Hydraulic Excavator

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

• Date and Time audit began

  Date

General Details

• Basic Photo Identification (4 x Corner Shots)

  Media

• Serial Number/V.I.N

• ID Plate/s Photo

  Media

• Type

  Track Type

  Wheeled Type

• Year

  Select 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018 2019 2020

  • 2000
  • 2001
  • 2002
  • 2003
  • 2004
  • 2005
  • 2006
  • 2007
  • 2008
  • 2009
  • 2010
  • 2011
  • 2012
  • 2013
  • 2014
  • 2015
  • 2016
  • 2017
  • 2018
  • 2019
  • 2020

• Make

  Select Caterpillar Komatsu Volvo Hitachi Kobelco Liebherr O&K Doosan Hyundai Izuzu

  • Caterpillar
  • Komatsu
  • Volvo
  • Hitachi
  • Kobelco
  • Liebherr
  • O&K
  • Doosan
  • Hyundai
  • Izuzu

• Model

• Registration State

  Select NSW Vic SA WA NT ACT Tas N/A

  • NSW
  • Vic
  • SA
  • WA
  • NT
  • ACT
  • Tas
  • N/A

• Plant Identification Number (if used)

• SMU / Hour Meter Reading

• SMU / Hour Meter Working

  Yes

  No

  N/A

• SMU / Hour Meter Photo

  Media

Control Station Functions | Cabin Interior

• Driver Seat in Good Repair

  Yes

  No

  N/A

• Driver Seat Belt Operational and in good order

  Safe

  At Risk

  N/A

• Windshield Wipers Functioning Appropriately

  Yes

  No

  N/A

• Heater and Defroster Operational

  Yes

  No

  N/A

• Air Conditioning Operational

  Yes

  No

  N/A

• Dashboard Lights Operational

  Yes

  No

  N/A

• All Gauges are Operating and Show within Appropriate Ranges

  Yes

  No

  N/A

• Interior Compartment Lights Operational

  Yes

  No

  N/A

• Entry Grab Bar/Rail Secure

  Safe

  At Risk

  N/A

• Interior is Clean and Free of Loose Objects

  Yes

  No

  N/A

• Passenger Seat Belts Operational

  Safe

  At Risk

  N/A

• Passenger Seats in Good Repair

  Safe

  At Risk

  N/A

• Cabin Interior Photo's

  Media

Safety Equipment - internal

• Vehicle is Equipped with Two Way Radio System

  Yes

  No

  N/A

• Securely mounted First Aid Kit

  Safe

  At Risk

  N/A

• Fire Extinguisher Fitted

  Safe

  At Risk

  N/A

• Emergency Stop Fitted and Operational

  Yes

  No

  N/A

Undercarriage

• OEM Track Report Available (Support Documentation Required)

  Yes

  No

  N/A

• Date Report Completed

  Date

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• Track Tensioners

  New

  Good

  Fair

  Poor

• Track Link Wear

  New

  Good

  Fair

  Poor

• Carrier Rollers

  New

  Good

  Fair

  Poor

• Track Rollers

  New

  Good

  Fair

  Poor

• Idlers

  New

  Good

  Fair

  Poor

• Sprockets

  New

  Good

  Fair

  Poor

• Add media

  Media

Chassis

• Is Any Major Damage Apparent

  No

  Yes

• On Which Date Did The Damage Occur

  Date

• Is A Company Incident Report Available

  Yes

  No

  N/A

• Detailed Description

• Please Photograph Damaged Area's

  Media

• Boom Condition

  Good

  Fair

  Poor

• Stick Condition

  Good

  Fair

  Poor

• Roller Frames

  Good

  Fair

  Poor

• Boom Base Pins And Bushings

  Good

  Fair

  Poor

• Pivot Shafts

  Good

  Fair

  Poor

• Pins And Bushing Boom Stick

  Good

  Fair

  Poor

• Pin And Bushing Stick Bucket

  Good

  Fair

  Poor

• Linkage

  Good

  Fair

  Poor

• Turn Table Bearing

  Good

  Fair

  Poor

• Comments

• Add Photos

  Media

Engine

• Make

  Select Caterpillar Komatsu Volvo Hitachi Kobelco Liebherr O&K Doosan Hyundai Izuzu

  • Caterpillar
  • Komatsu
  • Volvo
  • Hitachi
  • Kobelco
  • Liebherr
  • O&K
  • Doosan
  • Hyundai
  • Izuzu

• Rebuild History (Supporting Documentation Required)

  Yes

  No

  N/A

• Hours Completed on Rebuild

• Date Completed

  Date

• Fuel Type

  Diesel

  Petrol

  LPG

• Starter Operational

  Yes

  No

  N/A

• Turbo Functional

  Yes

  No

  N/A

• Injector Pump Functional

  Yes

  No

  N/A

• Exhaust System Condition OK

  Yes

  No

  N/A

• Radiator Condition OK

  Yes

  No

  N/A

• Free of Oil Leaks

  Yes

  No

  N/A

• Free of Fuel Leaks

  Yes

  No

  N/A

• Free of Cooling System Leaks

  Yes

  No

  N/A

Drive Train

• Rebuild History (Supporting Documentation Required)

  Yes

  No

  N/A

• Hours Completed on Rebuild

• Date Completed

  Date

• Final Drives OK

  Yes

  No

  N/A

• Drive Motors OK

  Yes

  No

  N/A

• Comments

Hydraulics

• Rebuild History (Supporting Documentation Required)

  Yes

  No

  N/A

• Hours Completed On Rebuild

• Date Completed

  Date

• Slew Motor OK

  Yes

  No

  N/A

• Pumps OK

  Yes

  No

  N/A

• Valves OK

  Yes

  No

  N/A

• Hydraulic Tank OK

  Yes

  No

  N/A

• Hoses OK

  Yes

  No

  N/A

• Boom Lift Cylinder(s) OK

  Yes

  No

  N/A

• Stick Cylinder(s) OK

  Yes

  No

  N/A

• Bucket Cylinder(s) OK

  Yes

  No

  N/A

Exterior Panels / Glass

• Windshield Free of Cracks and Chips

  Yes

  No

  N/A

• Front Hood, Grill and Bumper free of Damage

  Yes

  No

  N/A

• Left Mirrors adjustable and Free of Damage

  Yes

  No

  N/A

• Left Fender Free of Damage

  Yes

  No

  N/A

• Left Door Free of Damage

  Yes

  No

  N/A

• Left Side Free of Damage

  Yes

  No

  N/A

• Left Side Windows Free of Cracks and Chips

  Yes

  No

  N/A

• Rear WIndow Free of Cracks and Chips

  Yes

  No

  N/A

• Right Side Free of Damage

  Yes

  No

  N/A

• Paint Condition

  New

  Good

  Fair

  Poor

• Exterior Photo's

  Media

Exterior Lighting

• Rotating amber beacon operational

  Yes

  No

  N/A

• Working lights front

  Yes

  No

  N/A

• Working lights rear

  Yes

  No

  N/A

Safety Equipment - external

• Audible Back-up Alarm Operational

  Yes

  No

  N/A

• Exterior emergency stop fitted and operational

  Yes

  No

  N/A

• Fire extinguisher fitted

  Yes

  No

  N/A

• Fire suppression system fitted

  Yes

  No

  N/A

• ROPS/FOPS

  Yes

  No

  N/A

• Add media

  Media

Available Documentation

• Is Vehicle Serviced According to the Manufacturers Schedule?

  Yes

  No

  N/A

• Date of Last Service (If Readily Available)

  Date

• Are Adequate Preventative Maintenance and Service Repair Records Kept

  Yes

  No

  N/A

• Sighted Documents

  Media

• View Our Website www.assetassured.com.au
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