Skid Steer Maintenance Planner

• Document No.

• Audit Title

• Vin Number

• Hour meter

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

Exterior

• Walk around the Skid Steer

  Safe

  At Risk

  N/A

• Windshields and mirrors clear and free of cracks

  Yes

  No

  N/A

• Leaks

  No

  Yes

• Hoses

  Safe

  At Risk

  N/A

• Tires

  Good

  Needs improvement

  Bad

• Tire condition

  Select Bald Not inflated properly

  • Bald
  • Not inflated properly

• Rims & lugs

  Good

  Needs improvement

  Bad

• Warning stickers

  Yes

  No

  N/A

Engine compartment

• Coolant level

  Full

  Less than full

  Empty

• Hydraulic reservoir oil level

  Full

  Less than full

  Empty

• Engine oil level

  Full

  Less than full

  Empty

• Engine belts

  Safe

  At Risk

  N/A

• Battery terminals

  Good

  Needs improvement

  Bad

• Loose

• Rusty

• Wires exposed

• Safety Decals in place

  Yes

  No

  N/A

Interior

• Door and door handles

  Good

  Needs improvement

  Bad

• Seat in good condition

  Yes

  No

  N/A

• Safety bar present and working

  Yes

  No

  N/A

• Windows working properly

  Yes

  No

  N/A

• Control decals present

  Yes

  No

  N/A

• Fuel level

• Working lights

  Yes

  No

  N/A

Lubrication

• All pins lubricated?

  Yes

  No

  N/A

• Broken pins?

  No

  Yes

Functionality

• All gauges working good

  Yes

  No

  N/A

• Brakes working properly

  Yes

  No

  N/A

• Back up alarm working properly

  Yes

  No

  N/A

• I hereby certify that all information is accurate and that an actual inspection was conducted

• Auditor's printed name and signature

  Sign