Title Page

  • Conducted on

  • Prepared by

  • Employee ID

  • Ramp

  • Elevation

  • Location
  • Shift

  • Equipment number

  • Starting miles

Pre-Op Inspection

  • Which of these sections do you need to complete?

MOBILE EQUIPMENT

  • Fire Extinguishers & Suppression

  • Tires, Wheels, Studs

  • Engine Oil

  • Hydraulic Oil

  • Transmission Oil

  • Gauges, Warning Systems & Horn

  • Housekeeping

  • Radio

  • Lights

  • Seat Belt

  • Test Service Brake

  • Steering

LOADERS/JAMMERS

  • Primary Steering Lock

  • Secondary Steering Lock

  • Dump Cylinder

  • Grease Pin

  • Ground Engaging Tools

  • Remote Tools (if applicable)

JUMBOS/BOLTERS

  • Grease Drill

  • Fill Lubricators

  • Left Boom

  • Right Boom

SCISSOR TRUCK/MANLIFTS/POWDER TRUCK

  • Railing/Toeboard

  • Jacks

  • Any other necessary fall protection

  • Doors/Latches

Signature

  • Signature

Post OP Inspection

  • Ending Miles

  • Any windshield cracks?

  • Where are the new windshield cracks?

  • Any leaks?

  • Where are the new leaks?

  • Any other issues?

  • Please describe the issue

  • 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.