Equipment Inspection

• Site conducted

  Select

• Doc Number

• Conducted on

  Date

• Prepared by

• Location
  Address

• Machine Type

Exterior/Engine Compartment

• Engine oil levels?

  Pass

  Fail

  N/A

• Coolant levels?

  Pass

  Fail

  N/A

• Are the tires in good condition? correct pressure?

  Pass

  Fail

  N/A

• Fuel Level?

  Pass

  Fail

  N/A

• Yes

  No

  N/A

• Are Safe Working Load (SWL) documents present in the vehicle?

  Pass

  Fail

  N/A

• Are mirrors in goof condition and clean?

  Pass

  Fail

  N/A

• Does the horn and hazard lights work?

  Pass

  Fail

  N/A

• Does the reversing siren work, clearly audible?

  Pass

  Fail

  N/A

• Are the brakes working?

  Pass

  Fail

  N/A

• Does emergency brake work?

  Pass

  Fail

  N/A

• Is steering in good order?

  Pass

  Fail

  N/A

• Is the cab in good condition with working seatbelt?

  Pass

  Fail

  N/A

• Hydraulic oil levels?

  Pass

  Fail

  N/A

• Transmission and hydraulic controls working?

  Pass

  Fail

  N/A

• Brake Fluid?

  Pass

  Fail

  N/A

• ID Plate present?

  Pass

  Fail

  N/A

• Attachments in good condition including lock pins?

  Pass

  Fail

  N/A

• Any damage to body or forks?

  Pass

  Fail

  N/A

• Do wipers and washers work as intended?

  Pass

  Fail

  N/A

• Is the machine clean?

  Pass

  Fail

  N/A

• Inspector

  Sign