Title Page

  • Inspection - Loader / Backhoe

  • Jobsite:

  • Inspector:

  • Date of Inspection:

  • Foreman:

Items for Inspection

GENERAL INFORMATION

  • 1.1 Equipment ID

  • 1.2 Make and Model: (take photo of machine)

  • 1.3 Operator

  • 1.4 Miles/Hour Meter Beginning

  • 1.5 Ensure Annual Inspection has been completed within the last 13 months

  • 1.6 Engine Fuel Level

  • 1.7 Mirrors Clean and Undamaged

  • 1.8 Operator's Manual In Good Condition

  • 1.9 Load Chart is Correct & Legible

  • 1.10 Fire Extinguisher

  • 1.11 Overhead Cage and Seat Condition

  • 1.12 Frame Level and Boom Indicator are Working?

VISUAL INSPECTION PRIOR TO STARTING ENGINE

  • 2.1 Walk Around Inspection (warning decals, capacity plate, etc.)

  • 2.2 Wheels, Tires and Lugs (condition/tire pressure)

  • 2.3 Cab Glass (no cracks/damage)

  • 2.4 Engine (check oil level and for leaks)

  • 2.5 Transmission (check oil level and for leaks)

  • 2.6 Engine Belts (check for adjustment and wear)

  • 2.7 Air Cleaner (check indicator, clean or change as required)

  • 2.8 Radiator (check coolant level and for leaks)

  • 2.9 Hydraulic Tank (check oil level and for leaks)

  • 2.10 Fuel Tank (check level and for leaks)

  • 2.11 Roll Over Protection Systems - ROPS (check for damage)

  • 2.12 Seatbelt Functioning

START ENGINE AND CHECK THE FOLLOWING

  • 3.1 Engine (does it sound normal)

  • 3.2 Instruments (check for normal readings)

  • 3.3 Exhaust System (check for leaks and excessive smoke)

  • 3.4 Wipers and Lights (spotlights, turn signals, etc.)

  • 3.5 Horn and Backup Alarm

  • 3.6 All Hydraulic Controls (normal operation - lift, tilt, etc.)

  • 3.8 Brakes (parking and service brakes)

  • 3.9 Steering Mechanism

  • 3.10 Battery, Electronics, and Instruments Functioning Properly

  • 3.11 Attachments (Forks, locking pins, carriage, mass or boom)

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.