Title Page

  • Document No.

  • Machine ID no:

  • Serial no:

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Logbook

  • Load chart

  • Angle meter

  • AML/LMI device panel

  • Overload alarm

  • Boom limit switch

  • Anti two block/over hoist limit switch

Rate the following from 1 to 5 (0 - Very bad) (5 - Very good)

  • Hoist brake

  • Slew brake

  • Track shoes

  • Track motor

  • Slew/Swing table

  • Hydraulic hoses

  • Battery

  • Radiator coolant

  • Fan belt

  • Engine filters

  • Air filter

  • Engine oil

  • Gear oil

  • Hydraulic oil

  • Diesel

  • Boom hoist assembly

  • Main hoist assembly

  • Aux hoist assembly

  • Main line wire rope

  • Aux line wire rope

  • Boom line wire rope

  • Boom structure

  • Terminal joint pins

  • Sheaves & Guards

  • Pendant wire

  • Boom stopper

  • Hook blocks

  • Others

Current Machine Photos

  • Front view

  • Back view

  • Left view

  • Right view

  • Servicemen Signature

  • Supervisor Signature

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.