Title Page
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Type of Equipment
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Make
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Model
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Serial #
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Hours
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Job #
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Operator name
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Select date
Physical Inspection
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Are any accessories (bucket, blade, teeth, forks) free from any obvious excessive wear, damage or cracks?
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Is the boom and/or lift arms free of any obvious cracks, damage or misalignment?
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Are hydraulic cylinders and hoses free from any obvious leaks and damage?
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Are tracks and/or tires free of any obvious damage and adjusted or inflated correctly?
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Are all steps and handholds free from any obvious damage and slip hazards?
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Is the undercarriage free from any obvious damage or defects?
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Is the carbody or cab free from any obvious damage or defects?
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Are all windows and mirrors intact?
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Are all lights intact and functioning?
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Are service and parking brakes functioning properly?
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Are all warning decals, special instructions, load charts, and operators manuals legible and in place?
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Do all controls function properly?
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Does the audible back up working?
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Engine area free of flammable debris?
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Radiator in good condition and leak free?
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All belts and hoses free of excessive wear, damage and or leaks?
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Electrical System, connector, wiring, and computers free from damage and functioning properly?
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Heating and cooling system functioning?
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Seatbelt present and functioning?
Fluids
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YES indicates that the noted fluid is at its proper operational level
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Engine Oil
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Hydraulic Oil
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Coolant
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Fuel
Operator Notes
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Please note any other damage, defects, conditions or concerns that need to reported at this time? If none leave blank.
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Is any service due on equipment? If yes, what type?
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Is the work area free from any unusual conditions or hazards that may affect safe operation of the equipment?
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Inspection completed by: