Title Page

  • Conducted on

  • Prepared by

  • Equipment Type

  • Location

General Information

  • Incoming or Outgoing?

  • Is the machine full of Fuel/DEF?

  • Rental or Company Owned?

  • Rental Company

  • Rental Start/Stop Date

  • Project Name

  • Equipment No.

  • Make

  • Model

  • Equipment Serial Number

  • Bucket/Attachment Serial Numbers

  • Manufacturer's ID Number (CAT ID Number, etc.)

  • Hours

  • Miles

  • Additional Info

  • Type of Equipment

  • Equipment Type

Engine

  • Water or fuel in oil

  • Oil pressure

  • Water Pressure

  • Tachometer

  • Blow-by

  • Turbocharger

  • Unusual smoke

  • High Idle

  • Idle

  • Oil leaks

Electrical

  • Batteries

  • Wiring and lighting

  • Gen. / reg. / alternator

  • Starting System

Cooling System

  • Radiator

  • A/C condenser

  • Belts/hoses

Fuel System

  • Leaks

  • Lines and hoses

Torque Converter / Transfer Case

  • Leaks, noise, slipping

  • Clutch Adjustment

Clutch

  • Adjustment

Transmission

  • Leaks

  • Operation in all gears

Differential

  • Drive lines, U-joints

  • Operation

Finals / Planetaries

  • Oil leaks

  • Operation

Hydraulic System

  • Pump/Motors

  • Valves

  • Cylinders

  • Leaks/Hoses

  • Steering Operation-left-right

  • Brakes Operation

  • Frame Cracks

  • Sprocket Drive / Wheels Operation

  • Bucket, Blade, Ripper, Cutting Edge

  • Trailing Equipment Condition

  • Spindle, Fifth wheel, Hitch Condition

  • Power Take-Off Condition

  • Grease System (Lines, fittings)

  • Dump Body, Linear Plates Condition

Miscellaneous

  • Seat and seatbelts

  • Seat platform / Suspension

  • Cab/Rops

  • Bodywork/tinwork

  • Backup alarm

  • Heater/defrost/ A/C

  • Guards

  • Instruments

  • Lights (All)

  • Glass/Mirrors

  • Wipers

  • Hand holds

  • Stairs/ladders

  • Controls

Tires

  • Dual Rear Axle?

  • RF

  • LF

  • RR

  • LR

  • RF

  • LF

  • RRO

  • RRI

  • LRO

  • LRI

Trailer

  • Trailer Tire PSI

Undercarriage

  • Tracks

  • Recoil housing leaks

  • Pivot Shaft

  • Equalizer Bar

  • Operator's Guide

  • Daily Inspection book in cab

  • Filters

  • Comments

Engine

  • Water or fuel in oil

  • Oil pressure

  • Water Pressure

  • Tachometer

  • Blow-by

  • Turbocharger

  • Unusual smoke

  • High Idle

  • Idle

  • Oil leaks

Electrical

  • Batteries

  • Wiring and lighting

  • Gen. / reg. / alternator

  • Starting System

Cooling System

  • Radiator

  • A/C condenser

  • Belts/hoses

Fuel System

  • Leaks

  • Lines and hoses

Torque Converter / Transfer Case

  • Leaks, noise, slipping

  • Clutch Adjustment

Clutch

  • Adjustment

Transmission

  • Leaks

  • Operation in all gears

Differential

  • Drive lines, U-joints

  • Operation

Finals / Planetaries

  • Oil leaks

  • Operation

Hydraulic System

  • Pump/Motors

  • Valves

  • Cylinders

  • Leaks/Hoses

  • Steering Operation-left-right

  • Brakes Operation

  • Frame Cracks

  • Sprocket Drive / Wheels Operation

  • Bucket, Blade, Ripper, Cutting Edge

  • Grease System (Lines, fittings)

Miscellaneous

  • Seat and seatbelts

  • Seat platform / Suspension

  • Cab/Rops

  • Bodywork/tinwork

  • Backup alarm

  • Heater/defrost/ A/C

  • Guards

  • Instruments

  • Lights (All)

  • Glass/Mirrors

  • Wipers

  • Hand holds

  • Stairs/ladders

  • Controls

Tires

  • RF

  • LF

  • RR

  • LR

  • Operator's Guide

  • Daily inspection book in cab

  • Filters

  • Comments

Engine

  • Water or fuel in oil

  • Oil pressure

  • Water Pressure

  • Tachometer

  • Blow-by

  • Turbocharger

  • Unusual smoke

  • High Idle

  • Idle

  • Oil leaks

Electrical

  • Batteries

  • Wiring and lighting

  • Gen. / reg. / alternator

  • Starting System

Cooling System

  • Radiator

  • A/C condenser

  • Belts/hoses

Fuel System

  • Leaks

  • Lines and hoses

Finals / Planetaries

  • Oil leaks

  • Operation

Hydraulic System

  • Pump/Motors

  • Valves

  • Cylinders

  • Leaks/Hoses

  • Steering Operation-left-right

  • Brakes Operation

  • Frame Cracks

  • Sprocket Drive / Wheels Operation

  • Bucket, Blade, Ripper, Cutting Edge

  • Grease System (Lines, fittings)

Miscellaneous

  • Seat and seatbelts

  • Seat platform / Suspension

  • Cab/Rops

  • Bodywork/tinwork

  • Backup alarm

  • Heater/defrost/ A/C

  • Instruments

  • Guards

  • Lights (All)

  • Glass/Mirrors

  • Wipers

  • Hand holds

  • Stairs/ladders

  • Controls

Undercarriage

  • Tracks

  • Recoil housing leaks

  • Operator's Guide

  • Daily Inspection book in cab

  • Filters

  • Comments

Engine

  • Water or fuel in oil

  • Oil pressure

  • Water Pressure

  • Tachometer

  • Blow-by

  • Turbocharger

  • Unusual smoke

  • High Idle

  • Idle

  • Oil leaks

Electrical

  • Batteries

  • Wiring and lighting

  • Gen. / reg. / alternator

  • Starting System

Cooling System

  • Radiator

  • A/C condenser

  • Belts/hoses

Fuel System

  • Leaks

  • Lines and hoses

Torque Converter / Transfer Case

  • Leaks, noise, slipping

  • Clutch Adjustment

Transmission

  • Leaks

  • Operation in all gears

Differential

  • Drive lines, U-joints

  • Operation

Finals / Planetaries

  • Oil leaks

  • Operation

Hydraulic System

  • Pump/Motors

  • Valves

  • Cylinders

  • Leaks/Hoses

  • Steering Operation-left-right

  • Brakes Operation

  • Frame Cracks

  • Sprocket Drive / Wheels Operation

  • Bucket, Blade, Ripper, Cutting Edge

  • Grease System (Lines, fittings)

  • Dump Body, Linear Plates

Miscellaneous

  • Seat and seatbelts

  • Seat platform / Suspension

  • Cab/Rops

  • Bodywork/tinwork

  • Backup alarm

  • Heater/defrost/ A/C

  • Instruments

  • Guards

  • Lights (All)

  • Glass/Mirrors

  • Wipers

  • Hand holds

  • Stairs/ladders

  • Controls

Undercarriage

  • Tracks

  • Recoil housing leaks

  • Pivot Shaft

  • Equalizer Bar

  • Operator's Guide

  • Daily Inspection book in cab

  • Filters

  • Comments

Engine

  • Water or fuel in oil

  • Oil pressure

  • Water Pressure

  • Tachometer

  • Blow-by

  • Turbocharger

  • Unusual smoke

  • High Idle

  • Idle

  • Oil leaks

Electrical

  • Batteries

  • Wiring and lighting

  • Gen. / reg. / alternator

  • Starting System

Cooling System

  • Radiator

  • A/C condenser

  • Belts/hoses

Fuel System

  • Leaks

  • Lines and hoses

Torque Converter / Transfer Case

  • Leaks, noise, slipping

  • Clutch Adjustment

Transmission

  • Leaks

  • Operation in all gears

Differential

  • Drive lines, U-joints

  • Operation

Finals / Planetaries

  • Oil leaks

  • Operation

  • Steering Operation-left-right

  • Brakes Operation

  • Frame Cracks

  • Sprocket Drive / Wheels Operation

  • Trailing Equipment Condition

  • Spindle, fifth wheel, hitch condition

  • Power take-off condition

Miscellaneous

  • Seat and seatbelts

  • Seat platform / Suspension

  • Cab/Rops

  • Bodywork/tinwork

  • Backup alarm

  • Heater/defrost/ A/C

  • Instruments

  • Guards

  • Lights (All)

  • Glass/Mirrors

  • Wipers

  • Hand holds

  • Stairs/ladders

  • Controls

Tires

  • Dual Rear Axle?

  • RF

  • LF

  • RR

  • LR

  • RF

  • LF

  • RRO

  • RRI

  • LRO

  • LRI

Trailer

  • Trailer Tire PSI

  • Operator's Guide

  • Daily inspection book in cab

  • Filters

  • Comments

Engine

  • Water or fuel in oil

  • Oil Pressure

  • Water temperature

  • Tachometer

  • Blow-by

  • Turbocharger / Exhaust

  • Equipment Damage Upon Arrival

  • Are all sections complete?

Media

  • Add media

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.