PMEJCMS

• Client

• Job Number

• Conducted on

  Date

• Prepared by

• Location - verify location
  Address

GENERAL

• Equipment Make

• Equipment Model

• Equipment Serial Number

• Operating Hours

• Inspection Type

  90 Day

  Annual

• Equipment Photos - Overall

  Media

• Equipment Photos - Please take min 4 photos of equipment from different angles

INSPECTION

• 1. Logbook, serial plate, and operator manual

  OK

  Unsatisfactory

  Repaired

  N/A

• 1. Visual Inspection, Check Against Specification, Condition (wear, rust, damage, cracks, leaks etc)

• 2. Decals and safety labels

  OK

  Unsatisfactory

  Repaired

  N/A

• 2. Visual Inspection, Check Against Specification, Condition (wear ,rust, damage, cracks, leaks etc), Clean

• 3. Steps and gate

  OK

  Unsatisfactory

  Repaired

  N/A

• 3. Check Operation, Tightness/ Security, Condition (wear, rust, damage, cracks, leaks etc)

• 4. Work platform and rails

  OK

  Unsatisfactory

  Repaired

  N/A

• 4. Visual Inspection, Tightness/ Security, Condition (wear, rust, damage, cracks, leaks etc)

• 5. Slide out platform

  OK

  Unsatisfactory

  Repaired

  N/A

• 5. Visual Inspection, Check Operation, Condition (wear, rust, damage, cracks, leaks etc)

• 6. Scissor arms and safety prop

  OK

  Unsatisfactory

  Repaired

  N/A

• 6. Visual Inspection, Check Operation, Condition (wear, rust, damage, cracks, leaks etc), Lubricate

• 7. Pivot pins, keepers, and locking devices

  OK

  Unsatisfactory

  Repaired

  N/A

• 7. Visual Inspection, Tightness/ Security, Condition (wear, rust, damage, cracks, leaks etc)

• 8. Slide pads and rollers

  OK

  Unsatisfactory

  Repaired

  N/A

• 8. Visual Inspection, Check Operation, Tightness/ Security, Condition (wear, rust, damage, cracks, leaks etc), Lubricate

• 9. Lift cylinders

  OK

  Unsatisfactory

  Repaired

  N/A

• 9. Visual Inspection, Check Operation, Tightness/ Security, Condition (wear, rust, damage, cracks, leaks etc), Clean

• 10. Chassis

  OK

  Unsatisfactory

  Repaired

  N/A

• 10. Visual Inspection, Condition (wear, rust, damage, cracks, leaks etc)

• 11. Wheels and tyres

  OK

  Unsatisfactory

  Repaired

  N/A

• 11. Visual Inspection, Tightness/ Security, Check Against Specification, Condition (wear, rust, damage, cracks, leaks etc)

• 12. Drive motors

  OK

  Unsatisfactory

  Repaired

  N/A

• 12. Visual Inspection, Check Operation, Tightness/ Security, Condition (wear, rust, damage, cracks, leaks etc)

• 13. Brakes

  OK

  Unsatisfactory

  Repaired

  N/A

• 13. Visual Inspection, Check Operation, Tightness/ Security, Condition (wear, rust, damage, cracks, leaks etc)

• 14. Wheel bearings

  OK

  Unsatisfactory

  Repaired

  N/A

• 14. Visual Inspection, Tightness/ Security, Condition (wear, rust, damage, cracks, leaks etc), Clean, Lubricate (if due), Adjust

• 15. Free-wheeling valve

  OK

  Unsatisfactory

  Repaired

  N/A

• 15. Visual Inspection, Check Operation, Tightness/ Security, Condition (wear, rust, damage, cracks, leaks etc), Adjust

• 16. Steer pivots, tie rods

  OK

  Unsatisfactory

  Repaired

  N/A

• 16. Visual Inspection, Check Operation, Tightness/ Security, Condition (wear, rust, damage, cracks, leaks etc), Lubricate

• 17. Steer cylinders

  OK

  Unsatisfactory

  Repaired

  N/A

• 17. Visual Inspection, Check Operation, Tightness/ Security, Condition (wear, rust, damage, cracks, leaks etc), Clean

• 18. Outriggers

  OK

  Unsatisfactory

  Repaired

  N/A

• 18. Visual Inspection, Check Operation, Tightness/ Security, Check Level, Condition (wear, rust, damage, cracks, leaks etc)

• 19. Oscillating axle and lockout

  OK

  Unsatisfactory

  Repaired

  N/A

• 19. Visual Inspection, Check Operation, Tightness/ Security, Check Against Specification, Condition (wear, rust, damage, cracks, leaks etc), Lubricate

• 20. Pothole protection

  OK

  Unsatisfactory

  Repaired

  N/A

• 20. Check Operation, Tightness/ Security, Condition (wear, rust, damage, cracks, leaks etc)

• 21. Hoses and fittings

  OK

  Unsatisfactory

  Repaired

  N/A

• 21. Visual Inspection, Tightness/ Security, Condition (wear, rust, damage, cracks, leaks etc)

• 22. Clamps and cable ties

  OK

  Unsatisfactory

  Repaired

  N/A

• 22. Visual Inspection, Tightness/ Security, Condition (wear, rust, damage, cracks, leaks etc)

• 23. Pressure relief valves

  OK

  Unsatisfactory

  Repaired

  N/A

• 23. Check Operation, Tightness/ Security, Check Against Specification, Adjust

• 24. Function valves

  OK

  Unsatisfactory

  Repaired

  N/A

• 24. Check Operation, Tightness/ Security

• 25. Oil reservoir/hydraulic oil

  OK

  Unsatisfactory

  Repaired

  N/A

• 25. Visual Inspection, Check Level, Condition (wear, rust, damage, cracks, leaks etc), Replace (if due)

• 26. Hydraulic filter

  OK

  Unsatisfactory

  Repaired

  N/A

• 26. Visual Inspection, Tightness/ Security, Replace (if due)

• 27. Batteries and terminals

  OK

  Unsatisfactory

  Repaired

  N/A

• 27. Visual Inspection, Check Operation, Tightness/ Security, Check Level, Check Against Specification, Clean

• 28. Battery charger

  OK

  Unsatisfactory

  Repaired

  N/A

• 28. Visual Inspection, Check Operation, Tightness/ Security

• 29. Control wire harness

  OK

  Unsatisfactory

  Repaired

  N/A

• 29. Visual Inspection, Condition (wear, rust, damage, cracks, leaks etc)

• 30. Doors and covers

  OK

  Unsatisfactory

  Repaired

  N/A

• 30. Check Operation, Tightness/ Security, Condition (wear, rust, damage, cracks, leaks etc)

• 31. 24V motor and pump

  OK

  Unsatisfactory

  Repaired

  N/A

• 31. Visual Inspection, Check Operation, Tightness/ Security

• 32. Contactor and tips

  OK

  Unsatisfactory

  Repaired

  N/A

• 32. Visual Inspection, Check Operation

• 33. Engine and Pump

  OK

  Unsatisfactory

  Repaired

  N/A

• 33. Visual Inspection, Check Operation, Tightness/ Security, Condition (wear, rust, damage, cracks, leaks etc)

• 34. Starter motor

  OK

  Unsatisfactory

  Repaired

  N/A

• 34. Check Operation

• 35. Engine oil

  OK

  Unsatisfactory

  Repaired

  N/A

• 35. Check Level, Replace (if due)

• 36. Oil filter

  OK

  Unsatisfactory

  Repaired

  N/A

• 36. Tightness/ Security, Replace (if due)

• 37. Fuel filter

  OK

  Unsatisfactory

  Repaired

  N/A

• 37. Visual Inspection, Tightness/ Security, Replace (if due)

• 38. Air cleaner

  OK

  Unsatisfactory

  Repaired

  N/A

• 38. Tightness/ Security, Condition (wear, rust, damage, cracks, leaks etc), Clean, Replace (if due)

• 39. Spark plug

  OK

  Unsatisfactory

  Repaired

  N/A

• 39. Tightness/ Security, Check Against Specification, Condition (wear, rust, damage, cracks, leaks etc), Replace (if due)

• 40. Throttle and shutdown solenoids

  OK

  Unsatisfactory

  Repaired

  N/A

• 40. Check Operation, Tightness/ Security, Check Against Specification, Adjust

• 41. Engine mounts

  OK

  Unsatisfactory

  Repaired

  N/A

• 41. Tightness/ Security, Condition (wear, rust, damage, cracks, leaks etc)

• 42. Radiator and fan belt

  OK

  Unsatisfactory

  Repaired

  N/A

• 42. Tightness/ Security, Check Level, Check Against Specification, Condition (wear, rust, damage, cracks, leaks etc), Clean, Adjust, Replace (if due)

• 43. Start and emergency stop switches

  OK

  Unsatisfactory

  Repaired

  N/A

• 43. Visual Inspection, Check Operation, Tightness/ Security

• 44. Base/platform switch

  OK

  Unsatisfactory

  Repaired

  N/A

• 44. Visual Inspection, Check Operation

• 45. Control switches/levers (base)

  OK

  Unsatisfactory

  Repaired

  N/A

• 45. Visual Inspection, Tightness/ Security, Condition (wear, rust, damage, cracks, leaks etc)

• 46. Control switches/levers (platform)

  OK

  Unsatisfactory

  Repaired

  N/A

• 46. Visual Inspection, Tightness/ Security, Condition (wear, rust, damage, cracks, leaks etc)

• 47. Drive and steer controller

  OK

  Unsatisfactory

  Repaired

  N/A

• 47. Visual Inspection, Check Operation, Check Against Specifications

• 48. Horn

  OK

  Unsatisfactory

  Repaired

  N/A

• 48. Check Operation

• 49. Lights and buzzers

  OK

  Unsatisfactory

  Repaired

  N/A

• 49. Visual Inspection, Check Operation, Clean

• 50. Flashing light

  OK

  Unsatisfactory

  Repaired

  N/A

• 50. Visual Inspection, Check Operation

• 51. Motion alarm and lowering alarm

  OK

  Unsatisfactory

  Repaired

  N/A

• 51. Visual Inspection, Check Operation

• 52. Interlock switches, safety cut-outs

  OK

  Unsatisfactory

  Repaired

  N/A

• 52. Visual Inspection, Check Operation, Check Against Specification, Condition (wear, rust, damage, cracks, leaks etc)

• 53. Tilt sensor

  OK

  Unsatisfactory

  Repaired

  N/A

• 53. Visual Inspection, Check Operation, Check Level, Check Against Specification, Condition (wear, rust,damage, cracks, leaks etc)

• 54. Operating functions

  OK

  Unsatisfactory

  Repaired

  N/A

• 54. Check Operation, Adjust

• 55. Function speeds

  OK

  Unsatisfactory

  Repaired

  N/A

• 55. Check Against Specification

• 56. Emergency lowering

  OK

  Unsatisfactory

  Repaired

  N/A

• 56. Check Operation, Condition (wear, rust, damage, cracks, leaks etc)

• 57. Static strap

  OK

  Unsatisfactory

  Repaired

  N/A

• 57. Visual Inspection, Tightness/ Security, Condition (wear, rust, damage, cracks, leaks etc), Clean

• 58. 240 AC outlet and ELCB

  OK

  Unsatisfactory

  Repaired

  N/A

• 58. Visual Inspection, Check Operation, Condition (wear, rust, damage, cracks, leaks etc)

• 59. AC generator

  OK

  Unsatisfactory

  Repaired

  N/A

• 59. Check Operation, Tightness/ Security, Check Against Specification, Condition (wear, rust, damage, cracks, leaks etc)

• 60. Platform load sense system

  OK

  Unsatisfactory

  Repaired

  N/A

• 60. Check Operation, Check Against Specification

COMPLETION

• Service Technician - Name and Sign

  Sign