Title Page

  • Conducted on

  • Prepared by

  • Location
  • Make and Model

  • Hours

Power Off Checks

  • Wheels & Tires

  • Axles

  • Lights/Strobes

  • Mirrors/Visibility Aids

  • Belts/Hoses

  • Cables/Wires

  • Engine Free of Debris

  • Battery Terminals Tight

  • Battery Clean/Dry/Secure

  • Hydraulic Cylinders/Rods

  • Hydraulic Hoses/Lines/Fittings

  • Hydraulic Pins/Locks

  • Engine Oil

  • Engine Coolant

  • Hydraulic Oil

  • Fuel/Battery

  • Cab/Glass/Doors

  • Emergency Exit

  • Entry Exit Steps

  • ROPS/FOPS

  • Counterweight/Counterweight Bolts

  • Fire Extinguisher

  • Articulated frame lock present/functional

  • Bucket & cutting edge/work attachment

  • Loader arm pins

Power On Checks

  • Unit starts and runs properly

  • Instruments/Gauges

  • Hour Meter

  • Warning Lights/Audible Alarms

  • Fuel level

  • Horn/audible warning device(s)

  • Controls - Drive (Forward/Reverse)

  • Steering - Left/Right

  • Attachment Controls - All Movements

  • Wipers

  • Seatbelt Inspected & Fastened

General

  • Housekeeping

  • Manufacturer’s operating manuals

  • Decals/Warning Placards

  • Misc parts - loose/missing/broken

Workplace Inspection

  • Drop-offs or holes

  • Bumps and floor/ground obstructions

  • Debris

  • Overhead obstructions

  • Energized power lines

  • Hazardous locations

  • Ground surface and support conditions

  • Pedestrian/vehicle traffic

  • Wind and weather conditions

  • Other possible hazards

  • Comments

  • 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.