LJ Keefe Excavator Inspection

• Jobsite/Project Name:

  Select
• Location:
  Address

• Conducted on:

  Date

• Conducted by/Operator:

• Make / Model:

• Hour Meter Reading:

• Unit / Machine Number:

• Photo of Equipment:

  Media

POWER OFF CHECKS

• Undercarriage - track shoes/wheels & tires, links, rollers/sprockets/idler wheels

  Safe

  At Risk

  N/A

• Lights/Strobes

  Safe

  At Risk

  N/A

• Engine/Engine Compartment: Belts/Hoses, Cables/Wires, Debris

  Safe

  At Risk

  N/A

• Battery(ies): Terminals Tight, Clean/Dry/Secure

  Safe

  At Risk

  N/A

• Hydraulics: Cylinders/Rods, Hoses/Lines/Fittings, Pins/Locks

  Safe

  At Risk

  N/A

• Fluids: Engine Oil

  Safe

  At Risk

  N/A

• Fluids: Engine Coolant

  Safe

  At Risk

  N/A

• Fluids: Hydraulic Oil

  Safe

  At Risk

  N/A

• Fluids: Fuel

  Safe

  At Risk

  N/A

• Turret: Cab/Glass/Doors, Emergency Exit, Entry/Exit steps, ROPS/FOPS/TOPS, Counterweight/Counterweight bolt(s), Fire Extinguisher/Suppression System

  Safe

  At Risk

  N/A

• Digging Assembly: Boom/Dipper/Attachment, Articulated joints

  Safe

  At Risk

  N/A

POWER OFF CHECKS

• Unit starts and runs properly

  Safe

  At Risk

  N/A

• Instruments/Gauges

  Safe

  At Risk

  N/A

• Hour Meter

  Safe

  At Risk

  N/A

• Warning lights /audible alarms

  Safe

  At Risk

  N/A

• Fuel Level

  Safe

  At Risk

  N/A

• Horn/audible warning device(s)

  Safe

  At Risk

  N/A

• Function Controls: Driving, Steering, Turret Rotate, Bucket/Boom/Dipper/Attachment, Accessories

  Safe

  At Risk

  N/A

• Emergency/auxiliary controls

  Safe

  At Risk

  N/A

• Wipers operational

  Safe

  At Risk

  N/A

• Seatbelt operational

  Safe

  At Risk

  N/A

GENERAL

• Housekeeping

  Safe

  At Risk

  N/A

• Manufacturer's operating manuals

  Safe

  At Risk

  N/A

• Decals/Warning/Placards

  Safe

  At Risk

  N/A

• Misc. parts - loose/missing/broken

  Safe

  At Risk

  N/A

WORKPLACE INSPECTION

• Drop-offs or holes

  Safe

  At Risk

  N/A

• Bumps and floor/ground obstructions

  Safe

  At Risk

  N/A

• Debris

  Safe

  At Risk

  N/A

• Overhead obstructions

  Safe

  At Risk

  N/A

• Energized power lines

  Safe

  At Risk

  N/A

• Hazardous locations

  Safe

  At Risk

  N/A

• Ground surface and support conditions

  Safe

  At Risk

  N/A

• Pedestrian/vehicle traffic

  Safe

  At Risk

  N/A

• Wind and weather conditions

  Safe

  At Risk

  N/A

• Other possible hazards

  Safe

  At Risk

  N/A

REPAIR

• In case of broken part(s), take photo(s)

  Media

SIGNATURE

• Signature

  Sign