Title Page

  • Type of Equipment

  • Make

  • Model

  • Serial #

  • Hours

  • Job #

  • Operator name

  • Select date

Physical Inspection

  • Are any accessories (bucket, blade, teeth, forks) free from any obvious excessive wear, damage or cracks?

  • Is the boom and/or lift arms free of any obvious cracks, damage or misalignment?

  • Are hydraulic cylinders and hoses free from any obvious leaks and damage?

  • Are tracks and/or tires free of any obvious damage and adjusted or inflated correctly?

  • Are all steps and handholds free from any obvious damage and slip hazards?

  • Is the undercarriage free from any obvious damage or defects?

  • Is the carbody or cab free from any obvious damage or defects?

  • Are all windows and mirrors intact?

  • Are all lights intact and functioning?

  • Are service and parking brakes functioning properly?

  • Are all warning decals, special instructions, load charts, and operators manuals legible and in place?

  • Do all controls function properly?

  • Does the audible back up working?

  • Engine area free of flammable debris?

  • Radiator in good condition and leak free?

  • All belts and hoses free of excessive wear, damage and or leaks?

  • Electrical System, connector, wiring, and computers free from damage and functioning properly?

  • Heating and cooling system functioning?

  • Seatbelt present and functioning?

Fluids

  • YES indicates that the noted fluid is at its proper operational level

  • Engine Oil

  • Hydraulic Oil

  • Coolant

  • Fuel

Operator Notes

  • Please note any other damage, defects, conditions or concerns that need to reported at this time? If none leave blank.

  • Is any service due on equipment? If yes, what type?

  • Is the work area free from any unusual conditions or hazards that may affect safe operation of the equipment?

  • Inspection completed by:

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.