Daily Equipment Inspection

• Document No.

• Daily Equipment Inspection

• Kelpe Contracting, Inc.

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

• Daily Equipment Inspection

General Information

• Job Name and/or Number:

Equipment

• Equipment Type:

• Equipment #:

• Hour Meter/Odometer Reading:

• Tires/Tracks

  Off

  On

• Please state the condition of the tires/tracks?

  Ok

  Needs Repair

  N/A

• Hydraulic Oil

  Off

  On

• Please indicate the hydraulic oil level:

  Ok

  Needs to be filled

  N/A

• Hydraulic Hose Condition

  Off

  On

• Please indicate the condition of hydraulic hoses:

  Ok

  Needs Repair

  N/A

• Oil Leaks/lube

  Off

  On

• Please state if there are any oil leaks or lubrication needs:

  Ok

  Needs Repair

  N/A

• Cab, Mirrors, Seat Belt, & Glass

  Off

  On

• Please state the condition of the cab, mirrors, seat belt, and other glass items on the machine:

  Ok

  Needs Repair

  N/A

• Horn and Gauges

  Off

  On

• Please state the condition of the horn and gauges on the machine:

  Ok

  Needs Repair

  N/A

• Back-up Alarm/Lights

  Off

  On

• Please indicate the condition of the back-up alarm and reverse lights on the machine

  Ok

  Needs Repair

  N/A

• Turn Signals

  Off

  On

• Please indicate if turn signals are working properly:

  Ok

  Needs Repair

  N/A

• Brake Condition (Dynamic Service, Park, Etc.)

  Off

  On

• Please indicate the condition of the machine's brakes:

  Ok

  Needs Repair

  N/A

• Fire Extinguisher

  Off

  On

• Please indicate the reading on the fire extinguisher gauge:

  Overcharged

  Recharge

  Good

• Engine Oil

  Off

  On

• Please indicate the engine oil level:

  Ok

  Needs to be filled

  N/A

• Transmission Fluid

  Off

  On

• Please indicate the transmission fluid level:

  Ok

  Needs to be filled

  N/A

• Brake Fluid

  Off

  On

• Please indicate the brake fluid level:

  Ok

  Needs to be filled

  N/A

• Cooling System Fluid

  Off

  On

• Please indicate the cooling system fluid level:

  Ok

  Needs to be filled

  N/A

• Windshield Wipers and Fluid

  Off

  On

• Please indicate the condition of the windshield wipers and fluid level:

  Wipers and fluid are ok

  Wipers are ok, need to add fluid

  Fluid level is ok, wipers need to be replaced

  Wipers need to be replaced, fluid needs to be filled

• Couplings, Devices, & Connectors

  Off

  On

• Please indicate the condition of any couplings, devices, and/or connectors:

  Ok

  Needs Repair

  N/A

• Exhaust System

  Off

  On

• Please indicate the condition of the exhaust system:

  Ok

  Needs Repair

  N/A

• Blade, Boom and/or Ripper

  Off

  On

• Please indicate the condition of the blade, boom, & ripper:

  Ok

  Needs Repair

  N/A

• Lights

  Off

  On

• Please check the status of all lights and indicate their condition here:

  Ok

  Needs Repair

  N/A

• Comments: