Title Page

  • IX Equipment #

  • Job Number/Name

  • Submitted By

  • Conducted on

  • Description

  • Hour Meter/Odometer Meeting

  • Fuel Level

IX Equipment Checklist

  • Company radio working?

  • Fire Extinguisher?

  • Inspection Current?

  • Bucket/Attachment Number/Condition

Damage to Following: (Attach Pictures)

  • Windows

  • Cab Condition

  • Bucket Teeth

  • Hydraulic Leaks

  • Body Damage

  • Decals/Machine Number

  • Tire Condition

  • Warning Lights

  • Back Up Alarm

Equipment Moves

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




  • Equipment:

  • Equipment Number:

  • Buckets:

  • Height of Equipment on Trailer (Please include picture if possible):

  • Location From:

  • Location To:

  • Job Number:

  • Time Out:

  • Time In:

  • Total Regular Hours:

  • Subtotal Overtime Hours:

EQUIPMENT CONDITION

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

  • Equipment #/Location/Equipment Condition:

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 Reference Quide

  • 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.

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.