Title Page

  • Conducted on

  • Prepared by

Excavator

  • Make and Model Number

  • Serial Number

  • Engine Hours

  • Excavator Location (Barge Name, Land Job Name)

Lower

  • Track adjustment

  • Final Drive & Oil Level

  • Rollers & Oil Level

  • Idlers & Oil Level

  • Rails

  • Track Pads

  • Oil Leaks

  • Grease Lines on T.T. Bearings

  • Covers & Guards

Upper

  • Appearance

  • Glass

  • Paint & Cab Work

  • Covers & Guards

Engine

  • Oil Level Condition

  • Water Level

  • Exhaust System

  • Belts & Hoses

  • Batteries, Level & Cable Ends

  • Fuel System

  • Display Monitor (Test)

  • Swing Gear Case Level

  • Hydraulic Level

  • Hydraulic Hoses & Lines

Safety Warning & Signs

  • Horn & Travel Alarm

  • Lights

  • Fire Extinguisher

  • Key for Ignition

  • Manuals

Attachment

  • Hydraulic Cylinder

  • Hydraulic Lines & Hoses

  • Grease Lines & Fittings

  • Pins & Keepers

  • Bucket Condition

  • Bucket Teeth

  • Hammer Point

  • Anti-Clatter Parts

Notes

  • Additional Comments:

Operator

  • Operator

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.