Title Page

  • Rodzaj inspekcji / Inspection type

  • Model maszyny / Machine model

  • Numer seryjny maszyny / zdjęcie tabliczki znamionowej / Machine serial number / nameplate photo

  • Numer zlecenia / Order number

  • Data i godzina kontroli / Inspection Date

  • Status Raportu / Report status

  • Kontroler / Prepared By

  • Status Maszyny / Machine Status

Przebieg kontroli

Silnik / Engine

  • Engine Serial Number plate

  • Diesel level

  • Engine oil level

  • Coolant level

  • Intake system - mouting, connection check

  • Engine mounting points check

  • Painting quality of engine compartment

  • Exhaust system connection check, quality of paiting

  • Fuel system- condition, quality, connection check

  • Engine hoses- leak/quality check

  • Engine compartment Insulations and gaskets - condition and cleanliness check

  • DEF system connection check

  • DEL liquid level

Układ napędowy / Drive line system check

  • Drive shaft - condition and correct working

  • Final drive / steering mechanism / gearbox- working / leaks / tightening check

  • Driveline pump - tightening/leak check

  • Torque converter - no leakage

  • Driveline oil level

  • Final drive oil level

  • Drive line pressure check (M/C/L/FR/LH/RH) (required add a values)

Układ hudrauliczny / Hydraulic system

  • Hydraulic oil level

  • Hydraulic Pipes / Hoses - mounting / no leaks / no damage

  • Hydraulic tank breather check

  • Cylinders - no damage of painting and piston surface/ no leaks

  • Hydraulic system pump check - No leaks / no damage / mounting

  • Hydraulic system pressure check (attach valures)

Układ elektryczny / kabina / Electrical system / cab

  • Cab disassembled ?

  • Cab Indicators - functionality

  • Machine lights- function turn on and off the lights / position / front / rear / turn signals / emergency / beacon

  • Wiper system - speed level 1/2/3 working / washer working

  • Radio - correct working

  • Car cigarette lighter - correct working

  • Air conditioning system - correct working

  • Rear view mirror - visual condition

  • Windows - visual condition

  • Seat belts - visual condition / seat occupancy sensor

  • Machine chair - visual condition

  • Warning signal (horn) - correct working

  • Camera - correct working

  • Reverse signal - correct working

  • Rear window defrosting system - correct working

  • Fault diagnosis system - no faults

  • Pulpit - zdjęcie przy włączonym silniku / Desktop - photo with the engine running

  • Machine power cut-off system (Main swich) - correct working

  • Central lubrication system - correct working (If added)

  • RPM potentiometer - correct working

  • Decelerator - correct working, no loosening of the rod

  • Safety lock lever - correct working

  • Ripper control system - correct working / visual inspection / no damage (If added)

  • Batteries - test and photo of prints

  • Harness - visual condition

  • Skrzynki elektryczne - uszczelnienie / Electrical boxes - gaskets

Układy robocze maszyny / Working systems of the machine

  • Working equipment collisions check

  • Machine drive range selection system - correct working of the L / H range

  • Machine gear selection check- 1/2/3 rear check

  • Blade system - correct working

Oceny wizualne części / Visual parts inspections

  • Machine guards / covers - visual condition

  • Cab door - 3x functional test / no collision / correct closing

  • Decal - visual condition / correct version

  • Track chain - visual condition / tension check

  • Working equipment - visual condition

  • Cab / platform - cleanliness and esthetics

  • General inspection of the appearance of the whole machine

Inne / Other

  • Machine configuration - compliance with the order

  • Diagnostyka ECM - sprawdzić / ECM Diagnostics - Check

  • Zdjęcia poglądowe całej maszyny / Photos of the machine

  • Zdjęcia wnętrza kabiny - czystość, zabezpieczenie fotela / Photos of the interior of the cab - cleanliness, seat protection

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.