Plocher Heavy Equipment Daily Inspection

• Inspection Date and Time

  Date

• Equipment Type

• Unit

• Prepared by

• Location
  Address

Heavy-Equipment Checklist

• Tires and tracks

  Good

  Need Repair

  N/A

• Hydraulic oil

  Good

  Need Repair

  N/A

• Hose condiution

  Good

  Need Repair

  N/A

• Oil leak/lube

  Good

  Need Repair

  N/A

• Cab, mirrors, seat belt and glass

  Good

  Need Repair

  N/A

• Horn and gauges

  Good

  Need Repair

  N/A

• Lights

  Good

  Need Repair

  N/A

• Turn signals

  Good

  Need Repair

  N/A

• Backup lights and alarm

  Good

  Need Repair

  N/A

• Brake condition (dynamic service, park, etc.)

  Good

  Need Repair

  N/A

• Fire extinguisher condition

  Good

  Need Repair

  N/A

• Engine oil

  Good

  Need Repair

  N/A

• Transmission fluid

  Good

  Need Repair

  N/A

• Brake fluid

  Good

  Need Repair

  N/A

• Cooling system fluid

  Good

  Need Repair

  N/A

• Windshield wipers and fluid

  Good

  Need Repair

  N/A

• Coupling devices and connectors

  Good

  Need Repair

  N/A

• Exhaust system

  Good

  Need Repair

  N/A

• Blade/boom/ripper condition

  Good

  Need Repair

  N/A

• Ground engaging attachments

  Good

  Need Repair

  N/A

• Frame, ladder(s) and walkway

  Good

  Need Repair

  N/A

• Hand grabs and steps

  Good

  Need Repair

  N/A

• Power cable and/or hoist cable(s)

  Good

  Need Repair

  N/A

• Steering(standard and emergency)

  Good

  Need Repair

  N/A

Additional Inspection Required Prior to use on Site

• Does equipment emit noise levels above 90 decibels?

  Yes

  No

• If so, has an 8-hour noise dosimetry test been performed?

  Yes

  No

• Document result of noise dosimetry

• Maintenance Completed

Completion

• General Safety Condition

• Operator/Mechanic (Name and Signature)

  Sign