Grader

• Equipment Number

• Front Plow Number

• Operator Name

Miscellaneous

• Tire Chain Condition

  Safe

  At Risk

  N/A

• Shovel

  Pass

  Fail

  N/A

Unit Overview

• General Condition

  Good

  Fair

  Poor

  N/A

• Condition of Tires and Lug Nuts

  Safe

  At Risk

  N/A

• Windshield (wipers, washers, condition)

  Pass

  Fail

  N/A

• Horn

  Pass

  Fail

  N/A

• Back-up Alarm and Camera

  Pass

  Fail

  N/A

• Check Hydraulic Lines and Grease Fittings

  Pass

  Fail

  N/A

• Fenders

  Good

  Fair

  Poor

  N/A

• Battery Covers

  Pass

  Fail

  N/A

• Signs (this vehicle may back up and slow moving vehicle triangle)

  Pass

  Fail

  N/A

Under-Body Blades

• General Condition

  Good

  Fair

  Poor

  N/A

• Condition Cutting Edge

  Safe

  At Risk

  N/A

• Condition of Circle

  Pass

  Fail

  N/A

• Condition of Hydraulic Lines and Grease Fittings

  Pass

  Fail

  N/A

Electrical

• Start Motor (check volt meter w/ all lights on)

  Pass

  Fail

  N/A

• Exterior Lights (low/high beams, four ways, turn signals, brake lights, tail lights)

  Pass

  Fail

  N/A

• Plow Lights (low/high beam adjust)

  Yes

  No

  N/A

• Misc. Lights

  Pass

  Fail

  N/A

Front Plow

• General Condition

  Good

  Fair

  Poor

  N/A

• Hook-up and Hydraulic Lines

  Pass

  Fail

  N/A

• Cutting Edge, Shoes, Adjustments

  Pass

  Fail

  N/A

• Raise, Lower, Swing Plow, Check Clearance

  Pass

  Fail

  N/A

Paperwork

• Insurance Certificate

  Pass

  Fail

  N/A

Cab Interior

• General Cleanliness

  Good

  Fair

  Poor

  N/A

• First Aid Kit, Flares (3), Fire Extinguisher, Flashlight

  Pass

  Fail

  N/A

• PPE (Hard Hat, Vest, Safety Glasses, Gloves)

  Pass

  Fail

  N/A

• Seat Belts

  Pass

  Fail

  N/A

• Interior Lights

  Ok

  Needs Maintenance

• Heater and Defroster

  Ok

  Needs Maintenance

• Radio Check

  Pass

  Fail

  N/A