Heavy Equipment Checklist

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Equipment Number

• Hours

• Grease

  Select Acceptable Repair Needed Not Applicable

  • Acceptable
  • Repair Needed
  • Not Applicable

Fluid Levels

• Engine Oil Level

  Select Acceptable Repair Needed Not Applicable

  • Acceptable
  • Repair Needed
  • Not Applicable

• Fuel Level

  Select Acceptable Repair Needed Not Applicable

  • Acceptable
  • Repair Needed
  • Not Applicable

• Transmission Fluid Level

  Select Acceptable Repair Needed Not Applicable

  • Acceptable
  • Repair Needed
  • Not Applicable

• Hydraulic Oil Level

  Select Acceptable Repair Needed Not Applicable

  • Acceptable
  • Repair Needed
  • Not Applicable

• Coolant Level

  Select Acceptable Repair Needed Not Applicable

  • Acceptable
  • Repair Needed
  • Not Applicable

Functional Parts

• Fire Extinguisher

  Select Acceptable Repair Needed Not Applicable

  • Acceptable
  • Repair Needed
  • Not Applicable

• Fans & Belts

  Select Acceptable Repair Needed Not Applicable

  • Acceptable
  • Repair Needed
  • Not Applicable

• Mirrors

  Select Acceptable Repair Needed Not Applicable

  • Acceptable
  • Repair Needed
  • Not Applicable

• Seat Belts

  Select Acceptable Repair Needed Not Applicable

  • Acceptable
  • Repair Needed
  • Not Applicable

After Starting Engine; check gauges/pannel

• Brake

  Select Acceptable Repair Needed Not Applicable

  • Acceptable
  • Repair Needed
  • Not Applicable

• Engine Oil

  Select Acceptable Repair Needed Not Applicable

  • Acceptable
  • Repair Needed
  • Not Applicable

• Backup Warning

  Select Acceptable Repair Needed Not Applicable

  • Acceptable
  • Repair Needed
  • Not Applicable

• Comments or addition to the Heavy Equipment Inspection

• In case of broken part, take a picture

  Media

• Please sign

  Sign