LEEWARD DAILY EQUIPMENT LOG

• Job Number

• Equipment Number

• Bucket Number

• Conducted on

  Date

• Prepared by

• Hour - Odometer Meter

• Start

• Finish

FLUIDS: Check the applicable box and input quantities added if any

• Fuel

  Yes

  No

  N/A

• Engine

  Yes

  No

  N/A

• Hydraulic

  Yes

  No

  N/A

• Transmission

  Yes

  No

  N/A

• Swing Gear Box

  Yes

  No

  N/A

• Pump Drive

  Yes

  No

  N/A

• Final Drives

  Yes

  No

  N/A

• Axels

  Yes

  No

  N/A

• Greased

  Yes

  No

  N/A

• Other:

  Yes

  No

  N/A

MSHA/OSHA SAFETY ITEMS: Check applicable answers and add comments/pictures if necessary

• Are all lights operational? (DOT/Brake/Backup/Headlights/etc.)

  Yes

  No

  N/A

• Is protective glass free from cracks?

  Yes

  No

  N/A

• Are all wipers operational?

  Yes

  No

  N/A

• Are back-up alarms operational and louder than ambient noise?

  Yes

  No

  N/A

• Are horns operational?

  Yes

  No

  N/A

• Seat belt available and operational?

  Yes

  No

  N/A

• Are brakes operational?

  Yes

  No

  N/A

• Is an adequate fire extinguisher present, mounted, charged, and inspected?

  Yes

  No

  N/A

• Other Items (present or needed)

  Yes

  No

  N/A

ADDITIONAL ITEMS:

• G.E.T.

  Yes

  No

  N/A

• Condition?

  Major

  Minor

  Good

  New

• Tires

  Yes

  No

  N/A

• Condition?

  Major

  Minor

  Good

  New

• Undercarriage

  Yes

  No

  N/A

• Condition?

  Major

  Minor

  Good

  New

• Belts

  Yes

  No

  N/A

• Condition?

  Major

  Minor

  Good

  New

• Air Restrictor

  Yes

  No

  N/A

• Condition?

  Major

  Minor

  Good

  New

REPAIRS MADE ON SITE

• Add pictures(s) if necessary

  Media

REPAIRS NEEDED

• Add picture(s) if necessary

  Media

ADDITIONAL COMMENTS:

• Add picture(s) if necessary

  Media

Signatures

• Employee Signature

  Sign

• Foreman's Signature

  Sign