Title Page

  • Conducted on

  • Prepared by

Before starting with the service, make sure the following is completed

  • 1. Safety Compliance sheet is completed

  • 2. Risk Assesment

  • 3. Test all function's on machine

  • 4. Lockout Machine

  • 5. Wear correct PPE

Machine Hours

  • Engine Hourmeter Reading

  • Compressor Hourmeter Reading

  • LHand powerpack Hourmeter reading

  • LHand Percussion Hourmeter reading

  • RHand Powerpack Hourmeter reading

  • RHand Percussion Hourmeter reading

LHand Boom

  • Tightness and condition of 360' Rotation Bolts

  • Tightness and condition of 180' Rotation Bolts

LHand Feed

  • Condition of LHand feed slings

LHand Drifter

  • Condition Of Bronze Driver

  • Record Pressures of HP Accumulator

  • Record Pressures of Low pressure Accumulator

  • Condition of Both Accumilator Gaskets

  • Condition of Flusching head gasket

  • Tightening all 4 Flusching head bolts

LHand Drilling Pressures

  • Condition of Gauges

  • Condition of drilling magnets

  • Record Half percussion Pressures

  • Record Full percussion Pressures

  • Record Half Feed Pressures

  • Record Full Feed Pressures

  • Record Rotation Pressures

  • Record Drilling Water pressures

RHand Boom

  • Tightness and condition of 360' Rotation Bolts

  • Tightness and condition of 180' Rotation Bolts

RHand Feed

  • Condition of RHand feed slings

RHand Drifter

  • Condition Of Bronze Driver

  • Record Pressures of HP Accumulator

  • Record Pressures of Low pressure Accumulator

  • Condition of Both Accumilator Gaskets

  • Condition of Flusching head gasket

  • Condition of Flusching head gasket

RHand Drilling Pressures

  • Condition of Gauges

  • Condition of drilling magnets

  • Record Half percussion Pressures

  • Record Full percussion Pressures

  • Record Half Feed Pressures

  • Record Full Feed Pressures

  • Record Rotation Pressures

  • Record Drilling Water pressures

Compressor

  • Record Compressor pressures

  • Record Shank Lube pressures

  • Inspect Shank Lube operation and condition

  • Condition of LHand shank lube glass

  • Condition of RHand shank lube Glass

General

  • Condition Of both drivelines

  • Condition of dropbox and dropbox mounting bolts

  • Tightnes of Front and Rear Axle mounting bolts

Observation

  • undefined

  • undefined

  • undefined

  • undefined

  • undefined

  • undefined

  • undefined

  • undefined

  • undefined

  • undefined

  • undefined

  • undefined

  • undefined

  • undefined

  • undefined

  • undefined

  • undefined

  • undefined

  • undefined

  • undefined

  • undefined

  • undefined

  • undefined

  • undefined

  • undefined

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.