MI JACK DAILY INSPECTION

• Site conducted

  Select

• Conducted on

  Date

• Prepared by

• Signiture

  Sign
• Location
  Address

• IF ANY ITEMS ARE MARKED "FAIL" PICTURE REQUIRED OF ITEMS IN QUESTION.

• Tire Condition

  Pass

  Fail

  N/A

• Fuel Diesel

  Pass

  Fail

  N/A

• Hydraulic Controls (Leaks)

  Pass

  Fail

  N/A

• Engine Leaks

  Pass

  Fail

  N/A

• Hydraulic Oil Level

  Pass

  Fail

  N/A

• Engine Oil Level

  Pass

  Fail

  N/A

• Fire Extinguisher with valid inspection tag

  Pass

  Fail

  N/A

• Name Plates legiable

  Pass

  Fail

  N/A

• Lights in working order

  Pass

  Fail

  N/A

• No warning lights

  Pass

  Fail

  N/A

• Battery in good condition

  Pass

  Fail

  N/A

• Seatbelts opeational

  Pass

  Fail

  N/A

• Mirrors function as designed

  Pass

  Fail

  N/A

• Horn operational

  Pass

  Fail

  N/A

• Steering functions as designed

  Pass

  Fail

  N/A

• Parking Brake functions as designed

  Pass

  Fail

  N/A

• Forward movement

  Pass

  Fail

  N/A

• Reverse movement

  Pass

  Fail

  N/A

Rigging Compoents

• Slings free of tears/exposed fibers.

  Yes

  No

  N/A

• ID Tags present and legable

  Yes

  No

  N/A

• Shackles in good condition

  Yes

  No

  N/A

• Additional Pictures or comments