Title Page
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Inspection - Loader / Backhoe
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Jobsite:
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Inspector:
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Date of Inspection:
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Foreman:
Items for Inspection
GENERAL INFORMATION
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1.1 Equipment ID
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1.2 Make and Model: (take photo of machine)
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1.3 Operator
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1.4 Miles/Hour Meter Beginning
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1.5 Ensure Annual Inspection has been completed within the last 13 months
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1.6 Engine Fuel Level
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1.7 Mirrors Clean and Undamaged
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1.8 Operator's Manual In Good Condition
- Pass
- Fail
- N/A
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1.9 Load Chart is Correct & Legible
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1.10 Fire Extinguisher
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1.11 Overhead Cage and Seat Condition
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1.12 Frame Level and Boom Indicator are Working?
VISUAL INSPECTION PRIOR TO STARTING ENGINE
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2.1 Walk Around Inspection (warning decals, capacity plate, etc.)
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2.2 Wheels, Tires and Lugs (condition/tire pressure)
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2.3 Cab Glass (no cracks/damage)
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2.4 Engine (check oil level and for leaks)
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2.5 Transmission (check oil level and for leaks)
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2.6 Engine Belts (check for adjustment and wear)
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2.7 Air Cleaner (check indicator, clean or change as required)
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2.8 Radiator (check coolant level and for leaks)
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2.9 Hydraulic Tank (check oil level and for leaks)
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2.10 Fuel Tank (check level and for leaks)
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2.11 Roll Over Protection Systems - ROPS (check for damage)
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2.12 Seatbelt Functioning
START ENGINE AND CHECK THE FOLLOWING
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3.1 Engine (does it sound normal)
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3.2 Instruments (check for normal readings)
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3.3 Exhaust System (check for leaks and excessive smoke)
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3.4 Wipers and Lights (spotlights, turn signals, etc.)
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3.5 Horn and Backup Alarm
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3.6 All Hydraulic Controls (normal operation - lift, tilt, etc.)
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3.8 Brakes (parking and service brakes)
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3.9 Steering Mechanism
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3.10 Battery, Electronics, and Instruments Functioning Properly
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3.11 Attachments (Forks, locking pins, carriage, mass or boom)
