RICE Companies

• Document No.

• Audit Title

• Site or job number

• Conducted on

  Date

• Conducted by

  Yes

  No

  N/A

General information

• Unit number

• Is the annual inspection up to date

  Yes

  No

  N/A

• Did you exercise the piece of equipment

  Yes

  No

  N/A

Controls

• Are all lights and horns working

  Yes

  No

  N/A

• Are emergency controls properly marked

  Yes

  No

  N/A

• Are boom controls working properly

  Yes

  No

  N/A

• Controls properly marked

  Yes

  No

  N/A

• Are lower controls working properly

  Yes

  No

  N/A

Engine compartment : Fuel, Oil, Coolant, Leaks.

• Current hour reading

• Hour reading on filters

• Fuel lines checked for leaks

  Yes

  No

  N/A

• Fuel level

• Hydraulic fluid level checked?

  Yes

  No

  N/A

• Oil level checked

  Yes

  No

  N/A

• Coolant Level checked

  Yes

  No

  N/A

• Air filter Checked

  Yes

  No

  N/A

• Is it free of noticeable leaks

  Yes

  No

  N/A

TIRES

• Are tires inflated to proper air pressure

  Yes

  No

  N/A

• Are tires foam filled

  Yes

  No

  N/A

• Are treads on tries adequate for use

  Yes

  No

  N/A

• Are lug nuts tight

  Yes

  No

  N/A

BASKET

• Guard Rails free of defects

  Yes

  No

  N/A

• Are tie off points free of defects

  Yes

  No

  N/A

• Is swing gate or drop bar working properly

  Yes

  No

  N/A

• Is basket clear of debris

  Yes

  No

  N/A

• Is signage properly posted and readable

  Yes

  No

  N/A

BOOM

• Any visible leaks or defects

  Yes

  No

  N/A

• Has grease been applied to zerks?

  Yes

  No

  N/A

• Wear pads have adequate padding left.

  Yes

  No

  N/A

Site conditions

• Are you aware of any excavations, holes, or possible cave in areas

  Yes

  No

  N/A

• Are you aware of any overhead obstructions or work being performed above

  Yes

  No

  N/A

• Are you aware of any power lines or electrical hazards

  Yes

  No

  N/A

• Are you aware of your swing radius

  Yes

  No

  N/A

• Are you aware of wind or possible weather conditions

  Yes

  No

  N/A

Inspected By :

• Add signature

  Sign

• Select date

  Date

• Add media

  Media