Information

  • Project Number:

  • Conducted on

  • Prepared by

  • Equipment Number:

  • Hour reading:

  • Description of Equip.

  • Bucket

  • Teeth/ Cutting edge

  • Tracks

  • Rollers

  • Hoses

  • Leaks

  • Dents/ Scratches

  • Windows/ Window wiper

  • Machine Clean and Orderly, Windows Clean

  • Seat Condition

  • Lights

  • Mirrors

  • Horn

  • Brakes

  • Clutch

  • Grease zerks

  • Gauges

  • Tires

  • Heat/ AC

  • Engine warning lights illuminated

  • Service intervals current

  • Safety features working correctly (Buzzers, lights)

  • Back up Alarm

  • Fire Extinguisher

  • Pick Point (safety latch)

  • Please note any items that are not OK in the comments section below

  • Comments:Please

  • Please add a picture of any items that are not OK.

  • Add signature

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.