Title Page
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Site conducted
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Conducted on
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Prepared by
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Equipment # 40013
Task Description
AUTONOMOUS WORK INSTRUCTION
TASK DESCRIPTION
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APPLY ALL SAFETY PROCEDURES BEFORE STARTING; TAKE TWO FOR SAFETY!!!
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Notify Maintenance if any deficiencies are found during inspection. SUMBIT A WORK ORDER REQUEST!
VISUAL CHECKS
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1 - Check exterior panels, structure, safety cage for damage (walk around).
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2 - Check fenders, antiskid, grip tape, and grab handles are in good condition.
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3 - Check paint, exterior, and doors are free from damage and clean.
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4 - Check all headlights, reflector tape, and beacon lights are in good condition.
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5 - Check all capacity and safety labels are present and legible.
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6 - Check tires for excessive cracks, gouges, and punctures.
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7 - Hand check all lug nuts on wheels for tightness; If loose, contact maintenance.
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8 - Check forks for cracks, bends, twists, and ensure locked into position.
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9 - Check mast, back rest, hinges and lift chains for excessive wear, damage, missing or broken parts, excessive slack in chains, cracks, or mis-alignments.
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10 - Check all components that handle or carry load to include spreader bar when installed; Ensure proper fit and check for any damage.
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11 - Check hydraulic hoses and connections to ensure good condition and correct routing.
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12 - Check for evidence of leaking fuel, hydraulic oil, engine oil, coolant, and transmission fluid.
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13 - Check LPG system to ensure it is in good condition; Ensure locking pin is engaged in collar slot, pressure relief value is at the 12 o'clock position; filler valve has cap; and verify the inspection date.
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14 - Check fluid level of gas -- add as needed; Verify O-rings in filler valve and the service valve are present and in good condition.
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Amount added.
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15 - Check Engine Oil Level (Refill with 15W-40 as needed)
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Amount added.
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16 - Check Hydraulic Fluid (Refill with AW-46 as needed)
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Amount added.
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17 - Check Transmission Fluid (Refill with Dextron as needed).
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Amount added.
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18 - Check Coolant Level (Refill with Green 50/50 Mix, put usage in comment).
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Amount added.
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19 - Check Battery Water Level & battery connections are tight and free of corrosion.
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20 - Ensure all loose material in cab is removed or stowed securely.
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21 - Check fire extinguisher is properly charged and secure; Eye wash bottle is present.
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22 - Check seat belt condition, no cuts or nicks; Properly functions and adjusts.
FUCNTIONAL CHECK (Check With Engine Running)
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23 - Check all lights (4 beacons, 4 working lights: 2 forward, 2 reverse), mirror position and other safety devices are in good working condition.
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24 - Start engine; Ensure all controls operate freely & handles/levers return to neutral position.
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25 - Check warning alarms (horn & backup siren) & windshield wiper for good working condition.
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26 - Check all gauges and indicator lights are functioning.
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27 - Check breaks, inching pedal and parking brake function properly.
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28 - Check directional controls and steering system operates normally.
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29 - Check hydraulic controls (lift, tilt, & side shift) for condition and function).
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30 - Listen for any unusual sounds; Report any findings to maintenance; Blow out radiator with air hose.
END OF SHIFT VISUAL INSPECTION
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31 - Walk around exterior to check for damage.
NOTES
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Note: Please note any findings for clarification & complete a Work Order for any items requiring repair; include additional comments.
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Note: If horn, lights, parking brake, or windshield wiper does not work properly, the truck is considered unsafe, immediately lock out equipment, attach an out of service tag, & notify your Team Leader & Maintenance. (Maintenance shall make repairs ASAP)
COMMENTS
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Add any additional comments here.
