Balfour Beatty Rail

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

GENERAL SAFETY

• CONDUCTED BY

  NAME

• DATE

  Yes

  No

  N/A

• EQUIPMENT NUMBER

  Yes

  No

  N/A

• OPERATOR

  Yes

  No

  N/A

• TASK TRAINING (OPERATOR)

  Yes

  No

  N/A

• DAILY EQUIPMENT INSPECTION COMPLETED AND DOCUMENTED

  Yes

  No

  N/A

• DAILY MAINTENANCE LOG (YELLOW BOOK) FILLED OUT PROPERLY

  Yes

  No

  N/A

• OPERATORS MANUAL AVAILABLE IN CAB OF EQUIPMENT

  Yes

  No

  N/A

• FIRE EXTINGUISHER AVAILABLE AND PROPERLY TAGGED

  Yes

  No

  N/A

• LIGHTED BUGGY WHIP AND/OR BEACON

  Yes

  No

  N/A

• LOTO PROCEDURES IN PLACE. OPERATOR UNDERSTANDS WHEN AND WHERE TO USE.

  Yes

  No

  N/A

FROM THE GROUND

• TIRES, WHEELS, LUG NUTS, STEM CAPS

  Yes

  No

  N/A

• BUCKET, CUTTING EDGE (IF EQUIPPED)

  Yes

  No

  N/A

• ALL HYDRAULIC CYLINDERS

  Yes

  No

  N/A

• EQUIPMENT FRAME

  Yes

  No

  N/A

• TRANSMISSION, TRANSFER CASE

  Yes

  No

  N/A

• FUEL TANK

  Yes

  No

  N/A

• HYDRAULIC TANK

  Yes

  No

  N/A

• AIR TANK

  Yes

  No

  N/A

• AXLES

  Yes

  No

  N/A

• DIFFERENTIAL

  Yes

  No

  N/A

• LIGHTS WORKING (FRONT, REAR, WORKING)

  Yes

  No

  N/A

• BATTERY CABLES/TERMINALS

  Yes

  No

  N/A

• CHAIN DRIVE/ADJUSTMENT (IF EQUIPPED)

  Yes

  No

  N/A

• HI-RAIL GEAR (IF EQUIPPED)

  Yes

  No

  N/A

• EQUIPMENT COMPONENTS GREASED REGULARLY

  Yes

  No

  N/A

ENGINE COMPARTMENT

• ENGINE OIL

  Yes

  No

  N/A

• ENGINE COOLANT

  Yes

  No

  N/A

• RADIATOR

  Yes

  No

  N/A

• ALL HOSES

  Yes

  No

  N/A

• FUEL FILTER/WATER SEPERATOR

  Yes

  No

  N/A

• ALL BELTS

  Yes

  No

  N/A

• AIR FILTERS

  Yes

  No

  N/A

• LEAKS/ACCUMULATION

  Yes

  No

  N/A

• OVERALL ENGINE COMPARTMENT

  Yes

  No

  N/A

ON THE MACHINE/OUTSIDE THE CAB

• STEPS AND HANDRAILS

  Yes

  No

  N/A

• ROLL OVER PROTECTION (ROPS)

  Yes

  No

  N/A

• WINDSHIELD/WINDOWS

  Yes

  No

  N/A

• WINDSHIELD WIPERS/WASHERS

  Yes

  No

  N/A

• DOORS/DOOR LATCHES

  Yes

  No

  N/A

• WHEEL CHOCKS

  Yes

  No

  N/A

• OVERALL OUTSIDE CONDITION

  Yes

  No

  N/A

INSIDE THE CAB

• SEAT/SEATBELTS AND MOUNTING

  Yes

  No

  N/A

• HORN, BACKUP ALARM, LIGHTS

  Yes

  No

  N/A

• MIRRORS AND WINDOWS CLEAN AND PROPERLY ADJUSTED

  Yes

  No

  N/A

• CAB AIR FILTER (IF EQUIPPED)

  Yes

  No

  N/A

• GUAGES, INDICATORS, SWITCHES, CONTROLS

  Yes

  No

  N/A

• HOUSEKEEPING

  Yes

  No

  N/A

• OVERALL CAB CONDITION

  Yes

  No

  N/A

ADDITIONAL COMMENTS

• Add drawing

  Drawing

• Yes

  No

  N/A