Title Page

  • Conducted on

  • Prepared by

  • Location
  • Customer

  • H&S shipping number

  • Inspection type

  • Model

  • Serial number

  • Operational hours

  • Last 250 service

  • Last 1000 service

Safety Devices

  • Emergency stop

  • Safety lever

  • Travel and swing alarm

  • Fire extinguishers

  • Signal horn

  • Bypass upper limit

  • Transport safety switch

  • Interior safety stickers

  • Load charts

  • Machine manuals

  • Angle indicator

  • Gauges & signal lights

  • Counterweight curtains

  • Exterior lights

  • Exterior safety stickers

Cabin

  • Controls & joysticks

  • Hydraulic pedals

  • Throttle controls

  • Radio

  • Windshield wipers

  • Sun visors

  • Air Conditioner & heater

Maintenance & greasing

  • Slewing ring

  • Undercarriage

  • Counterweight + Stabilizer

  • Upper slide joint

  • Lower slide joint

  • Lateral cylinder joints

  • Hammer slides

  • Hammer ram block

  • Hammer lifting trunnion & bracket

  • All other joints & connections

Body & panels

  • Body panels exterior

  • Center of machine panels

  • Ladders & steps

  • Door & safety handle

  • Tool box on cabin

Engine & hydraulics

  • Engine oil level & quality

  • Engine service

  • Engine belts

  • Coolant level

  • Radiator & fan condition

  • Hydraulic oil level & quality

  • Hydraulic cooling fans

  • Leader pipes and hoses

  • Major hydraulic leaks

  • Minor hydraulic leaks

  • General hydraulic hose condition

Electrical & components

  • Carrier electrical

  • Leader electrical

  • Hammer electrical

  • Camera system

  • Batteries

  • Alternator

Track & undercarriage

  • Track pad condition

  • Track tension

  • Sprocket condition

  • Drive motor oil

  • Extension cylinders

  • Cleanliness of undercarriage

Swing motor & Ring

  • Slewing ring

  • Slewing motor oil

  • Swing motor pressure

  • Swing lock pin

Rope & Winches

  • Pile winch cable

  • Pile winch clevis

  • Pile winch brake

  • Pile winch release (piling

  • Hammer winch cable

  • Hammer winch connection

  • Hammer winch brake

  • Hammer winch release (Piling)

  • Sheave wheels

  • Drum rope rollers

Leader & joints

  • Leader assist table

  • Lower slide connection

  • Upper slide connection

  • Base leader slides

  • Telescopic leader slides

  • Lateral cylinder joints

  • Pile arm joints

  • Lateral transport pin (PM16)

Piling Hammer

  • Cushion material

  • Rebound rings

  • Rope connection

  • Guide claws

  • Extension connections

  • Guide cone

  • Ram block slides

  • Piston seals

  • Piling bracket & sensors

  • Small accumulator & pressure

  • Large accumulator & pressure

  • Upper limiters & frame stop

  • Cylinder mounts

  • Hanging hose bracket on leader

  • Hoses & wrap

  • Cracks or damages to hammer

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.