Title Page
-
Conducted on
-
Prepared by
-
Employee Number
-
Shift
-
Location
Equipment Information
-
Equipment Number
-
Does equipment have an hour meter or an odometer?
-
Hours
-
Miles
Checklist
-
Type of equipment
- Shovel
- Front-End Loader
- Haul Truck
- Drill
- Water Truck
- Track Dozer
- Rubber Tire Dozer
- Grader
- Excavator
- Back Hoe
- Mobile Crane
- Boom Truck
- Light Vehicle
- Forklift
- Other
-
Air Conditioning/Heater
-
All Lights
-
Auto-Lube
-
Back-Up Alarm/Horn
-
Boom/Mast
-
Brake Systems
-
Bucket
-
Dash Warning Lights
-
Electrical System
-
Fire Extinguisher(s)
-
Fluid Leaks
-
Fuel leak
-
Gauges/Instruments
-
Glass - Doors/Cab/Mirrors
-
Housekeeping
-
Inside Door Handles
-
Outside Door Handles
-
Pneumatic Systems
-
Radio/Dispatch
-
Seat
-
Steps/Ladders
-
Track/Side Frame
-
Transmission
-
Warning Labels/ROPS Tags
-
Wipers
-
Wire Rope/Cables
-
Air Conditioning/Heater
-
All Lights
-
Auto-Lube
-
Back-Up Alarm/Horn
-
Boom/Mast
-
Brake Systems
-
Bucket
-
Buggy Whip/Strobe Light
-
Dash Warning Lights
-
Electrical System
-
Engine
-
Fire Extinguisher(s)
-
Fluid Leaks
-
Fuel leak
-
Gauges/Instruments
-
Glass - Doors/Cab/Mirrors
-
Housekeeping
-
Hydraulic System
-
Inside Door Handles
-
Outside Door Handles
-
Pneumatic Systems
-
Radio/Dispatch
-
Seat
-
Seat Belts
-
Steps/Ladders
-
Transmission
-
Warning Labels/ROPS Tags
-
Wheels/Tires
-
Wheel Chocks
-
Wipers
-
Air Conditioning/Heater
-
All Lights
-
Auto-Lube
-
Back-Up Alarm/Horn
-
Brake Systems
-
Dash Warning Lights
-
Dump Body
-
Electrical System
-
Engine
-
Fire Extinguisher(s)
-
Fluid Leaks
-
Fuel leak
-
Gauges/Instruments
-
Glass - Doors/Cab/Mirrors
-
Housekeeping
-
Hydraulic System
-
Inside Door Handles
-
Outside Door Handles
-
Pneumatic Systems
-
Radio/Dispatch
-
Seat
-
Seat Belts
-
Steps/Ladders
-
Transmission
-
Warning Labels/ROPS Tags
-
Wheels/Tires
-
Wheel Chocks
-
Wipers
-
Air Conditioning/Heater
-
All Lights
-
Auto-Lube
-
Back-Up Alarm/Horn
-
Boom/Mast
-
Brake Systems
-
Dash Warning Lights
-
Electrical System
-
Engine
-
Fire Extinguisher(s)
-
Fluid Leaks
-
Fuel leak
-
Gauges/Instruments
-
Glass - Doors/Cab/Mirrors
-
Housekeeping
-
Hydraulic System
-
Inside Door Handles
-
Outside Door Handles
-
Pneumatic Systems
-
Radio/Dispatch
-
Seat
-
Steps/Ladders
-
Track/Side Frame
-
Transmission
-
Warning Labels/ROPS Tags
-
Wheel Chocks
-
Wipers
-
Wire Rope/Cables
-
Air Conditioning/Heater
-
All Lights
-
Auto-Lube
-
Back-Up Alarm/Horn
-
Boom/Mast
-
Brake Systems
-
Dash Warning Lights
-
Electrical System
-
Engine
-
Fire Extinguisher(s)
-
Fluid Leaks
-
Fuel leak
-
Gauges/Instruments
-
Glass - Doors/Cab/Mirrors
-
Housekeeping
-
Hydraulic System
-
Inside Door Handles
-
Outside Door Handles
-
Pneumatic Systems
-
Radio/Dispatch
-
Seat
-
Seat Belts
-
Steps/Ladders
-
Track/Side Frame
-
Transmission
-
Warning Labels/ROPS Tags
-
Wheels/Tires
-
Wheel Chocks
-
Wipers
-
Air Conditioning/Heater
-
All Lights
-
Back-Up Alarm/Horn
-
Blade
-
Brake Systems
-
Buggy Whip/Strobe Light
-
Dash Warning Lights
-
Electrical System
-
Engine
-
Fire Extinguisher(s)
-
Fluid Leaks
-
Fuel leak
-
Gauges/Instruments
-
Glass - Doors/Cab/Mirrors
-
Housekeeping
-
Hydraulic System
-
Inside Door Handles
-
Outside Door Handles
-
Pneumatic Systems
-
Radio/Dispatch
-
Seat
-
Seat Belts
-
Steps/Ladders
-
Track/Side Frame
-
Transmission
-
Warning Labels/ROPS Tags
-
Wheel Chocks
-
Wipers
-
Air Conditioning/Heater
-
All Lights
-
Back-Up Alarm/Horn
-
Blade
-
Brake Systems
-
Buggy Whip/Strobe Light
-
Dash Warning Lights
-
Electrical System
-
Engine
-
Fire Extinguisher(s)
-
Fluid Leaks
-
Fuel leak
-
Gauges/Instruments
-
Glass - Doors/Cab/Mirrors
-
Housekeeping
-
Hydraulic System
-
Inside Door Handles
-
Outside Door Handles
-
Pneumatic Systems
-
Radio/Dispatch
-
Seat
-
Seat Belts
-
Steps/Ladders
-
Transmission
-
Warning Labels/ROPS Tags
-
Wheels/Tires
-
Wheel Chocks
-
Wipers
-
Air Conditioning/Heater
-
All Lights
-
Back-Up Alarm/Horn
-
Blade
-
Brake Systems
-
Buggy Whip/Strobe Light
-
Dash Warning Lights
-
Electrical System
-
Engine
-
Fire Extinguisher(s)
-
Fluid Leaks
-
Fuel leak
-
Gauges/Instruments
-
Glass - Doors/Cab/Mirrors
-
Housekeeping
-
Hydraulic System
-
Inside Door Handles
-
Outside Door Handles
-
Pneumatic Systems
-
Radio/Dispatch
-
Seat
-
Seat Belts
-
Steps/Ladders
-
Transmission
-
Warning Labels/ROPS Tags
-
Wheels/Tires
-
Wheel Chocks
-
Wipers
-
Air Conditioning/Heater
-
All Lights
-
Auto-Lube
-
Back-Up Alarm/Horn
-
Brake Systems
-
Bucket/Blade/Cutting System
-
Buggy Whip/Strobe Light
-
Dash Warning Lights
-
Electrical System
-
Engine
-
Fire Extinguisher(s)
-
Fluid Leaks
-
Fuel leak
-
Gauges/Instruments
-
Glass - Doors/Cab/Mirrors
-
Housekeeping
-
Hydraulic System
-
Inside Door Handles
-
Outside Door Handles
-
Radio/Dispatch
-
Seat
-
Seat Belts
-
Steps/Ladders
-
Track/Side Frame
-
Warning Labels/ROPS Tags
-
Wheel Chocks
-
Wipers
-
Air Conditioning/Heater
-
All Lights
-
Auto-Lube
-
Back-Up Alarm/Horn
-
Brake Systems
-
Bucket/Blade/Cutting System
-
Buggy Whip/Strobe Light
-
Dash Warning Lights
-
Electrical System
-
Engine
-
Fire Extinguisher(s)
-
Fluid Leaks
-
Fuel leak
-
Gauges/Instruments
-
Glass - Doors/Cab/Mirrors
-
Housekeeping
-
Hydraulic System
-
Inside Door Handles
-
Outside Door Handles
-
Radio/Dispatch
-
Seat
-
Seat Belts
-
Steps/Ladders
-
Transmission
-
Warning Labels/ROPS Tags
-
Wheels/Tires
-
Wheel Chocks
-
Wipers
-
Air Conditioning/Heater
-
All Lights
-
Back-Up Alarm/Horn
-
Boom/Mast
-
Brake Systems
-
Buggy Whip/Strobe Light
-
Dash Warning Lights
-
Electrical System
-
Engine
-
Fire Extinguisher(s)
-
Fluid Leaks
-
Fuel leak
-
Gauges/Instruments
-
Glass - Doors/Cab/Mirrors
-
Housekeeping
-
Hydraulic System
-
Inside Door Handles
-
Outside Door Handles
-
Pneumatic Systems
-
Radio/Dispatch
-
Seat
-
Seat Belts
-
Steps/Ladders
-
Transmission
-
Warning Labels/ROPS Tags
-
Wheels/Tires
-
Wheel Chocks
-
Wipers
-
Wire Rope/Cables
-
Air Conditioning/Heater
-
All Lights
-
Back-Up Alarm/Horn
-
Boom/Mast
-
Brake Systems
-
Buggy Whip/Strobe Light
-
Dash Warning Lights
-
Electrical System
-
Engine
-
Fire Extinguisher(s)
-
Fluid Leaks
-
Fuel leak
-
Gauges/Instruments
-
Glass - Doors/Cab/Mirrors
-
Housekeeping
-
Hydraulic System
-
Inside Door Handles
-
Outside Door Handles
-
Pneumatic Systems
-
Radio/Dispatch
-
Seat
-
Seat Belts
-
Steps/Ladders
-
Transmission
-
Warning Labels/ROPS Tags
-
Wheels/Tires
-
Wheel Chocks
-
Wipers
-
Wire Rope/Cables
-
Air Conditioning/Heater
-
All Lights
-
Back-Up Alarm/Horn
-
Brake Systems
-
Buggy Whip/Strobe Light
-
Dash Warning Lights
-
Electrical System
-
Engine
-
Fire Extinguisher(s)
-
Fluid Leaks
-
Fuel leak
-
Gauges/Instruments
-
Glass - Doors/Cab/Mirrors
-
Housekeeping
-
Hydraulic System
-
Inside Door Handles
-
Outside Door Handles
-
Pneumatic Systems
-
Radio/Dispatch
-
Seat
-
Seat Belts
-
Transmission
-
Warning Labels/ROPS Tags
-
Wheels/Tires
-
Wheel Chocks
-
Wipers
-
Air Conditioning/Heater
-
All Lights
-
Back-Up Alarm/Horn
-
Boom/Mast
-
Brake Systems
-
Dash Warning Lights
-
Electrical System
-
Engine
-
Fire Extinguisher(s)
-
Fluid Leaks
-
Fuel leak
-
Gauges/Instruments
-
Glass - Doors/Cab/Mirrors
-
Housekeeping
-
Hydraulic System
-
Inside Door Handles
-
Outside Door Handles
-
Pneumatic Systems
-
Radio/Dispatch
-
Seat
-
Seat Belts
-
Steps/Ladders
-
Transmission
-
Warning Labels/ROPS Tags
-
Wheels/Tires
-
Wheel Chocks
-
Wipers
-
Air Conditioning/Heater
-
All Lights
-
Auto-Lube
-
Back-Up Alarm/Horn
-
Boom/Mast
-
Brake Systems
-
Bucket/Blade/Cutting System
-
Buggy Whip/Strobe Light
-
Dash Warning Lights
-
Dump Body
-
Electrical System
-
Engine
-
Fire Extinguisher(s)
-
Fluid Leaks
-
Fuel leak
-
Gauges/Instruments
-
Glass - Doors/Cab/Mirrors
-
Housekeeping
-
Hydraulic System
-
Inside Door Handles
-
Outside Door Handles
-
Pneumatic Systems
-
Radio/Dispatch
-
Seat
-
Seat Belts
-
Steps/Ladders
-
Track/Side Frame
-
Transmission
-
Warning Labels/ROPS Tags
-
Wheels/Tires
-
Wheel Chocks
-
Wipers
-
Wire Rope/Cables
-
Document any defects or items needing repair.
Item
-
Defect or repair
-
Picture of defect or repair needed
-
Do not operate the equipment and red tag if any of the following items are deficient:
Back-up Alarm/Horn
Dash Warning Lights
Fire Extinguisher
Brake Systems/Brake Lights
Inside Door Handles
Turn Signals
Fuel Leak
Steering
Seat Belt
Head Lights
Parking Brake
Speedometer -
Supervisor/Mechanic safety notification items:
Buggy Whip/Strobe Light
Cracked Glass
Door Windows
Warning Labels/ROPS Tags
Fluid Leaks
Heater/Defroster
Outside Door Handles
Windshield Wipers
Radio
Mirrors
Oil Leak
Tires
Signature
-
Operator Signature