Heavy Equipment & Mobile Equipment Inspection

• Heavy Equipment ID Number:

• Hour Meter Reading

• Manufacturer & Model

• Operating Load

• Conducted on

  Date

• Client

• Project Name

• Superintendent

• Prepared by

• Location
  Address

• Front of Equipment

  Media

• Right Side of Equipment

  Media

• Left Side of Equipment

  Media

• Back of Equipment

  Media

• Dashboard

  Media
Engine Pre-Start Up

• Is there any pre-existing damage to Heavy Machinery?

  Yes

  No

  N/A

• Chassis - Lubricated

  Pass

  Fail

  N/A

• Coolant System - Check Level

  Pass

  Fail

  N/A

• Hydraulic Oil - Check Level

  Pass

  Fail

  N/A

• Foot Pedals - Free of Mud and Debris?

  Pass

  Fail

  N/A

• Are tracks in Good Condition?

  Pass

  Fail

  N/A

Engine Start Up

• Back Up Alarm Audible

  Pass

  Fail

  N/A

• Back Up Camera - Functional

  Pass

  Fail

  N/A

• Overhead Lights Working?

  Pass

  Fail

  N/A

Area of Work - Inspection

• Overhead Electrical

  Safe

  At Risk

  N/A

• Appropriate Slope for Machine?

  Safe

  At Risk

  N/A

• Is Subgrade Acceptable?

  Safe

  At Risk

  N/A

• Vehicle Traffic has been Rerouted away from Line of Fire?

  Safe

  At Risk

  N/A

• Inspection Completed by:

  Sign