Title Page

  • Site conducted

  • Equipment ID
  • Conducted on

  • Prepared by

  • Location

Untitled Page

  • What type of equipment is being inspected?

  • Hour Meeter Reading

Operators Compartment

  • Roll over protection integrity

  • Cab condition overall

  • Seat condition

  • Seatbelt condition

  • Instrument guages

  • Interior lights

  • Back up alarm

  • Window condition

  • Door condition

  • Wipers

  • Floor Mats

  • Headliner

  • Heater

  • Air conditioning

  • Fans

  • Vents

  • Horn

  • Stereo

  • Notes:

Exterior

  • Oil levels

  • Free from any oil leaks?

  • Radiator cap

  • Radiator condition

  • Coolant levels

  • Belts

  • Hoses

  • Turbo

  • Drive motors

  • Travel controls

  • Notes:

Structural

  • Structural integrity

  • Roller frame

  • Bucket linkage

  • bucket pins

  • Stick to bucket/QC pins

  • Stick to boom pins

  • Boomfoot pins

  • Boom lift cylinder pins

  • Bucket cylinder pins

  • Stick cylinder pins

  • Roteck bearing

  • Notes:

Hydraulics

  • Oil level

  • Hydraulic operation

  • Pump noise

  • Pump leaks

  • Aux valves

  • Aux valve lines

  • Tank

  • Valves

  • Bucket/stick cylinders

  • Lift cylinders

  • Aux cylinders

  • Hose condition

  • Cab controls

  • Swing drive

  • Swing break

  • Swing gear

  • Notes:

Under Carriage

  • Pad condition

  • Idlers condition

  • Chain condition

  • Carrier roller condition

  • Left rollers condition

  • Right rollers condition

  • Roller frame condition

  • Additional notes:

  • Total hours operated

Exterior

  • Safety guards and plates

  • Carrier frame

  • General hardware

  • Wire rope

  • Reeving

  • Block

  • Hook

  • Sheeves

  • Boom

  • Jib

  • Gantry, pendants, boom stops

  • Walks, ladders, handrails

  • Windlocks

  • Chocks

  • Stops

  • Tires and wheels

  • Visible fluid leaks

  • Radius indicator

  • Outrigger locking device

  • Notes

Operator Cab

  • Gauges

  • Warning and indicator lights

  • Control

  • Brakes

  • Visibility

  • Load rating charts

  • Emergency stops

  • List/trim indicators

  • Boom angle/radius indicator

  • Notes:

Machinery House

  • Housekeeping

  • Engine/Compressor

  • Fluid leaks

  • Lubrication

  • Battery

  • Lights

  • Glass

  • Clutch/Break linings

  • Electric motors

  • Warning tags

  • Fire extinguisher

  • Notes:

Operation Inspection

  • Area safety

  • Unusual noises

  • Control action

  • Brakes/boom/load/rotate

  • Crane stability

  • No load test

  • Fleeting sheeve

  • Limit switches

  • Additional notes:

  • Registration up to date

Gooseneck

  • Hydraulic hoses

  • Visible fluid leaks

  • Motor condition

  • Winch line

  • Height settings

  • Coupler

Wheels and Tires

  • Tire condition

  • Tires are properly inflated

  • Wheel condition

Main Deck

  • D-rings

  • Mailrails

  • Deck floor condition

  • Reflectors

Lighting and Electrical

  • LED lights

  • Lightbar

  • Battery back up

  • Wire harness

  • Break lights

  • Shift

  • Accelerator

  • Alarms

  • Battery connector

  • Battery discharge indicator

  • Belts

  • Parking brake

  • Service brake

  • Cables

  • Forks

  • Gauges

  • Horn

  • Hoses

  • Hour meter

  • Hydraulic controls

  • Head lights

  • Tail lights

  • Warning lights

  • Mast

  • Oil leaks

  • Overhead guard

  • Safety equipment

  • Steering

  • Tires

  • Additional notes

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.