Backhoe Loader Inspection

• Audit title:

• Document No.

• Conducted on:

  Date

• Prepared by:

  Dennis Bowling

  John Hilliard

  Carter Machinery
• Location (Drop Pin for GPS & Address):
  Address

Equipment Status Assessment:

• Equipment Operational Status:

  In service

  Needs attention

  Out of service

Photos:

• Please take photos of the front, rear, left, and right sides of the piece of equipment.

  Media

• Please take photos of the hour meter.

  Media

Preventative Maintenance Schedule:

• Service?

• 250 Hour Service?

• SOS enginer oil:

  Yes

  No

  N/A

• Change engine oil and filter:

  Yes

  No

  N/A

• Change fuel filter:

  Yes

  No

  N/A

• Add coolant conditioner:

  Yes

  No

  N/A

• Level one coolant sample:

  Yes

  No

  N/A

• Inspect hoses:

  Yes

  No

  N/A

• Clean radiator cap:

  Yes

  No

  N/A

• Inspect belts:

  Yes

  No

  N/A

• Check transmission oil level:

  Yes

  No

  N/A

• Check hydraulic oil level:

  Yes

  No

  N/A

• Check rear axle oil:

  Yes

  No

  N/A

• Drain water and fuel tank:

  Yes

  No

  N/A

• Inspect seat belts:

  Yes

  No

  N/A

• Test indicators and gauges:

  Yes

  No

  N/A

• Check wheel nut torque:

  Yes

  No

  N/A

• Lubricate all fittings per operating and maintenance guide:

  Yes

  No

  N/A

• Test brakes - service and parking:

  Yes

  No

  N/A

• Check back up alarm:

  Yes

  No

  N/A

• Add coolant additive:

  Yes

  No

  N/A

• Test air conditioner:

  Yes

  No

  N/A

• Lubricate extendable stick:

  Yes

  No

  N/A

• 500 Hour Service?

• SOS engine oil:

  Yes

  No

  N/A

• Change transmission filter:

  Yes

  No

  N/A

• Change hydraulic filter:

  Yes

  No

  N/A

• Lubricate U-joints:

  Yes

  No

  N/A

• Check front axle oil (4x4):

  Yes

  No

  N/A

• Clean transmagnetic screen:

  Yes

  No

  N/A

• 1000 Hour Service?

• Level two coolant sample:

  Yes

  No

  N/A

• Change rear axle oil:

  Yes

  No

  N/A

• Change transmission oil:

  Yes

  No

  N/A

• Lubricate the front wheel bearings:

  Yes

  No

  N/A

• Change front axle oil (4x4)

  Yes

  No

  N/A

• 2000 Hour Service?

• Change hydraulic oil:

  Yes

  No

  N/A

• Change coolant as needed:

  Yes

  No

  N/A

TECHNICIAN'S NOTES:

• Please enter any important information regarding the preventative maintenance service performed for this piece of equipment:

SIGNATURES:

• Technician's Signature:

  Sign