Title Page
-
Conducted on
-
Prepared by
-
Location
-
Customer
-
Job #
-
Purchase Order Number
-
Asset
-
Service Type
Every 10 hours VISUAL INSPECTION
-
CHECK FOR OBVIOUS DAMAGE AND LEAKS
-
WARNING PLATES AND DECALS
-
CONDITION OF TIRES AND WHEELS. AIR PRESSURE
-
LIFT CHAIN AND FASTNER
-
CARRIAGE OR ATTACHMENT AND FORKS
-
FUEL LEVEL
-
ENGINE OIL LEVEL
-
COOLANT LEVEL (RADIATOR & RESEVOIR TANK)
-
WATER SEPARATOR
-
HYDRAULIC OIL LEVEL
-
FAN BELT DAMAGE
FUNCTION TESTS
-
HORN AND LAMP
-
GAUGES AND INSTRUMENT PANEL
-
WARNING LIGHT
-
SERVICE BRAKE AND INCHING OPERATION
-
PARKING BRAKE OPERATION
-
ACCELERATOR AND ENGINE SPEED CONTROL
-
DIRECTIONAL AND SPEED CONTROL OPERATION
-
STEERING WHEEL OPERATION
-
NOISE AND VIBRATION
Every 50 hours
-
AIR CLEANER ELEMENT
-
AIR BREATHER FILTER
-
ENGINE OIL/ FILTER (INITIAL 50 HOURS ONLY)
-
TRANSMISSION OIL LEVEL
-
PILOT LINE FILTER ELEMENT (INITIAL 50 HOURS ONLY)
LUBRICATION
-
STEERING AXLE LINKAGE PIN
-
HYDRAULIC PUMP DRIVE SPLINE
TIGHTENING TORQUES
-
PUMP MOUNTING BOLT
-
DRIVE AXLE MOUNTING BOLT
-
TILT CYLINDER MOUNTING AND TOKE BOLT
-
MAST MOUNTING BOLT
-
DRIVE & STEERING AXLE WHEEN MOUNTING BOLT & NUT
-
COUNTERWEIGHT MOUNTING BOLT
-
CABIN MOUNTING BOLT
-
MAIN PUMP & MCV MOUNTING BOLT
-
ENGINE & RADIATOR MOUNTING BOLT
-
TRANSMISSION MOUNTING BOLT
-
STEERING AXLE MOUNTING BOLT
Every 250 Hours
-
DIFFERENTIAL GEAR OIL
-
PILOT LINE FILTER ELEMENT
-
BRAKE LINE FILTER (STRAINER)
LUBRICATION
-
LIFT CHAIN
-
MAST ROLLER AND PIN
-
LIFT CYLINDER ROD END
-
LIFT CYLINDER TUBE END
-
TILT CYLINDER ROD END
-
TILT CYLINDER TUBE END
-
STEERING CYLINDER ROD END
-
STEERING CYLINDER TUBE END
-
ATTACHEMENT OPTION CYLINDER ROD END
-
ATTACHMENT OPTION CYLINDER TUBE END
-
STEERING AXLE WHEEL BEARING
-
PEDAL PICOT
EVERY 500 HOURS
-
MAST MOUNTING BOLT
-
DRIVE AXLE MOUNTING BOLT AND NUT
-
AIR CLEANER ELEMENT
-
BATTERY
-
ENGINE IGINITION AND TIMING
-
ENGINE OIL FILTER
- REPLACE
- N/A
-
ENGINE OIL
EVERY 1000 HOURS
-
HYDRAULIC OIL RETURN FILTER
HYDRAULIC OIL TANK
-
HYDRAULIC OIL
-
SUCTION STRAINER
-
TRANSMISSION OIL & FILTER
-
DIFFERENTAL OIL
-
FAN BELT TENSION AND DAMAGE
-
BRAKE COOLING OIL
-
FUEL FILTER
EVERY 2000 HOURS
-
HYDRAULIC SUCTION STRAINER
-
RADIATOR COOLCANT
-
HYDRAULIC OIL
EVERY 5000 HOURS
-
HYDRAULIC OIL
WHEN REQUIRED
-
FUEL TANK
-
WATER SEPERATOAR
-
FUEL FILTER
-
ENGINE OIL
-
ENGINE OIL FILTER CARTRIGE
-
COOLANT
-
RADIATOR
-
AIR CLEANER ELEMENT
-
HYDRAULIC OIL
-
HYDRAULIC OIL SUCTION STRAINER
-
RETURN OIL FILETER ELEEMENT
-
AIR BREATHER FILTER
HAND PUMP (CABIN TILT)
-
HYDRAULIC OIL
-
TYRE AIR PRESSURE
SERVICE COMPLETION
-
REQUIRED SERVICE COMPLETED
-
FITTER
-
RIO REPRESENTATIVE NAME
-
RIO REPRESENTATIVE SIGNATURE