Information

  • This Report Must be filled out Before, Post Application Use.

  • Name (person completing inspection)

  • Client / MATP Number

  • Date and Time

  • Location

Equipment Inspection

  • Equipment Inspection

  • Make & Model:

  • Hour Meter / Odometer:

  • General Equipment Condition: ( if unacceptable explain in comments section )

Electronics

  • Cleanliness

  • Plug

  • Gauges and Instruments

  • Controls and Levers

  • Emergency Shutdown

  • Warning Alarms/ Lights

  • Electrical Box and wiring

  • Solenoids

  • Electric Motors

  • COMMENTS:

Machine

FLUID LEVELS

WALK AROUND VISUAL INSPECTION

  • Cleanliness

  • Fluid Leaks - Check all hoses, clamps, Pipe fittings and valve handles

  • Body or Structural Damage

  • Tanks - Clean and inspect for damage - filters also

  • Fire Extinguisher Equipped and Charged

  • Slurry Flaps

  • Ladders / Steps and Grab Rails

  • Decals Installed and Legible

  • Loose Parts or Missing Covers - if applicable include in comments<br>

  • Hydraulic Lines and Cylinders

  • Plate Condition

  • COMMENTS:

  • Hydraulic Fluid

  • Lubricants - Grease points

  • COMMENTS:

  • Add pictures of any deficencies.

  • COMMENTS:

SIGNATURES

  • Of Person/s who completed the Inspection

SIGNATURES

  • Sales/Project Manager Signature:

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.