Title Page

  • Conducted on

  • Prepared by

  • Location
  • Customer

  • H&S shipping number (ex. 41111)

  • Inspection type

  • Model

  • Serial number Ex. 2987

  • Operational hours

  • Last engine service

  • Last hydraulic service

Safety

  • Emergency stops carrier

  • Emergency stops mast

  • Emergency stops remote control system

  • Control panel indicators

  • Fire extinguisher

  • Operation manual

  • Warning & safety stickers

Undercarriage

  • Cleanliness

  • Function

  • Track tension

  • Track pads

  • Rollers

  • Idler wheel & drive sprocket

  • Track frame

  • Stabilizers

  • Hydraulic hoses & fittings

  • Paint & finish

  • Proper greasing

Body & engine compartment

  • Cleanliness

  • Function

  • Rear tow hitch (with capacity tag)

  • Body panels & doors

  • Belly pans

  • Operators panel (if equipped)

  • Engine display cabinet

  • Engine oil condition & level

  • Engine oil & fuel filters

  • Engine coolant system & level

  • Hydraulic fan cooler

  • Hydraulic hoses & fittings

  • Hydraulic pumps and valve banks

  • Hydraulic oil condition and level

  • Hydraulic filters

  • Pressure washer pump & oil level

  • Pressure washer hose reel & wand

  • Paint & finish

  • Proper greasing

Remote controls

  • Radio remote (wireless) condition

  • Radio remote (wireless) function

  • Corded remote condition

  • Corded remote function

  • Transportation remote condition

  • Transportation remote function

  • Carrying cases

  • Wall charger

  • Extra battery

Kinematic system

  • Cleanliness

  • Function

  • Main boom & cylinders

  • Mast slide & cylinder (MC4D & MC8D)

  • Mast rotation device & cylinders

  • Mast rotation device cam sensor

  • Mast inclination slide & cylinders

  • Mast raise cylinder

  • Mast & boom rotation gears (MC8D)

  • Mast support slides

  • Mast slide cylinder

  • Hydraulic hoses & fittings

  • Paint & finish

  • Proper greasing

Mast & clamp assembly

  • Cleanliness

  • Function

  • Mast condition

  • Mast extension condition

  • Hose carrier & energy chain

  • Rotary head feed chain

  • Feed retract motor & oil level

  • Automatic feed function

  • Upper clamps condition

  • Upper clamps function

  • Lower clamps condition

  • Lower clamps function

  • Breakout function upper clamp

  • Feed/ retract upper clamp function & cables

  • Hoses & fittings

  • Paint & finish

  • Proper greasing

Aux. Winch

  • Cleanliness

  • Function

  • Down stop operation

  • Winch drum & oil level

  • Bolts and securing hardware

  • Sheave wheels

  • Rope condition

  • Hook with cert tag

  • Transport pivot/ folding

  • Hoses & fittings

  • Paint & finish

  • Proper greasing

Rotary & carriage

  • Cleanliness

  • Function

  • Rotary type 1

  • Serial Number head 1

  • Rotary type 2

  • Serial number head 2

  • Rotary head percussion function & shaft condition

  • Sled rollers

  • Carriage side shift

  • Upper head stroke

  • Rotary head gear change

  • Rotary head swivel

  • Rotary head oil level & condition

  • Automatic rotation function & control

  • Flange connection 1

  • Flange connection 2

  • Floating spindle spline condition (if applicable)

  • Hydraulic hoses & fittings

  • Paint & finish

  • Proper greasing

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.