Cahill Preventative Maintenance Checks and Services

• Cahill Preventative Maintenance Checks and Services

• Document No.

• Conducted on

  Date

• Prepared by

• Location
  Address

• Date and Time audit began

  Date

VEHICLE DESCRIPTION

• Photograph of Vehicle Being Inspected (Inside and Out)

  Media

• Year

  Select 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018 2019 2020

  • 2000
  • 2001
  • 2002
  • 2003
  • 2004
  • 2005
  • 2006
  • 2007
  • 2008
  • 2009
  • 2010
  • 2011
  • 2012
  • 2013
  • 2014
  • 2015
  • 2016
  • 2017
  • 2018
  • 2019
  • 2020

• Make

  Ford

  Chevy

  International

• Model

  F550

  Other

• Vehicle Plate Number

• Drivers Name

• Current Mileage

REQUIRED DOCUMENTATION

• Valid Vehicle Registration is located in Vehicle (Note where kept)

  Yes

  No

  N/A

• Valid Vehicle Insurance Certificate is Located in Vehicle (Note where kept)

  Yes

  No

  N/A

• Is Vehicle Serviced According to the Manufacturers Schedule?

  Yes

  No

  N/A

• Are Adequate Preventative Maintenance and Service Repair Records Kept

  Yes

  No

  N/A

• Date of Last Service (List Details of Last Service, i.e. New Tires, Oil Change, ect...)

PPE

• Head Protection/Hard Hat in good condition

  Yes

  No

  N/A

• Safety Glasses/Face Protection in good condition

  Yes

  No

  N/A

• Safety Vest in good condition

  Yes

  No

  N/A

INTERIOR

• Driver Seat in Good Repair

  Yes

  No

  N/A

• Driver Seat Belt Operational

  Yes

  No

  N/A

• Passenger Seat Belts Operational

  Yes

  No

  N/A

• Passenger Seats in Good Repair

  Yes

  No

  N/A

• Windshield Wipers Functioning Appropriately

  Yes

  No

  N/A

• Horn Functioning Appropriately

  Yes

  No

  N/A

• Heater and Defroster Operational

  Yes

  No

  N/A

• Air Conditioning Operational

  Yes

  No

  N/A

• Dashboard Lights Operational

  Yes

  No

  N/A

• All Gauges are Operating and Show within Appropriate Ranges

  Yes

  No

  N/A

• Radio Operational

  Yes

  No

  N/A

• Interior Compartment Lights Operational

  Yes

  No

  N/A

• Interior Control Box Functioning Appropriately

  Yes

  No

  N/A

• Extra Oil Available For Pony

  Yes

  No

  N/A

• Extra Oil Available For Engine

  Yes

  No

  N/A

• Extra Grease For Grease Fittings

  Yes

  No

  N/A

• Interior is Clean and Free of Loose Objects

  Yes

  No

  N/A

EXTERIOR LIGHTING

• High and Low Beams Operational

  Yes

  No

  N/A

• Clearance, Reflectors Operational

  Yes

  No

  N/A

• Left and Right Tail Lights Operational

  Yes

  No

  N/A

• Left and Right Front Indicators Operational

  Yes

  No

  N/A

• Left and Right Rear Turn Indicators Operational

  Yes

  No

  N/A

• Left and Right Break Lights Operational

  Yes

  No

  N/A

• Fog Lights Operational

  Yes

  No

  N/A

• License Plate Lights Operational

  Yes

  No

  N/A

• Rear Reverse Light Operational

  Yes

  No

  N/A

• Audible Reverse Alarm Operational

  Yes

  No

  N/A

EXTERIOR BODY AND GLASS (Take Photos of any noted damage)

• Windshield Free of Cracks and Chips

  Yes

  No

  N/A

• Front Hood, Grill and Bumper free of Damage

  Yes

  No

  N/A

• Left Mirrors adjustable and Free of Damage

  Yes

  No

  N/A

• Left Fender Free of Damage

  Yes

  No

  N/A

• Left Door Free of Damage

  Yes

  No

  N/A

• Left Side Free of Damage

  Yes

  No

  N/A

• Left Side Windows Free of Cracks and Chips

  Yes

  No

  N/A

• Rear WIndow Free of Cracks and Chips

  Yes

  No

  N/A

• Rear of Vehicle and Bumper Free of Damage (Tailgate if included)

  Yes

  No

  N/A

• Exterior Control Box Functioning Appropiately

  Yes

  No

  N/A

• Hood Hinges Secure & Working Appropriately

  Yes

  No

  N/A

• Grease Fittings Secure & Working Appropriately

  Yes

  No

  N/A

• Right Side Free of Damage

  Yes

  No

  N/A

• License Plate in Position, Clean, Free of Damage

  Yes

  No

  N/A

• Right Side Windows Free of Cracks and Chips

  Yes

  No

  N/A

• Right Door Free of Damage

  Yes

  No

  N/A

• Right Front Fender Free of Damage

  Yes

  No

  N/A

• Right Mirror Adjustable and Free of Damage

  Yes

  No

  N/A

• The vehicle is Clean & Free of Road Dirt, Grime & Concrete

  Yes

  No

  N/A

Concrete Chipping

• Throat Free Of Concrete Buildup? (Inside & Out)

  Good

  Fair

  Poor

• Vibrator Free Of Concrete Buildup?

  Good

  Fair

  Poor

• Rollers Free Of Concrete Buildup?

  Good

  Fair

  Poor

• Drum Ring Free Of Concrete Buildup?

  Good

  Fair

  Poor

• Exterior Chutes Free Of Concrete Buildup?

  Good

  Fair

  Poor

• Truck Chasis Free Of Concrete Buildup

  Good

  Fair

  Poor

Water Pump

• Water Pump Is Working Properly

  Yes

  No

  N/A

• Water Tank Clean & Free of Mold & Mildew

  Yes

  No

  N/A

• Wiring Is In Good Condition

  Good

  Fair

  Poor

• Hose And Nozzle Free Of Leaks And Working Properly

  Yes

  No

  N/A

• Spare Fuses For Water Pump

  Yes

  No

  N/A

Pony Motor

• Oil Levels Adequate and Within the Minimum and Maximum Levels

  Yes

  No

  N/A

• Are Linkages Working Properly?

  Good

  Fair

  Poor

• Any Visible Wear & Tear of Wires Or Fuel Lines?

  Good

  Fair

  Poor

Hydraulics

• Are there Any Visible Leaks

  Yes

  No

  N/A

• Do Hoses Have Any Visible Signs Of Wear Or Cracking

  Yes

  No

  N/A

• Sight Glass Oil At Proper Level

  Yes

  No

  N/A

TIRES

• Front Driver Tire in Good Repair with no Visible Signs of Wear or Cracking in Sidewall

  Safe

  At Risk

  N/A

• Front Passenger Tire in Good Repair with no Visible Signs of Wear or Cracking in Sidewall

  Safe

  At Risk

  N/A

• Rear Driver Tire in Good Repair with no Visible Signs of Wear or Cracking in Sidewall

  Safe

  At Risk

  N/A

• Rear Passenger Tire in Good Repair with no Visible Signs of Wear or Cracking in Sidewall

  Safe

  At Risk

  N/A

• Adequate Spare Tire is Available if Necessary in Good Repair with No Visible Signs of Wear or Cracking in Sidewall

  Yes

  No

  N/A

• Front Driver and Passenger Wheel/Tire Trim Rings in Place

  Yes

  No

  N/A

• Rear Driver and Passenger Wheel/Tire Trim Rings in Place

  Yes

  No

  N/A

ENGINE COMPARTMENT

• Oil Levels Adequate and Within the Minimum and Maximum Levels

  Yes

  No

  N/A

• Transmission Levels Adequate and Within the Minimum and Maximum Levels

  Yes

  No

  N/A

• DEF Fluid level Winthin Mininum and Maximum Levels

  Yes

  No

  N/A

• Water Levels Adequate and Within the Minimum and Maximum Levels

  Yes

  No

  N/A

• Brake Fluid Levels Adequate and Within the Minimum and Maximum Levels

  Yes

  No

  N/A

• Windshield Washer Fluid Functioning and Appropriately Wetting Windscreen to Clean

  Yes

  No

  N/A

• Battery In Good Visible Condition and Securely Fastened into Position

  Yes

  No

  N/A

SAFETY EQUIPMENT

• Securely mounted First Aid Kit (Ensure Completely Stocked)

  Yes

  No

  N/A

• Highway safety triangles available

  Yes

  No

  N/A

• Fire Extinguisher Charged and Inspected Monthly?

  Yes

  No

  N/A

• Are Extra Bubls & Fuses Available?

  Yes

  No

  N/A

Tools And Equipment

• Jumper Cables

  Yes

  No

  N/A

• Tool Box & All Tools Available & In Good Condition

  Yes

  No

  N/A

• Chute Scraper

  Yes

  No

  N/A

• Truck Blocks Available & In Appropriate Condition

  Yes

  No

  N/A

• Tow Chain

  Yes

  No

  N/A

SIGNATURES

• Please sign to confirm all appropriate checks have been completed: