Pre-Shift Inspection

• Conducted on

  Date

• Prepared by

• Location
  Address

• Unit number

Fluid Levels

• Engine Oil Level

  OK

  Not OK

  N/A

• Quantity Added

• Coolant Level

  OK

  Not OK

  N/A

• Quantity Added

• Transmission Oil Level

  OK

  Not OK

  N/A

• Quantity Added

• Hydraulic Oil Level

  OK

  Not OK

  N/A

• Quantity Added

Condition of Equipment

• Slide to denote condition of equipment on a scale of 1-10 with 5 being average.

• Condition of Coolant Hoses

• Take a photo of the issue.

  Media

• Condition and Adjustment of Belts

• Take a photo of the issue.

  Media

• Air Filter Restriction

• Report this IMMEDIATELY to supervisor.

• Condition of Batteries and Cables

• Take a photo of the issue

  Media

• Condition of Hydraulic Hoses

• Take a photo of the issue.

  Media

• Are there any leaks?

  Yes

  No

  N/A

• IMMEDIATELY notify your supervisor.

• Take a photo of the issue.

  Media

• Tires, Wheels and Chains.

• IMMEDIATELY notify your supervisor

• Take a photo of the issue.

  Media

• Wheel lugs & locks

• Take a photo of the issue.

  Media

• Track Rollers

• Take a photo of the issue.

  Media

• Track Chains and Sprockets

• Take a photo of the issue.

  Media

• Tack Adjustment

• Take a picture of the issue.

  Media

• Bucket/Blade

• Take a photo of the issue.

  Media

• Cutting Edges/Teeth

• Take a photo of the issue.

  Media

• Has the machine been adequately greased

  Yes

  No

  N/A

• Are there any structural cracks?

  Yes

  No

  N/A

• Take a photo of the issue.

  Media

• IMMEDIATELY notify your supervisor

• Is there any missing or loose hardware?

  Yes

  No

  N/A

• Take a photo of the issue.

  Media

• IMMEDIATELY notify your supervisor.

• Is the operators Manual Available?

  Yes

  No

  N/A

• Is the seat belt in good condition

  Yes

  No

  N/A

• Take a photo of the issue

  Media

• IMMEDIATELY notify your supervisor.

• Is the fire extinguisher charged?

  Yes

  No

  N/A

• Take a photo of the issue.

  Media

• IMMEDIATELY notify your supervisor

• Is the pin in place on the fire exgtinguisher?

  Yes

  No

  N/A

• Take a photo of the issue.

  Media

• IMMEDIATELY notify your supervisor.

• Are all glass and mirrors in good condtition

  Yes

  No

  N/A

• Take a photo of the issue

  Media

• IMMEDIATELY notify your supervisor.

• Do the wipers and washer fluid work?

  Yes

  No

  N/A

• IMMEDIATELY notify your supervisor.

• Does the back-up alarm work?

  Yes

  No

  N/A

• IMMEDIATELY notify your supervisor

• Does the horn work?

  Yes

  No

  N/A

• IMMEDIATELY notify your supervisor.

• Does the equipment have a back up camera?

  Yes

  No

  N/A

• Does the backup camera work?

  Yes

  No

  N/A

• Does the service brake work?

  Yes

  No

  N/A

• IMMEDIATELY notify your supervisor.

• What is the problem?

• Does the Park Brake work?

  Yes

  No

  N/A

• IMMEDIATELY notify your supervisor.

• What is the problem?

• Do all steering components function properly?

  Yes

  No

  N/A

• IMMEDIATELY notify your supervisor.

• What is the problem?

• Do the auxiliary steering and brakes function?

  Yes

  No

  N/A

• IMMEDIATELY notify your supervisor.

• What is the problem?

• Are all controls working properly?

  Yes

  No

  N/A

• IMMEDIATELY notify your supervisor.

• What is the problem?

• Are all Guages working properly?

  Yes

  No

  N/A

• IMMEDIATELY notify your supervisor.

• What is the problem?

• Do all lights flashers and beacons work?

  Yes

  No

  N/A

• IMMEDIATELY notify your supervisor.

• What is the problem?

• How clean is the cab?

• Take a photo of the problem.

  Media

• Clean the cab

• Are the ladders, steps, and ROPS in good condition?

  Yes

  No

  N/A

• Take a photo of the issue.

  Media

• IMMEDIATELY notify your supervisor.

• Do all climate control systems work?

  Yes

  No

  N/A

• Describe the problem.

• Am I a good equipment operator?

  Yes

  No

  N/A

• Am I going to operate this equipment properly?

  Yes

  No

  N/A

• Am I doing my part to maintain this equipment?

  Yes

  No

  N/A

• Notes about this unit

• What will make this job better?

• I conducted this pre-shift honestly and properly.

  Sign