Equipment PM Inspection

• Customer :

• Job Number :

• Conducted On :

  Date

• Prepared By :

• Location :
  Address

Equipment Documentation

• Make :

• Model # :

• Serial # :

• Data Tag :

  Media

• Current Pictures Of Equipment (Front, Rear, Sides, Angles) :

  Media

Minor Inspection Checklist

General

• Record Hour Meter :

  Media

• Check Equipment Log :

  Yes

  No

  N/A

Miscellaneous

• Miscellaneous Notes :

Engine

• Leaks :

  No

  Yes

  N/A

• Oil Level :

  Full

  Low

  N/A

• Coolant Level :

  Full

  Low

  N/A

• Ethylene Glycol Reading :

• Belts :

  Pass

  Fail

  N/A

• Hoses :

  Pass

  Fail

  N/A

• Fuel Lines :

  Pass

  Fail

  N/A

• Emergency Shutdown :

  Pass

  Fail

  N/A

• Air Filters :

  Clean

  Dirty

  N/A

• Exhaust Drip Drain :

  Clean

  Dirty

  N/A

• Crankcase Breather :

  Clean

  Dirty

  N/A

• Fuel / Water Seperator :

  Clean

  Dirty

  N/A

• Fuel Tank Level :

• Hydraulic Tank Level :

Miscellaneous

• Miscellaneous Notes :

Electrical

• Electrical Connections :

  Pass

  Fail

  N/A

• Battery Charger :

  Pass

  Fail

  N/A

• Block Heater :

  Pass

  Fail

  N/A

• Battery Electrolyte Levels :

  Pass

  Fail

  N/A

• Battery # 1 Voltage / CCA

  Media

• Battery #1 Voltage :

• Battery #1 CCA :

• Battery # 2 Voltage / CCA

  Media

• Battery #2 Voltage :

• Battery #2 CCA :

Miscellaneous

• Miscellaneous Notes :

Operation

• Run Equipment :

  Yes

  No

  N/A

• Leaks :

  No

  Yes

  N/A

• Emergency Shutdown :

  Pass

  Fail

  N/A

• Coolant Temperature Reading :

Miscellaneous

• Miscellaneous Notes :

Major Inspection Checklist

Results

• Completed Minor Inspections :

  Yes

  No

  N/A

• Replaced Engine Oil :

  Yes

  No

  N/A

• Replaced Oil Filters :

  Yes

  No

  N/A

• Replaced Fuel Filters :

  Yes

  No

  N/A

• Replaced Coolant :

  Yes

  No

  N/A

• Replaced Air Filters :

  Yes

  No

  N/A

• Completed Pictures Of Equipment (Front, Rear, Sides, Angles) :

  Media

Miscellaneous

• Miscellaneous Notes :

Miscellaneous Documentation

• Miscellaneous Notes :

• Miscellaneous Photos :

  Media