleanliness at time of inspection?
Cleanliness of Inside Cab.
Is glass free of cracks in drivers operating view?
Lights all fully functional?
Battery Box / Cleanliness and Condition?
Is battery disconnect functional?
Are liquid filters marked with unit hours or date?
Is air filter housing marked with hours or date?
Fuel System Free of Leaks?
Engine bay free of Oil leaks?
Engine bay free of Coolant leaks?
Radiator/Cooler Cleanliness and Condition?
Hydraulic Site guage indicates proper fluid level?
Tires in safe operating condition?
Condition of Grease Points at pivot points?
Product Compartment Cleanliness?
Does this machine have a boom system?
Condition of Boom?
Additional Auditor Comments or Notes