Mitch Kowarzik

B&D Machine Inspection

A.K Diesel

Use this Template

Print as PDF

Use this Template

Go digital today!

Convert your paper checklists into digital forms

Scan this QR code to use this paper checklist on your smartphone or tablet or visit https://safetyculture.com/

Title Page

Site conducted
Conducted on
Customer Reference
Current Hours
Asset I.D
Location

Check over machine for general damage
Check boom and hitch for excessive movement
Check track rollers, sprockets and chains
Check buckets for damage and wear
Check over machine for leaks and damaged hoses

Information & Sign Off

Report Details
Is the Machine Safe for use?
Technician Sign Off

Mitch Kowarzik

B&D Machine Inspection

A.K Diesel

Use this Template

Print as PDF

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.