Hitachi ZX22USR-7 Serial No 0150

• Site conducted

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• Conducted on

  Date

• Prepared by

• Location
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• Machine ID Number:

• W/C Date:

  Date

• 1. Check Fuel Oil Level if less than ¼ of a tank inform supervisor

• 2. Check Engine Oil Level

• 3. Check Hydraulic Oil Level

• 4. Check Radiator Level

• 5. Check Tyres and Wheel / Tracks

• 6. Check Bucket Pins & Linkage

• 7. Check Lights, Audible Reversing Warning and

• 8. Check mirrors are clean and in good condition

• 9. Check Hydraulic Hoses

• 10. Check all Fixings, Guards/ Hand Rails

• 11. Check all Rams, Pins & Steering Rods

• 12. Check AFB and Horn

• 13. Check Seat & Seat Belt operation

• 14. Check operation of Control Switches and levers

• 15. Check Orange/Green Beacons working

• 16. Check Camera is fully operational

17. Check Height Restrictor is Working

• 18. Check Slew Restrictor is Working

• 19. Permit to Break Ground checked and in date

• 20. Permit to Lift checked and in date

• 21. Overhead Permit checked and in date

• 22. Check no blockages in pedals (brakes)

• Comments / Defects:

• Name (print): Signature:

  Sign

Page 1 of 1

• Machine ID Number:

• 1. Check Fuel Oil Level if less than ¼ of a tank inform supervisor

• 2. Check Engine Oil Level

• 3. Check Hydraulic Oil Level

• 4. Check Radiator Level

• 5. Check Tyres and Wheel / Tracks

• 6. Check Bucket Pins & Linkage

• 7. Check Lights, Audible Reversing Warning and

• 8. Check mirrors are clean and in good condition

• 9. Check Hydraulic Hoses

• 10. Check all Fixings, Guards/ Hand Rails

• 11. Check all Rams, Pins & Steering Rods

• 12. Check AFB and Horn

• 13. Check Seat & Seat Belt operation

• 14. Check operation of Control Switches and levers

• 15. Check Orange/Green Beacons working

• 16. Check Camera is fully operational

17. Check Height Restrictor is Working

• 18. Check Slew Restrictor is Working

• 19. Permit to Break Ground checked and in date

• 20. Permit to Lift checked and in date

• 21. Overhead Permit checked and in date

• 22. Check no blockages in pedals (brakes)

• Comments / Defects:

• Name (print): Signature:

  Sign

• Machine ID Number:

• 1. Check Fuel Oil Level if less than ¼ of a tank inform supervisor

• 2. Check Engine Oil Level

• 3. Check Hydraulic Oil Level

• 4. Check Radiator Level

• 5. Check Tyres and Wheel / Tracks

• 6. Check Bucket Pins & Linkage

• 7. Check Lights, Audible Reversing Warning and

• 8. Check mirrors are clean and in good condition

• 9. Check Hydraulic Hoses

• 10. Check all Fixings, Guards/ Hand Rails

• 11. Check all Rams, Pins & Steering Rods

• 12. Check AFB and Horn

• 13. Check Seat & Seat Belt operation

• 14. Check operation of Control Switches and levers

• 15. Check Orange/Green Beacons working

• 16. Check Camera is fully operational

17. Check Height Restrictor is Working

• 18. Check Slew Restrictor is Working

• 19. Permit to Break Ground checked and in date

• 20. Permit to Lift checked and in date

• 21. Overhead Permit checked and in date

• 22. Check no blockages in pedals (brakes)

• Comments / Defects:

• Name (print): Signature:

  Sign

• Machine ID Number:

• 1. Check Fuel Oil Level if less than ¼ of a tank inform supervisor

• 2. Check Engine Oil Level

• 3. Check Hydraulic Oil Level

• 4. Check Radiator Level

• 5. Check Tyres and Wheel / Tracks

• 6. Check Bucket Pins & Linkage

• 7. Check Lights, Audible Reversing Warning and

• 8. Check mirrors are clean and in good condition

• 9. Check Hydraulic Hoses

• 10. Check all Fixings, Guards/ Hand Rails

• 11. Check all Rams, Pins & Steering Rods

• 12. Check AFB and Horn

• 13. Check Seat & Seat Belt operation

• 14. Check operation of Control Switches and levers

• 15. Check Orange/Green Beacons working

• 16. Check Camera is fully operational

17. Check Height Restrictor is Working

• 18. Check Slew Restrictor is Working

• 19. Permit to Break Ground checked and in date

• 20. Permit to Lift checked and in date

• 21. Overhead Permit checked and in date

• 22. Check no blockages in pedals (brakes)

• Comments / Defects:

• Name (print): Signature:

  Sign

• Machine ID Number:

• 1. Check Fuel Oil Level if less than ¼ of a tank inform supervisor

• 2. Check Engine Oil Level

• 3. Check Hydraulic Oil Level

• 4. Check Radiator Level

• 5. Check Tyres and Wheel / Tracks

• 6. Check Bucket Pins & Linkage

• 7. Check Lights, Audible Reversing Warning and

• 8. Check mirrors are clean and in good condition

• 9. Check Hydraulic Hoses

• 10. Check all Fixings, Guards/ Hand Rails

• 11. Check all Rams, Pins & Steering Rods

• 12. Check AFB and Horn

• 13. Check Seat & Seat Belt operation

• 14. Check operation of Control Switches and levers

• 15. Check Orange/Green Beacons working

• 16. Check Camera is fully operational

17. Check Height Restrictor is Working

• 18. Check Slew Restrictor is Working

• 19. Permit to Break Ground checked and in date

• 20. Permit to Lift checked and in date

• 21. Overhead Permit checked and in date

• 22. Check no blockages in pedals (brakes)

• Comments / Defects:

• Name (print): Signature:

  Sign

• Machine ID Number:

• 1. Check Fuel Oil Level if less than ¼ of a tank inform supervisor

• 2. Check Engine Oil Level

• 3. Check Hydraulic Oil Level

• 4. Check Radiator Level

• 5. Check Tyres and Wheel / Tracks

• 6. Check Bucket Pins & Linkage

• 7. Check Lights, Audible Reversing Warning and

• 8. Check mirrors are clean and in good condition

• 9. Check Hydraulic Hoses

• 10. Check all Fixings, Guards/ Hand Rails

• 11. Check all Rams, Pins & Steering Rods

• 12. Check AFB and Horn

• 13. Check Seat & Seat Belt operation

• 14. Check operation of Control Switches and levers

• 15. Check Orange/Green Beacons working

• 16. Check Camera is fully operational

17. Check Height Restrictor is Working

• 18. Check Slew Restrictor is Working

• 19. Permit to Break Ground checked and in date

• 20. Permit to Lift checked and in date

• 21. Overhead Permit checked and in date

• 22. Check no blockages in pedals (brakes)

• Comments / Defects:

• Name (print): Signature:

  Sign

• Machine ID Number:

• 1. Check Fuel Oil Level if less than ¼ of a tank inform supervisor

• 2. Check Engine Oil Level

• 3. Check Hydraulic Oil Level

• 4. Check Radiator Level

• 5. Check Tyres and Wheel / Tracks

• 6. Check Bucket Pins & Linkage

• 7. Check Lights, Audible Reversing Warning and

• 8. Check mirrors are clean and in good condition

• 9. Check Hydraulic Hoses

• 10. Check all Fixings, Guards/ Hand Rails

• 11. Check all Rams, Pins & Steering Rods

• 12. Check AFB and Horn

• 13. Check Seat & Seat Belt operation

• 14. Check operation of Control Switches and levers

• 15. Check Orange/Green Beacons working

• 16. Check Camera is fully operational

17. Check Height Restrictor is Working

• 18. Check Slew Restrictor is Working

• 19. Permit to Break Ground checked and in date

• 20. Permit to Lift checked and in date

• 21. Overhead Permit checked and in date

• 22. Check no blockages in pedals (brakes)

• Comments / Defects:

• Name (print): Signature:

  Sign