Shames Construction Pre-Start Equipment Checklist

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

Equipment Type

• Skid Steer - Fork Lift - Water Truck - Skip Loader

  Skip Loader

  Water Truck

  Skid Steer

  Fork Lift

Exterior of Machine

• Windows?

  Good

  Needs Repair

• Mirrors?

  Good

  Needs Repair

• Windshield Wipers?

  Good

  Needs Replacement

  N/A

• Forks or Bucket?

  Good

  Needs Repair

• Warning Labels?

  Good

  Needs Repair

• Tires?

  Good

  Needs Replacement

  Needs Air

• Wheels?

  Good

  Needs Repair

• Differentials?

  Good

  Needs Repair

• Guards and Covers?

  Good

  Needs Repair

• Steps and Hand Rails?

  Good

  Needs Replacement

  N/A

• Stabilizer Arms, Cylinders, Pads (Look for leaks, missing bolts, damage)

  Good

  Needs Repair

• Battery and Terminals? (Corrosion, water level, cable frays).

  Good

  Needs Repair

• Overall appearance of equipment (Look for missing bolts, nuts, guards, dents, scratches, cleanliness)

  Good

  Needs Repair

Engine Compartment

• Engine Coolant?

  Good

  Needs Coolant Added

• Engine oil level?

  Good

  Needs Oil Change

  Needs Oil Added

• Hydraulic Oil?

  Good

  Needs Oil Added

• Air Filter? (Look for clocked filter or heavy dust build up that can be blown free)

  Good

  Needs Replacement

  Needs Blown Out

• Radiator Hoses? (Look for blockage, leaks, cleanliness, condition of hose)

  Good

  Needs Replaced

  Needs New Hose Clamps

• ALL Belts (tightness, wear, cracks, delamination)

  Good

  Needs Repair

• Overall Engine Compartment? (Look for trash, grease rags, dirt build-up, leaks)

  Good

  Needs Repair

Interior Of Cab

• ROPS & FOPS

  Good

  Needs Repair

• Seat (look for damage, adjustability)

  Good

  Needs Repair

• Seat Belt & Mounting (look for damage, wear, adjustability)

  Yes

  No

  N/A

• Fire Extinguisher? (Is it charged, damaged, inspection tag with date, manufacturers date)

  Good

  Needs Repair

• Horn, Back-Up Alarm, Lights & Wiper (Look for functionality)

  Good

  Needs Repair

• Controls and Gauges (Look for function and cleanliness)

  Good

  Needs Repair

• Overall Condition of Cab (look for trash, and cleanliness)

  Good

  Needs Cleaned

• Signature of Shames Employee Conducting Inspection

  Sign