Front Loader Infield Inspection

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

• Select date

  Date

• Customer Name

• Unit Number

• Chassis VIN

  Media

• Body VIN

  Media

• Body VIN

Body Inspection

• LS Fork

  Yes

  No

  N/A

• LS Fork Cylinder & Hose

  Yes

  No

  N/A

• LS Fork Bearing/Pin

  Yes

  No

  N/A

• LS Lift Arm

  Yes

  No

  N/A

• LS Lift Arm Bearing Block

  Yes

  No

  N/A

• LS Lift Cylinder & Hoses

  Yes

  No

  N/A

• LS Bumper Pad

  Yes

  No

  N/A

• Hydraulic Tank

  Yes

  No

  N/A

• LS Body Mount

  Yes

  No

  N/A

• LS Rear Mount

  Yes

  No

  N/A

• LS TG Cylinder & Hose

  Yes

  No

  N/A

• LS TG Pin (Installed)

  Yes

  No

  N/A

• T/G Seal

  Yes

  No

  N/A

• ICC Bumper

  Yes

  No

  N/A

• TG Safety Prop

  Yes

  No

  N/A

• RS Tailgate Cylinder & Hoses

  Yes

  No

  N/A

• RS TG Safety Pin (Installed)

  Yes

  No

  N/A

• RS Rear Mount

  Yes

  No

  N/A

• RS Midbody Mount

  Yes

  No

  N/A

• RS Bumper Pad

  Yes

  No

  N/A

• RS Lift Cylinder & Hoses

  Yes

  No

  N/A

• RS Bearing Block Hardware

  Yes

  No

  N/A

• RS Fork

  Yes

  No

  N/A

• RS Fork Bearing

  Yes

  No

  N/A

• RS Fork Cylinder & Hoses

  Yes

  No

  N/A

• RS Fork Bumper Pad

  Yes

  No

  N/A

• Body Cab Canopy

  Yes

  No

  N/A

In cab Inspection & Operations

• Fork Arm Operation

  Yes

  No

  N/A

• Hydraulic Filter Indicator System

  Yes

  No

  N/A

• Half Pack System

  Yes

  No

  N/A

• Top Door Indicator

  Yes

  No

  N/A

• Body side door hydraulic kill switch

  Safe

  At Risk

  N/A

• Arms/forks above height indicator

  Safe

  At Risk

  N/A

• Top Door Interlock

  Yes

  No

  N/A

• Packer Blade Interlock

  Yes

  No

  N/A

• Tailgate Open Warning Light & Alarm

  Safe

  At Risk

  N/A

• Back up alarm

  Safe

  At Risk

  N/A

• Back up camera system

  Safe

  At Risk

  N/A

• Warning Decals

  Safe

  At Risk

  N/A

• Top body access ladder

  Safe

  At Risk

  N/A

• Hopper access ladder

  Safe

  At Risk

  N/A

• Rear warning flashers

  Safe

  At Risk

  N/A

• Mid body turn lights

  Safe

  At Risk

  N/A

• Tailgate stop tail and turn lights

  Safe

  At Risk

  N/A

• Tool box

  Safe

  At Risk

  N/A

• Back up system

  Safe

  At Risk

  N/A

• Auto lube system

  Safe

  At Risk

  N/A

• Front flashers

  Safe

  At Risk

  N/A

Inter Body & TG Inspection

• Packer Cylinder & Hoses

  Yes

  No

  N/A

• Packer Blade Tracks

  Yes

  No

  N/A

• Hopper Floor & Sides

  Yes

  No

  N/A

• Packer Blade Superstructure

  Yes

  No

  N/A

• Packer Blade Pins & Bosses

  Yes

  No

  N/A

• Main Valve Body

  Yes

  No

  N/A

• TG Seal

  Yes

  No

  N/A

• Rear Body Bolster

  Yes

  No

  N/A

• Packer Blade Face Plate

  Yes

  No

  N/A

• Packer Blade Wear Shoes

  Yes

  No

  N/A

Unit pictures

• Front

  Media

• Street side

  Media

• Curb side

  Media

• Tailgate

  Media

• Over All Condition

  Select Good Fair Poor

  • Good
  • Fair
  • Poor

• Inspected by

• Sign

  Sign