Title Page

  • Conducted on

  • Prepared by

  • Location
  • Customer:

  • Well Name:

  • Asset Number:

  • Owned or Rental? If rental, who does the equipment belong to?

  • Select date

  • Add location
  • Engine Oil Level at an acceptable level?

  • Battery and Electrical Connections Checked?

  • Fuel Level and Fuel Connections Checked?

  • Belt Guard Bolts Checked?

  • Oil Level Checked in Triplex Pump

  • Air Filter Checked?

  • All 4 Way Valve Handles Checked?

  • All Tubing and Piping Checked For Damage?

  • All Signs and 4-Way Valve Locks Checked?

  • Y-Strainers Checked?

  • Hydraulic Tank Level Checked?

  • Ensure Bypass Valves are in Normal Operations

  • Engine Started and Unit Pressure Tested?

  • Check Accumulator Gauge For Precharge in Bottles 1,000 PSI

  • Check Unit Shuts Off at 3,000 PSI

  • Unit External Leaks?

  • Check Regulator Set Pressure at 1,000.

  • Function Test all 4 Way Valves. Open and Close

  • Check Relief Valves for Leaks

  • Other Information that Requires Attention Not Listed On This Check List

  • I agree this inspection as completed to the best of my abilities.

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