Title Page
-
Type of Inspection
-
Work Order Number
-
Machine Unit Number
-
Conducted on
-
Prepared by
-
Location
Engine Compartment
-
All fluid leveks ok
-
All engine belts ok
-
Radiator Clean
-
Note any Fluid Leaks
-
Next Service Due
-
Inspect engine bay wiring harness for any rubbing or damage
-
Any other issues found
Chassis
-
All headlights/work lights working properly
-
All Clearance lights & flashers working properly
-
Tail, brake & back up lights working properly
-
Back up alarm working properly
-
All wipers working properly
-
Washer fluid full, if not fill
-
All tire in good shape & inflated properly
-
Steps and grab rails in good condition
-
Storage compartments clean and stocked
-
Is Machine clean
-
Photos of 4 sides of machine
-
Hydraulic level full- Note gallons used if applicable
-
Inspect wiring harness for any rubbing or damages
-
Any other issues found
Cab
-
Machine Hours
-
Fuel Tank Full- Note gallons required to fill
-
DEF tank full- Note gallons required to fill
-
All keys present
-
Daily Inspection book present
-
Fire extinguisher present & current
-
First aid kit included and stocked
-
Operating Manuals included and complete
-
Pictures of manuals
-
Attachment manuals for job in cab
-
Pictures of manuals
-
Heater & A/C operating properly
-
Annual inspection current
-
Date of last Inspection
-
Date of last inspection
-
Date inspection is Due
-
Pictures of inside of cab
-
Any other issues found
Controls
-
All controls operating properly
-
Outriggers function properly & free of damage
-
Capacity alert/LMI system operating properly
-
Remote control operating properly and spare battery present
-
Any other issues found
Boom
-
Boom lubricated
-
Chains tension accordingly
-
Chains Lubricated
-
Attachment pin and locking pin installed
-
Grease Zerks inside and outside of boom lubricated
-
Standard fork carriage in good working condition
-
Picture of forks
-
Any other issues found
Blue Hat Add-ons
-
Slow moving vehicle sign
-
2 grease guns, one for boom and one for all other grease points
-
2 extra tubes of each type of grease
-
key box present with extra set of keys
-
Equipment number stickers
-
Warning stickers for attachments
-
Holder for manuals
-
Block heater installed and working
-
Any other issues found
Signature
-
Add signature
