Front end loader

• Make & model

• Conducted on

  Date

• Prepared by

• Location
  Address

• Hour Meter Reading:

Underneath machine

• Wheels &tires

  Good

  Fair

  Poor

  N/A

• Axles

  Pass

  Fail

  N/A

• Hydro lines

  Pass

  Fail

  N/A

• Lights/Strobe

  Pass

  Fail

  N/A

• Mirrors/Visibility Fields

  Yes

  No

  N/A

• a) Cylinders/ Rods

  Pass

  Fail

  N/A

• b) Hoses/Lines/ Fittings

  Pass

  Fail

  N/A

• Pins/Locks

  Pass

  Fail

  N/A

• Chassis

  Good

  Fair

  Poor

  N/A

Chassis

• Cab/ glass doors

  Good

  Fair

  Poor

  N/A

• Entry/exit steps

  Good

  Fair

  Poor

  N/A

• Articulated frame lock present and functional

  Pass

  Fail

  N/A

• Placing Assembly:

Digging assembly

• Bucket and cutting edge

  Good

  Fair

  Poor

  N/A

• Loader arms and pins

  Good

  Fair

  Poor

  N/A

• Other:

• Mondays, Wednesdays, and Fridays grease all manual grease zerks

  Compliant

  Non-Compliant

  N/A

• Comments: