Title Page

  • Conducted on

  • Prepared by

  • Location
  • Office Name

  • Truck #

  • 1. Change Engine Oil (Note: Increase frequency of engine oil change with severe working conditions or working hours.)

  • Was vehicle placed back into service?

  • Why was vehicle placed back into service before maintenance or repair was completed?

  • 2. Replace Engine Oil Filter (Record Date on Filter)

  • Was vehicle placed back into service?

  • Why was vehicle placed back into service before maintenance or repair was completed?

  • 3. Replace Fuel Filters

  • Was vehicle placed back into service?

  • Why was vehicle placed back into service before maintenance or repair was completed?

  • 4. Replace/Clean Air Intake Filters

  • Was vehicle placed back into service?

  • Why was vehicle placed back into service before maintenance or repair was completed?

  • 5. Replace Hydraulic Oil Filters

  • Was vehicle placed back into service?

  • Why was vehicle placed back into service before maintenance or repair was completed?

  • 6. Inspect All Grease Fittings (Note: Some grease fittings may require servicing more frequently, depending on workload conditions, weather conditions and working environment conditions.)

  • Was vehicle placed back into service?

  • Why was vehicle placed back into service before maintenance or repair was completed?

  • 7. Hoisting Mast Sheaves

  • Was vehicle placed back into service?

  • Why was vehicle placed back into service before maintenance or repair was completed?

  • 8. All Hoist Shafts

  • Was vehicle placed back into service?

  • Why was vehicle placed back into service before maintenance or repair was completed?

  • 9. Kelly Bar Bearing (Top)

  • Was vehicle placed back into service?

  • Why was vehicle placed back into service before maintenance or repair was completed?

  • 10. 4-Rotary Box Bearings

  • Was vehicle placed back into service?

  • Why was vehicle placed back into service before maintenance or repair was completed?

  • 11. Mast Tilt Hinge Pins

  • Was vehicle placed back into service?

  • Why was vehicle placed back into service before maintenance or repair was completed?

  • 12. Tilt Cylinder Pivot Pins

  • Was vehicle placed back into service?

  • Why was vehicle placed back into service before maintenance or repair was completed?

  • 13. Hydraulic Pump Drive Shaft U-Joint

  • Was vehicle placed back into service?

  • Why was vehicle placed back into service before maintenance or repair was completed?

  • 14. Moyno Pump Packing Glands

  • Was vehicle placed back into service?

  • Why was vehicle placed back into service before maintenance or repair was completed?

  • 15. Bean Pump Piston Rod and Packing Gland

  • Was vehicle placed back into service?

  • Why was vehicle placed back into service before maintenance or repair was completed?

  • 16. Slide Base Cylinder Pivot Pin Sideway (wiggle tail) Cylinder Pivot Pin

  • Was vehicle placed back into service?

  • Why was vehicle placed back into service before maintenance or repair was completed?

  • 17. PTO Bearing Block to Cathead

  • Was vehicle placed back into service?

  • Why was vehicle placed back into service before maintenance or repair was completed?

  • 18. Auto Hammer Sprocket Shaft Bearings

  • Was vehicle placed back into service?

  • Why was vehicle placed back into service before maintenance or repair was completed?

  • 19. Pivot Pin on Holding Clamps

  • Was vehicle placed back into service?

  • Why was vehicle placed back into service before maintenance or repair was completed?

  • 20. Pivot Pin on Breakout Tool

  • Was vehicle placed back into service?

  • Why was vehicle placed back into service before maintenance or repair was completed?

  • 21. Engine Clutch Leaver Bushing

  • Was vehicle placed back into service?

  • Why was vehicle placed back into service before maintenance or repair was completed?

  • 22. PTO Shifter

  • Was vehicle placed back into service?

  • Why was vehicle placed back into service before maintenance or repair was completed?

Approvals

  • Maintenance Performed by

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