Title Page

  • Site conducted

  • Conducted on

  • Prepared by

  • Location

  • Machine inventory number

  • Machine make

  • Machine Model

  • Machine serial number

  • Machine hours

  • Picture of all sides and cab

  • JOB NUMBER

Inspect before entering shop

  • Ensure all paper work and direction are explained prior to starting the task

  • Ensure all proper PPE and tooling are present to properly complete the task

  • Do walk around, check oils and ensure safe to operate

  • Start machine and check for leaks

  • Inspect operation and adjustment of all controls

  • Inspect mirrors and back up camera operation and adjustment

  • Check condition of seats, suspension, switches and mounting

  • Check condition of seat belts

  • Check wheel brake operation, see manual for procedure

  • Check emergency brake application, see manual for procedure

  • Check all hydraulic and steering functions

  • Check operation of back up alarm

  • Run machine around yard for 2 hours(periodically check for leaks or faults)

  • Do exhaust gas test and ensure scrubber is working(fill information onto diesel permit)

  • Check for unusual noises and vibrations

  • Check operation of heater, switches and thermostat (record heater temp)

  • Check operation of air conditioning, switches and thermostat (record air conditioning temp)

  • Check to ensure evaporator fans are working

  • Check air conditioning and cab filter

  • Check heater and air conditioning ducting

  • Check condition of all windows

  • Check condition of window wipers and washers

  • Check operation of all doors and windows

  • Record engine temp

  • Record heater temp

Initial checks

  • Ensure all covers and panels are on machine

  • ensure all tags are on machine and record

  • Machine is washed thoroughly for inspection

CAB

  • Inspect operation of front light switch

  • Inspect operation of rear light switch

  • inspect operation of cab light

  • Check all guages and warning lights

  • Check all circuit breakers and fuses

  • Check starter operation

  • Inspect condition of all window and door seals

  • Inspect and record ROPS/FOPS tag

  • Inspect condition of cab interior

Decals

  • Check to ensure all gauges and switches are labelled

  • Check all safety areas are labelled(pinch point, no step, rotating parts, etc.....)

  • Check all functions are labelled

  • Check all tanks are labelled

  • Check all brand name decals(numbers or letters) are in good order

  • Check all add on equipment decals are in good order

  • Check that all engine, trans, diff and scrubber decals are in good order

Engine compartment

  • Check condition of motor mounts, rubbers, mounting to engine, torque on bolt

  • Check air cleaner housing, piping and intake clamps

  • Check condition of radiator, piping, pressure up and test, pressure test rad cap

  • Check condition of air to air, piping and mounting

  • Check engine oil cooler, mounting and piping

  • Inspect exhaust manifold and piping

  • Inspect scrubber/purifier, ensure proper mounting and ports are there for testing

  • Record purifier/scrubber data

  • Inspect starter, mounting, wiring

  • Test starter draw (ensure batteries are fully charges) record data

  • Inspect fan, fan hub and belts, condition and adjustments

  • Inspect alternator, mounting, belts and wiring

  • Check over entire engine for leaks (Oil, Coolant, Fuel)

  • Inspect all engine harnesses for condition, mounting and routing

  • Record engine idle rpm

  • Record engine high idle

  • Note any abnormalities(smoke, noises, vibrations)

Transmission and Torque

  • Check Transmission oil level and condition

  • Take picture of transmission tag

  • Check operation of shifting and neutral start

  • Check transmission mounts and mounting bolts

  • Check convertor mounting bolts

  • Inspect high speed driveline and ujoints

  • Inspect convertor output shaft and seal

  • Inspect breather

  • Check transmission cooler, piping and mounting

  • Remove and clean breather

  • Inspect transmission input and output bearings and seals

  • Inspect all torque and transmission hoses for mounting, routing and condition

  • Check visual condition and mounting of transmission charge pump

  • Check visual condition and mounting of transmission scavenging pump

Transmission pressures (Record all data)

  • Transmission pressure

  • Lube pressure

  • First gear pressure

  • Second gear pressure

  • Third gear pressure

  • Fourth gear pressure

  • Forward clutch pressure

  • Reverse clutch pressure

  • Covertor in pressure

  • Coverter out pressure

  • Torque stall

  • Record Engine rpm

  • Record engine temperature

  • Record transmission temperature

  • Engine temperature

  • Transmission temperature

  • Engine rpm

Front Axle

  • Check axle and planetary oil level and condition

  • Check over complete axle for leaks

  • Remove and inspect and clean breather

  • Check condition and tightness of axle tie bolts

  • Check condition and torque all wheel nuts

  • Inspect tires and rims, check tire pressure

  • Check park brake for condition, mounting and leaks

  • Inspect and lubricate all front drivelines, ujoints and hanger bearings

  • inspect all hosing and wiring under front half of machine

Rear Axle

  • Check axle and planetary oil level and condition

  • Check over complete axle for leaks

  • Remove and inspect and clean breather

  • Check condition and tightness of oscillating axle tie bolts

  • Check condition of oscillation bushing, trunnions and ensure axle takes grease

  • Check condition of oscillating axle stops

  • Check condition and torque all wheel nuts

  • Inspect tires and rims, check tire pressure

  • Check park brake for condition, mounting and leaks

  • Inspect and lubricate all front drivelines, ujoints and hanger bearings

  • inspect all hosing and wiring under rear half of machine

Brake checks

  • Check brake test procedure with manual

  • Check and record all brake pressures

Brake pressures

  • Front service brake pressure

  • Rear service brake pressure

  • Front park brake pressure

  • Rear park brake pressure

  • Accumulator pre-charge 1 service

  • Accumulator Pre-charge 2 service

  • Accumulator pre-charge 1 park brake

  • Accumulator pre-charge 2 park brake

  • Charge pressure cut in

  • Charge pressure cut out

  • Check park brake release pressure and record

  • Check condition and mounting of all calipers, pads and discs on disc type brakes

  • Brake measurement, type of brake

Brake measurements

  • Left front brake measurement

  • Right front brake measurement

  • Left rear brake measurement

  • Right rear brake measurement

  • If any brake measurement fails

  • Check for any leakage on LCB brake type

  • Check all brake line and hosing for proper mounting and operation

  • Check all brake pressure switches for proper mounting and operation

  • Check all brake accumulators for proper mounting and operation

  • Check brake hyd tank for mounting, cleanliness and level

  • Check brake cooling filters

  • Check brake cooling oil level and condition

  • Check over entire brake cooling system for leaks and deficiencies

  • Check ABA

Hydraulics

  • Perform detailed inspection for leaks

  • Check and record hydraulic pressure

Hydraulic pressure

  • main hyd system pressure

  • Steering main pressure

  • Box raise port relief pressures

  • Box lower port relief pressures

  • Steer right port relief pressures

  • Steer left port relief pressures

  • Check visual condition and mounting of main hyd pump

  • Check visual condition and mounting of steering pump

  • Check visual condition and mounting of any other pump

  • Check proper operation of dump and cold start valves

  • Check emergency steer operation, list style (accumulator or pump style)

  • Check condition of hoist cylinders

  • Check condition of steer cylinders

  • Check condition of any other cylinder

  • Check condition of hyd cooler, piping and mounting

Frame and Attachments

  • Check upper center pin for condition and adjustment

  • Check lower center pin for condition and adjustment

  • Ensure center pins will take grease

  • Check condition of right steering cylinder pins, retainers, bushings(ensure they take grease)

  • Check condition of left steering cylinder pins, retainers, bushings(ensure they take grease)

  • Check steering stops(ensure machine turns fully side to side, wear, cracks and mounting)

  • Check hoist right hoist cylinder pins, retainers, bushings(ensure they take grease)

  • Check hoist left hoist cylinder pins, retainers, bushings(ensure they take grease)

  • Check box pins and bushings(ensure they take grease)

  • Check box bumper pads, check for wear and mounting.

  • Check any other cylinder pins, retainers, bushings(ensure they take grease)

  • Check front bogey for cracks, damage or wear

  • Check rear bogey for cracks, damage or wear

  • Check ROPS/FOPS for damage, cracks or wear

  • Check mounting of ROPS/FOPS

  • Check condition and mounting of all grease lines, ensure they all take grease

  • Check operators compartment for damage

  • Check operators seat and seat belt for damage and operation

  • Check all hoods and doors on machine for damage and operation

Booms and rails

Right boom

  • Boom manufacturer

  • Boom model number

  • Boom serial number

  • Boom length

  • Steel length

  • Drill manufacturer

  • Drill model

  • Drill serial number

  • Check right boom mounting bolts

  • Check right boom functions for speed and smoothness of operation

  • Check over right boom for leaks

  • Check right boom hoist cylinder, pins and bushings

  • Check right swing cylinder, pins and bushings

  • Check right feed swing cylinder, pins and bushings

  • Check right feed tilt cylinder, pins and bushings

  • Check right boom extension cylinder, pins and bushings

  • Check right feed rail extension/crowd cylinder, pins and bushings

  • Check and adjust right feed cable/chain

  • Check and adjust right rail mounting slides

  • Check all right boom and slide for fitting , bulkheads and hose damage

  • Ensure all right side hoses are properly routed and wrapped

  • Check right side auto return and parallelism

  • Inspect right rail for damage, wear and straightness

  • Check right side stinger

  • Check right rail travelling and end centralizer condition, mounting, bushings and adjustment

  • Check condition of right feed cylinder, gearbox, sprocket/pulleys, and chains

  • Check right drill cradle condition and adjustment

  • Check condition and operation and adjustment of right hose reel

  • Check condition and operation of right feed and all stops

  • Check and test operation of auto return on right boom

Left boom

  • Boom manufacturer

  • Boom model number

  • Boom serial number

  • Boom length

  • Steel length

  • Drill manufacturer

  • Drill model number

  • Drill serial number

  • Check left boom mounting bolts

  • Check left boom functions for speed and smoothness of operation

  • Check over left boom for leaks

  • Check left boom hoist cylinder, pins and bushings

  • Check left swing cylinder, pins and bushings

  • Check left feed swing cylinder, pins and bushings

  • Check left boom extension cylinder, pins and bushings

  • Check left feed rail extension/crowd cylinder, pins and bushings

  • Check and adjust left rail mounting slides

  • Check and adjust left feed cable/chain

  • Check all left boom and slide for fitting , bulkheads and hose damage

  • Check left feed tilt cylinder, pins and bushings

  • Ensure all left side hoses are properly routed and wrapped

  • Check left side auto return and parallelism

  • Inspect left rail for damage, wear and straightness

  • Check left side stinger

  • Check left rail travelling and end centralizer condition, mounting, bushings and adjustment

  • Check condition of left feed cylinder, gearbox, sprocket/pulleys, and chains

  • Check left drill cradle condition and adjustment

  • Check condition and operation and adjustment of left hose reel

  • Check condition and operation of left feed and all stops

  • Check and test operation of auto return on left boom

Center boom

  • Boom manufacturer

  • Boom model number

  • Boom serial number

  • Boom length

  • Steel length

  • Drill manufacturer

  • Drill model number

  • Drill serial number

  • Check center boom mounting bolts

  • Check center boom functions for speed and smoothness of operation

  • Check over center boom for leaks

  • Check center boom hoist cylinder, pins and bushings

  • Check center swing cylinder, pins and bushings

  • Check center feed swing cylinder, pins and bushings

  • Check center feed tilt cylinder, pins and bushings

  • Check center boom extension cylinder, pins and bushings

  • Check center feed rail extension/crowd cylinder, pins and bushings

  • Check and adjust center rail mounting slides

  • Check and adjust center feed cable/chain

  • Check all center boom and slide for fitting , bulkheads and hose damage

  • Ensure all center boom/slide hoses are properly routed and wrapped

  • Check center boom auto return and parallelism

  • Inspect center rail for damage, wear and straightness

  • Check center rail stinger

  • Check center rail travelling and end centralizer condition, mounting, bushings and adjustment

  • Check condition of center feed cylinder, gearbox, sprocket/pulleys, and chains

  • Check center drill cradle condition and adjustment

  • Check condition and operation and adjustment of center hose reel

  • Check condition and operation of center feed and all stops

  • Check and test operation of auto return on center boom

Drifter checks

Rh drifter checks

  • Check RH drifter mounting bolts

  • Check RH drifter for oil and water leaks

  • Check RH drifter rotation

  • Check RH flushing(ensure that water and air lines are not reversed)

  • Check RH drill accumulators and recharge if required

  • Check RH drill for any potential failures

  • Check all RH drifter hoses and fittings

  • Check RH percussion

LH drifter checks

  • Check LH drifter mounting bolts

  • Check LH drifter for oil and water leaks

  • Check LH drifter rotation

  • Check LH flushing(ensure that water and air lines are not reversed)

  • Check left drill accumulators and recharge if required

  • Check LH drill for any potential failures

  • Check all LH drifter hoses and fittings

  • Check LH percussion

Center drifter checks

  • Check center drifter mounting bolts

  • Check center drifter for oil and water leaks

  • Check center drifter rotation

  • Check center flushing(ensure that water and air lines are not reversed)

  • Check center drill accumulators and recharge if required

  • Check center drill for any potential failures

  • Check all center drifter hoses and fittings

  • Check center percussion

Carrier Electric

  • inspect batteries (terminals, condition, mounting, and electrolyte levels, charge and load test)

  • Inspect all gauges, switches and pressure switches

  • Perform a detailed analysis of all harnesses and connections

  • Check front lights and guards(operation and mounting)

  • Check rear lights and guards(operation and mounting)

  • Check work lights and guards(operation and mounting)

  • Check tail lights operation and mounting

  • Check clearance/marker lights for operation and mounting

  • Check dash externally and internally (ensure tight, clean and proper routing of wires and connections)

  • Check glow plugs (if unsure how to test ask, power at the source does not mean they are good)

Pump testing chassis

  • Flow test main hyd pump(record data)

  • Flow test steering pump(record data)

  • Flow test transmission pump(record data)

  • Flow test scavenging pump(record data)

  • Piston pump 1 case drain test(identify pump being tested)(record data)

  • Piston pump 2 case drain test(identify pump being tested)(record data)

  • Piston pump 3 case drain test(identify pump being tested)(record data)

  • Piston pump 4 case drain test(identify pump being tested)(record data)

  • Gear pump 1 flow test(identify pump being tested)(record data)

  • Gear pump 2 flow test(identify pump being tested)(record data)

  • Gear pump 3 flow test(identify pump being tested)(record data)

  • Gear pump 4 flow test(identify pump being tested)(record data)

  • Check auto greaser pump, run test procedure and insure all parts are functioning

Pump and drilling pressures

Jumbo pressure boom 1

  • Main pump pressure (set to confirm compensator works)(Test at 0, 500, 1000 and operating pressure)Record all data

  • Main pump case drain(machine at operating temp and operating at full pressure)

  • Rotation pump flow and pressure (test at 0, 500,1000 and 2500 psi)Record all data

  • Rotation pressure(adjust to confirm relief works)Record data

  • Percussion pressure( adjust to confirm relief works)Record data

  • Feed pressure(adjust to confirm relief works)Record data

  • Pilot pressure(adjust to confirm relief works)Record data

  • Dampening pressure(adjust to confirm relief works)Record data

Jumbo pressures boom 2

  • Main pump pressure (set to confirm compensator works)(Test at 0, 500, 1000 and operating pressure)Record all data

  • Main pump case drain(machine at operating temp and operating at full pressure)

  • Rotation pump flow and pressure (test at 0, 500,1000 and 2500 psi)Record all data

  • Rotation pressure(adjust to confirm relief works)Record data

  • Percussion pressure( adjust to confirm relief works)Record data

  • Feed pressure(adjust to confirm relief works)Record data

  • Pilot pressure(adjust to confirm relief works)Record data

  • Dampening pressure(adjust to confirm relief works)Record data

Jumbo pressures boom 3

  • Main pump pressure (set to confirm compensator works)(Test at 0, 500, 1000 and operating pressure)Record all data

  • Main pump case drain(machine at operating temp and operating at full pressure)

  • Rotation pump flow and pressure (test at 0, 500,1000 and 2500 psi)Record all data

  • Rotation pressure(adjust to confirm relief works)Record data

  • Percussion pressure( adjust to confirm relief works)Record data

  • Feed pressure(adjust to confirm relief works)Record data

  • Pilot pressure(adjust to confirm relief works)Record data

  • Dampening pressure(adjust to confirm relief works)Record data

Air and water system

  • Check mounting and plumbing of booster pump

  • Check air compressor, mounting, routing of lines, oils and filter

  • Check Y strainers

  • Check shut off valves for water and air

  • Check Air Water flushing valves

  • Test system to ensure working correctly

  • Check filters

  • Check lubricator

  • Check routing and condition of all hosing

Fire suppression

  • Note general appearance of dry chemical tanks and actuators

  • Check routing and condition of all ansul hosing

  • Check all nozzles, mounts and blow off caps

  • Check for presence and condition of checks and blow off valve

  • Check hand held fire extinguisher for presence, mounting and condition

  • Ensure fire extinguisher inspection tag is present and current

  • Ensure seal are in place on actuators

  • Ensure actuation decals are at each actuator

  • Test that the shut down system is working

  • Ensure that there are three actuators in the system

Machine information

  • Transmission serial number

  • Transmission model

  • Convertor serial number

  • Convertor model

  • Rops serial number

  • Fops serial number

  • Ride control Accumulator CRN number

  • Front axle serial number

  • Rear axle serial number

  • Battery make and model

  • Battery serial number

  • Electric motor hp

  • Motor voltage

  • CSA approved

  • Engine make

  • Engine model

  • Engine serial number

  • Max rated load

  • Max RPM

  • Max fuel Injection rate

  • CFM

  • Scrubber manufacture

  • Scrubber type

  • Scrubber model number

  • Scrubber serial number

  • Fuel type

  • Name and type of hyd oil

  • Fire suppression type

  • Number of nozzles

  • Size of unit

  • Fire extinguisher type

  • Service brake system

  • Parking brake system

  • Emergency brake system

  • Front right tire(brand, size, condition)

  • Front left tire(brand, size, condition)

  • Rear right tire(brand, size, condition)

  • Rear left tire(brand, size, condition)

  • Spare tire(brans, size, condition)

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.