Site Details

  • Company

  • Address

  • Conducted on

  • Prepared by

  • Machine Type

  • Serial Number

Inspections

Motor Gearbox

  • Check Break Gap

  • FIXED

  • Check Oil Level

  • FIXED

  • Check Differential

  • FIXED

  • Check Terminals

  • FIXED

  • Check Break Operation

  • FIXED

  • Check Drive (observation for noise / running condition)

  • FIXED

Hydraulics

  • Check Lift Lower Function

  • FIXED

  • Check hose Integrity for leaks and wear

  • FIXED

  • Check hydraulic fluid levels

  • FIXED

  • Check hydraulic fluid levels

  • FIXED

  • Check pressure holds

  • FIXED

  • Check directional contactors

  • FIXED

  • Check arm swivels each side and check for play in bushing

  • FIXED

Batteries

  • Check load test

  • FIXED

  • Check terminals

  • FIXED

  • Check charging

  • FIXED

  • Check integrity of casing

  • FIXED

Control Tiller

  • Check E-Reverse

  • FIXED

  • Check throttle runs smooth

  • FIXED

  • Check proportional drive

  • FIXED

  • Check horn

  • FIXED

  • Check aux switch

  • FIXED

  • Check integrity

  • FIXED

Controller

  • Check download fault history

  • FIXED

  • Check clear fault history

  • FIXED

  • Check all connections including E Stop

  • FIXED

Coupling

  • Check coupling integrity

  • FIXED

  • Check function locking mechanism

  • FIXED

Wheels

  • Check tread wear

  • FIXED

  • Check tyre pressure

  • FIXED

  • Check wheel nuts

  • FIXED

Operation

  • Check machine on load and move on route

  • FIXED

  • Check clean and polish

  • FIXED

Close Report

  • Note down other observations, other repairs completed, parts used etc in this section

  • Is there follow up work required

  • Customer to sign

  • Print Name

  • Date

  • Engineer to sign

  • Print Name

  • Date

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.