Information

  • Conducted on

  • Prepared by

  • Location
  • Select date

Project Information

  • Project:

  • Location:

  • Supervisor:

  • Person inspecting equipment:

Mobile Equipment Information

  • Equipment Unit #:

  • HEL owned or rental

  • Hours on arrival:

  • Hours on departure:

Equipment Damage

  • Is there visible damage to the equipment?

  • Add media

  • Was the damage reported prior to the equipment arriving on site?

  • Will the equipment need to be repaired before it can be used?

  • Will the equipment need to be sent away for repair?

Equipment Operation

  • Is the equipment in safe operating condition?

Inventory

  • Keys

  • Is the operators manual in the equipment?

  • Per trip book?

  • Fire Extinguisher?

  • Are any other pertinent items missing from the machine?

Signatures:

  • Supervisor sending/receiving equipment:

  • Delivery personnel/ Low bed driver:

  • Please email the completed form to:

    Adam Hoban
    Equipment Manager
    Supervisor who sent/ will be receiving equipment.

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.