Title Page

  • Site conducted

  • Conducted on

  • Prepared by

  • Location
  • Office Name

  • Truck #

  • 1. Grease - Side Base Rails (Twice Weekly)

  • Was vehicle was placed into service?

  • Why was vehicle placed into service before maintenance or repair was completed?

  • 2. Grease - Guide Tubes, Feed Cylinder

  • Was vehicle was placed into service?

  • Why was vehicle placed into service before maintenance or repair was completed?

  • 3. Grease - Sideways Slide Base (Twice Weekly)

  • Was vehicle was placed into service?

  • Why was vehicle placed into service before maintenance or repair was completed?

  • 4. Hydraulic Filter Vacuum Gauge

  • Was vehicle was placed into service?

  • Why was vehicle placed into service before maintenance or repair was completed?

  • 5. Hydraulic Jacks (Refer to Operator Manual)

  • Was vehicle was placed into service?

  • Why was vehicle placed into service before maintenance or repair was completed?

  • 6. Cathead Sheaves

  • Was vehicle was placed into service?

  • Why was vehicle placed into service before maintenance or repair was completed?

  • 7. Inspect Cathead Chain & Sprockets, Adjust Open Gear Lube

  • Was vehicle was placed into service?

  • Why was vehicle placed into service before maintenance or repair was completed?

  • 8. Inspect Moyno/ Bean Pump Chain & Sprockets, Adjust Open Gear Lube

  • Was vehicle was placed into service?

  • Why was vehicle placed into service before maintenance or repair was completed?

  • 9. Slip Clutch Sprocket & Chain

  • Was vehicle was placed into service?

  • Why was vehicle placed into service before maintenance or repair was completed?

  • 10. Pullmaster/ Hydraulic Hoist Gear Oil in Planetary Drive

  • Was vehicle was placed into service?

  • Why was vehicle placed into service before maintenance or repair was completed?

  • 11. Clean Cab

  • Was vehicle was placed into service?

  • Why was vehicle placed into service before maintenance or repair was completed?

  • 12. Headlights, Tail Lights, Brake Lights, and Turn Signals

  • 13. Have all guards and/or safety devices been reinstalled after any maintenance activity?

Approvals

  • Maintenance Performed by

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.