IX Equipment Checklist

• IX Equipment #

• Job Number/Name

• Submitted By

• Conducted on

  Date

• Description

• Hour Meter/Odometer Meeting

• Fuel Level

IX Equipment Checklist

• Company radio working?

  Yes

  No

• Fire Extinguisher?

  Yes

  No

• Inspection Current?

  Yes

  No

• Bucket/Attachment Number/Condition

Damage to Following: (Attach Pictures)

• Windows

  Yes

  No

  N/A

• Cab Condition

  Yes

  No

  N/A

• Bucket Teeth

  Yes

  No

  N/A

• Hydraulic Leaks

  Yes

  No

  N/A

• Body Damage

  Yes

  No

  N/A

• Decals/Machine Number

  Yes

  No

  N/A

• Tire Condition

  Yes

  No

  N/A

• Warning Lights

  Yes

  No

  N/A

• Back Up Alarm

  Yes

  No

  N/A

Equipment Moves

• More than one response can be added to each question (i.e. multiple equipment moves)
  Example: Equipment:
  Dozer
  Bobcat
  
  
  
  
  

• Equipment

• Number

• Buckets

• Location From

• Location To

• Job Number

• Time Out

• Time In

• Regular Hours

• OT Hours

Additional Damage

• Attach Photos: Click paper clip symbol in bottom right hand corner, attach media

• Equipment #/Location/Equipment Condition

Indirect Labor

• More than one response can be added to each question (i.e. multiple equipment moves)
  Example: Equipment:
  Dozer
  Bobcat
  
  

• Location

• Job Number

• Comments

• Time In

• Time Out

• Regular Hours

• OT Hours

• Subtotal: Regular Hours/Overtime Hours

• Total: Regular Hours/Overtime Hours

Driver Safety

• Driver is properly licensed, and has been trained on the proper and safe operation of vehicles and equipment?

  Yes

  No

• Driver is aware of the total height of all bridges and overhead lines in path of travel?

  Yes

  No

During Loading

• Do not operate or load equipment that you do not know how to operate, or operate safely.

After Loading

• Lower all accessory equipment and other movable parts such as hydraulic shovels, booms, plows, crane arms, etc., and secure them to the transport vehicle using tie-downs.

• If the equipment being transported has an articulation point, pivot, or hinge within its construction lock or restrain the vehicle or equipment to prevent any articulation while in transit.

• Confirm the actual height and width of the vehicle. Does your route accommodate for the vehicle/load?

• Always be aware of potential low clearance, restricted routes, and construction zones. Have an alternative route readily available in case of any detours.

Cargo Securement & Haulage

• 1.) One tiedown for articles 5 Feet (1.52 Meters) or less in length, and 1,100 pounds (500 Kg) or less in weight;
  2.) Two tiedowns if the article is 5 Feet (1.52 Meters) or less in length and more than 1,100 Pounds (500 Kg) in weight;
  3.) Longer than 5 feet (1.52 Meters) but less than or equal to 10 feet (3.04 Meters) in length, irrespective of the weight;
  4.) Two tiedowns if the article is longer than 10 Feet (3.04 Meters), and one additional tiedown for every 10 Feet (3.04 Meters) of article length, or fraction thereof, beyond the first 10 Feet (3.04 Meters) of length.

• Heavy Equipment is not to be operated in areas where there is danger of contact with energized underground or overhead high voltage lines.

Signature

• I hereby certify that the above statements and measurements are true and correct to the best of my knowledge. I further certify that I have not had any accidents or driving infractions other than those I have already disclosed to the Company. I understand it is my obligation to reports such occurrences to my supervisor immediately. I understand that a false statement or failure to report may result in discipline up to and including termination.

  Sign