Title Page

  • Type of Inspection

  • Work Order Number

  • Machine Unit Number

  • Conducted on

  • Prepared by

  • Location

Engine Compartment

  • All fluid levels OK

  • All engine belts OK

  • Radiator clean

  • Note any fluid leaks

  • Next Service Due

  • Any other issues found

Chassis

  • All headlights/work lights working properly

  • All clearance lights & flashers working properly

  • Tail, brake and back up lights working properly

  • Back up alarm working properly

  • All wipers and washers working properly

  • All tires in good shape and inflated properly

  • Steps and grab rails in straight and in good condition

  • Storage compartments clean

  • Is crane clean

  • Hydraulic Level full- Note gallons to fill

  • Photos of crane

  • Any other issues found

Cab

  • Hour meter reading

  • Fuel tank full- Note gallons to fill

  • DEF tank full- Note gallons to fill

  • Daily inspection book present

  • All keys present for machine including tool box

  • Cab, roof and body free of damage

  • Fire extinguisher present and current

  • First aid kit included and complete

  • Operators manual present and complete

  • Load charts present and legible

  • Annual inspection current and date of last

  • Heater & A/C operating properly

  • Wipers operating properly

  • Washer fluid level full- Note amount to fill

  • Any other issues found

Boom

  • Headache ball & latch present

  • Picture of headache ball tag & hook

  • Load block & hook latch present

  • Picture of load block tag and hook

  • Boom head & aux sheaves in good working order and free of damage

  • Pictures of boom head and aux sheaves

  • Cable retainer pins and safety pins included and free of damage

  • Jib included and free of defects

  • Pictures of jib

  • Boom lubricated and free of damage

  • Pictures of Boom

  • Boom wear pads, mounting bolts and shims in place and free of damage

  • No hydraulic leaks present from telescoping cylinder or boom cylinder

  • Any other issues found

Controls

  • All controls operating properly

  • Outriggers function properly and free of damage

  • Anti-two block working properly

  • LMI system operating properly

  • Wind meter operating properly

  • Bubble level adjusted properly and free of damage

  • Pictures of inside of cab

  • Any other issues found

Load lines

  • Main cable free of damage

  • Pictures of main cable

  • Aux cable free of damage

  • Pictures of aux cable

  • Cables lubricated properly

  • Aux and main cables are the proper length

  • Load line attachments free of defects or damage (becket, clamp pins, safety pins, tail loops, etc..)

  • Any other issues found

Signature

  • Add signature

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.