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
- Excavator
- Backhoe
- Sideboom
- Dozer
- Pickup
- Dumptruck
- Other
-
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