Title Page
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Machine Type
- Skidsteer
- 308.5 Excavator
- 140 Excavator
- 220 Excavator
- 650 Dozer
- D6 Dozer
- 160H Grader
- JD Loader
- Case Loader
- JD Rubber Tire Backhoe
- Case Backhoe
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Prepared by
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Conducted on
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Location
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Machine Hours at Start of Shift
Fluids
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Fluid Leaks( fresh puddles under the machine)
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Oil level/ Filter
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Hydraulic Oil/ Filter
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Transmission Level/ Filter
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Coolant Level
Rest of Machine Outside
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Condition of Fan Belt and Radiator
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Condition of Fuel Cap/ Filters/ Water Separator/ Lines
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Condition of Tires/ Undercarriage
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Condition of Lines/ Fittings/ Cylinders
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Steps and Handholds/ Door Handles
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Metal Fatigue
Start Up/ Warm Up & Operating
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Turn 4Ways/ Beacons/ Signal Lights On( any burnt out)
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Turn Lights On( any burnt out)
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Heater/ AC Working Properly
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Ensure all Gauges Work Properly
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Test Backup Alarm/ Horn
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Cleanliness inside Cab
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Condition of Glass/ Mirrors/ Wipers
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Any Fresh Leaks after Startup
Ground Engaging Tools
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Inspect Bucket for Wear/ Cutting Edge
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Inspect Bucket Quick Attach on machines that are equipped
Cool Down/ Shut Down / Service
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Fluid Levels
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Clean Bucket
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Batteries turned off on machines equipped with disconnect switch.
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Machine Fueled at _____________ hrs
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Machine hours at end of the shift
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Remove Key and return to assigned basket
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Signature
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Instructor Signature
