MU 506

• Truck #

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  • 503
  • 504
  • 505
  • 506
  • 507
  • 508
  • 510
  • 513
  • 516
  • 517
  • 518
  • 524
  • 526
  • 527
  • 528
  • 529
  • 531
  • 533
  • 534
  • 536
  • 537

• Miles

• Hours / PTO

• Inspected by

  Sign

Weekly - Vehicle Inspection

• Engine oil level

  OK

  NOT OK

  N/A

• Engine coolant level

  OK

  NOT OK

  N/A

• Hydraulic oil level

  OK

  NOT OK

  N/A

• Washer fluid

  OK

  NOT OK

  N/A

• Headlights

  OK

  NOT OK

  N/A

• Turn signals

  OK

  NOT OK

  N/A

• 4 way flashers

  OK

  NOT OK

  N/A

• Running lights

  OK

  NOT OK

  N/A

• Tail lights

  OK

  NOT OK

  N/A

• Back up lights

  OK

  NOT OK

  N/A

• Back up alarm

  OK

  NOT OK

  N/A

• Brake lights

  OK

  NOT OK

  N/A

• Beacon

  OK

  NOT OK

  N/A

• Brakes

  OK

  NOT OK

  N/A

• Emergency brake

  OK

  NOT OK

  N/A

• Horn

  OK

  NOT OK

  N/A

• Radio check

  OK

  NOT OK

  N/A

Other items requiring repair

• Work required

• Work required

  Media

Monthly Vehicle Inspection

• Brake fluid level

  OK

  NOT OK

  N/A

• Power steering fluid level

  OK

  NOT OK

  N/A

• Auto transmission fluid (engine running

  OK

  NOT OK

  N/A

• Engine belts-condition

  OK

  NOT OK

  N/A

• Coolant hoses-condition

  OK

  NOT OK

  N/A

• Battery

  OK

  NOT OK

  N/A

• Air filter

  OK

  NOT OK

  N/A

• Windshield wipers

  OK

  NOT OK

  N/A

• Fire extinguisher

  OK

  NOT OK

  N/A

• First Aid kit

  OK

  NOT OK

  N/A

• Tires (air pressure)

  OK

  NOT OK

  N/A

• Grease all fittings: (boom torsion bars, stiff legs, PTO, etc.)

  OK

  NOT OK

  N/A

• Note any significant leaks; engine oil, engine coolant, hydraulic, transmission, differential, etc.

Monthly Boom Truck Inspection or Digger Truck Inspection

• Hydraulic pump

• Noisy

  OK

  NOT OK

  N/A

• Leaks

  OK

  NOT OK

  N/A

• Lever

  OK

  NOT OK

  N/A

• Turret

• Condition

  OK

  NOT OK

  N/A

• Mounting bolts

  OK

  NOT OK

  N/A

• Leaks

  OK

  NOT OK

  N/A

• Adjustment

  OK

  NOT OK

  N/A

• Seals

  OK

  NOT OK

  N/A

• Lubricant

  OK

  NOT OK

  N/A

• Lower controls

  OK

  NOT OK

  N/A

• Remote control (Digger)

  OK

  NOT OK

  N/A

• Battery (Digger)

  OK

  NOT OK

  N/A

• Outriggers

• Operation

  OK

  NOT OK

  N/A

• Leaks

  OK

  NOT OK

  N/A

• Greased

  OK

  NOT OK

  N/A

• Condition

  OK

  NOT OK

  N/A

• Winches

• Leaks

  OK

  NOT OK

  N/A

• Lubrication

  OK

  NOT OK

  N/A

• Operation

  OK

  NOT OK

  N/A

• Cable/rope

  OK

  NOT OK

  N/A

• Lower boom

• Condition

  OK

  NOT OK

  N/A

• Pivot pin

  OK

  NOT OK

  N/A

• Bushings

  OK

  NOT OK

  N/A

• Welds

  OK

  NOT OK

  N/A

• Rollers

  OK

  NOT OK

  N/A

• Lubrication

  OK

  NOT OK

  N/A

• Hoses

  OK

  NOT OK

  N/A

• Cylinders

  OK

  NOT OK

  N/A

• Check valves

  OK

  NOT OK

  N/A

• Leveling chain

  OK

  NOT OK

  N/A

• Upper boom

• Condition

  OK

  NOT OK

  N/A

• Pivot pin

  OK

  NOT OK

  N/A

• Bushings

  OK

  NOT OK

  N/A

• Lubrication

  OK

  NOT OK

  N/A

• Hoses

  OK

  NOT OK

  N/A

• Lift Cable

  OK

  NOT OK

  N/A

• Cylinders

  OK

  NOT OK

  N/A

• Check valves

  OK

  NOT OK

  N/A

• Welds

  OK

  NOT OK

  N/A

• Bucket

• Clean

  OK

  NOT OK

  N/A

• Condition

  OK

  NOT OK

  N/A

• Safety belts

  OK

  NOT OK

  N/A

• Upper controls

• Leaks

  OK

  NOT OK

  N/A

• Hoses

  OK

  NOT OK

  N/A

• Operation

  OK

  NOT OK

  N/A

• Tool circuit

  OK

  NOT OK

  N/A

• Fiber glass extension

• Sheave

  OK

  NOT OK

  N/A

• Pins

  OK

  NOT OK

  N/A

• Condition

  OK

  NOT OK

  N/A

• Other equipment

• Hot sticks

  OK

  NOT OK

  N/A

• Slings

  OK

  NOT OK

  N/A

• Hoists

  OK

  NOT OK

  N/A

• Chain saw

  OK

  NOT OK

  N/A

• Log chain

  OK

  NOT OK

  N/A

• Oil cleanup kit

  OK

  NOT OK

  N/A

• Wool blanket

  OK

  NOT OK

  N/A

• First Aid Kit

• 1 - 24" x 36" body towel

  OK

  NOT OK

  N/A

• 1 - 3" x 36" wrap

  OK

  NOT OK

  N/A

• 1 - 14" x 18" face mask

  OK

  NOT OK

  N/A

• 1 - face mask with splash guard

  OK

  NOT OK

  N/A

• 2 - anti-microbial hand wipes

  OK

  NOT OK

  N/A

• 1 - Bacitracin ointment

  OK

  NOT OK

  N/A

• 4 - pair gloves

  OK

  NOT OK

  N/A

• 2 - rescue breather

  OK

  NOT OK

  N/A

• 1 - cold pack

  OK

  NOT OK

  N/A

• 1 - eye wash solution

  OK

  NOT OK

  N/A

• 2 - wire splint

  OK

  NOT OK

  N/A

• 1 - scissors and forceps

  OK

  NOT OK

  N/A

• 1 - sting-kill wipes

  OK

  NOT OK

  N/A

• 1 - green soap wipes

  OK

  NOT OK

  N/A

• 1 - triangular bandage

  OK

  NOT OK

  N/A

• 1 - 4" offset bandage compress

  OK

  NOT OK

  N/A

• 1 - 3" offset bandage compress

  OK

  NOT OK

  N/A

• 1 - 2" offset bandage compress

  OK

  NOT OK

  N/A

• 1 - knuckle bands

  OK

  NOT OK

  N/A

• 1 - fingertip bandages

  OK

  NOT OK

  N/A

• 1 - 1" x 3" adhesive brandage

  OK

  NOT OK

  N/A

• 1 - AED

  OK

  NOT OK

  N/A

• 1 - blood borne pathogens kit

  OK

  NOT OK

  N/A

• Comments