Title Page
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Client / Site
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Conducted on
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Week Ending
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Start/End Hours
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Last Service Date
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Case Unit Number/Model/Rental Company
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Job Number
Inspection Items
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Access Level solid bearing (if adjacent to slope or utilities describe in comments)
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Swing radius protection in place
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Backup Alarms- horns, lights, gauges, mirrors, glass, wipers, operational
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Fluids (engine, hydraulic, radiator, fuel, brake checked, filled at start of shift)
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Grease points checked, serviced
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Operator's controls Labeled and in good working condition
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All belts, chains, hoses undamaged and in good working condition. No leaks
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All brakes and clutches in safe working order
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All covers, guards for moving parts, caps and lids secured and in place
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Equipment steers/tracks and brakes smoothly
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Tracks or tires in good condition - outriggers or cribbing appropriate
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Anti two block device working properly - boom angle indicator - boom stops
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All standing lines and running lines in good condition
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Sheaves, blocks, wedge sockets, swivels maintained in safe condition
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Boom, mast, lacing free from damage and defects
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Manufacturers manual, load charts, data plates in place and legible
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Signs, labels, stickers affixed and legible
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Cat walks, access to cab safe
Drill Rigs
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Hydraulic system, mast cylinders, turntable slide, Kelly bar
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Additional Comments
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Maintenance- Repairs needed
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Maintenance- Repairs Made
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Maintenance Repairs made by:
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Operator Signature
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Superintendents Signature
