Equipment Info
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Project
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Operator
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Company
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Make&Model
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Hour Meter Reading
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Unit Number
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Date
Power OFF Checks
1. Undercarriage
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A. Track Shoes/Wheels & Tires
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B. Track Links
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C. Rollers/Sprockets
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D. Clean of Mud, Dirt, & Rock
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2. Lights/Strobes
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3. Mirrors/Visibility Aids
4. Engine/Engine Compartment
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A. Belts/Hoses
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B. Cables/Wires
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C. Debris
5. Battery/Batteries
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A. Cylinders/Rods
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B. Cables/Wires
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C. Debris
6. Hydraulics
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A. Cylinders/Rods
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B. Hoses/Lines/Fittings
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C. Pins/Locks
7. Fluids
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A. Engine Oil
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B. Engine Coolant
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C. Hydraulic Oil
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D. Fuel/Battery
8. Chassis
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A. Cab/Glass/Doors
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B. Emergency Exit
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C. Entry/Exit Steps
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D. ROPS/FOPS
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E. Counterweight/Counterweight Bolts
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F. Fire Extinguisher/Tagged & Current Inspection
9. Digging Assembly
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A. Bucket & Cutting Edge/Work Attachment
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B. Loader Arms & Pins
10. Other
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List here
Power ON Checks
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11. Unit Starts & Runs Properly
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12. Instruments/Gauges
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13. Warning Lights/Audible Alarms
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14. Lap Bar/Hydraulic Release
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15. Fuel Level
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16. Horn/Audible Warning Device(s)
17. Function Controls
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A. Hold to Run
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B. Drive-Forward/Reverse
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C. Steer-Left/Right
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D. Bucket/Attachment-All movements
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E. Accessories
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18. Emergency/Auxiliary Controls
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19. wipers
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20. Seatbelt Inspected & Fastened
General
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21. Housekeeping
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22. Manufactures Operating Manuals
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23. Decals/Warning/Placards
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24. Misc. Parts-Loose/Missing/Broken
Workplace Inspection
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25. Drop-offs or Holes
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26. Bumps & Floor/ Ground Obstructions
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27. Debris
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28. Overhead Obstructions
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29. Energized Power Lines
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30. Hazards Locations
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31. Ground Surface & Support Conditions
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32. Pedestrian/Vehicle Traffic
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33. Wind & Weather Conditions
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34. Other Possible Hazards
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Comments
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Operators Signature
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Alternate Operators Signature
