Skid Steer Pre-Operation Inspection
Jobsite:
Date of Inspection:
Date
Make and Model: (take photo of machine)
Media
Project Superintendent(s):
Operator Name:
Prepared By:
BEFORE STARTING THE ENGINE
Has the operator been instructed in the safe operation of this specific equipment?
Pass
Fail
Fail But Corrected
Not Applicable
Ensure Annual Inspection has been completed within the last 13 months.
Pass
Fail
Fail But Corrected
Not Applicable
Safety Devices/Decals - Work properly/Clean/Damage
Pass
Fail
Fail But Corrected
Not Applicable
Floorboard free of debris and garbage
Pass
Fail
Fail But Corrected
Not Applicable
Chassis - Lubricate/Damage
Pass
Fail
Fail But Corrected
Not Applicable
Coolant System - Level/Leaks/Damage
Pass
Fail
Fail But Corrected
Not Applicable
Engine Oil - Level/Leaks/Damage
Pass
Fail
Fail But Corrected
Not Applicable
Foot Pedals - Clean/Debris/Damage
Pass
Fail
Fail But Corrected
Not Applicable
Fuel System - Level/Moisture/Damage
Pass
Fail
Fail But Corrected
Not Applicable
Fuel Filter - Indicator/Clean
Pass
Fail
Fail But Corrected
Not Applicable
Hydraulic System - Level/Leaks/Damage
Pass
Fail
Fail But Corrected
Not Applicable
Levers - Clean/Damage
Pass
Fail
Fail But Corrected
Not Applicable
Operator Cab - Clean/Manuals/Damage
Pass
Fail
Fail But Corrected
Not Applicable
Wheels/Tires/ Tracks - Pressure/Nuts/Wear/Damage Missing / Lose Tracks
ENGINE START UP
Overhead cage and seat condition?
Pass
Fail
Fail But Corrected
Not Applicable
Backup Alarm - Audible
Pass
Fail
Fail But Corrected
Not Applicable
Inspect inner & outer air filters
Pass
Fail
Fail But Corrected
Not Applicable
Check for battery secured, terminals, condition, leaks
Pass
Fail
Fail But Corrected
Not Applicable
Controls (travel) Steering - Forward/Reverse Right/Left
Pass
Fail
Fail But Corrected
Not Applicable
Engine - Sounds Normal
Pass
Fail
Fail But Corrected
Not Applicable
DEF Fluid Level
Pass
Fail
Fail But Corrected
Not Applicable
Controls (Lift Arm) - Raise/Lower Return to Neutral Position
Pass
Fail
Fail But Corrected
Not Applicable
Check the condition of the fan belt
Pass
Fail
Fail But Corrected
Not Applicable
Instrumentation - Operating Normal/Warnings
Pass
Fail
Fail But Corrected
Not Applicable
Open engine door and use pin to secure door from closing
Pass
Fail
Fail But Corrected
Not Applicable
Free from obvious leaks?
Pass
Fail
Fail But Corrected
Not Applicable
Condition of attachments?
Pass
Fail
Fail But Corrected
Not Applicable
Inspect blade, bolts, nuts, pins & locking bolts & nuts
Pass
Fail
Fail But Corrected
Not Applicable
Inspect radiator fins, leaks, overall condition
Pass
Fail
Fail But Corrected
Not Applicable
Mirrors cracked or missing?
Pass
Fail
Fail But Corrected
Not Applicable
Verify horizontal locking pins are in place for the 4 in 1 bucket
Pass
Fail
Fail But Corrected
Not Applicable
Controls are clearly marked?
Pass
Fail
Fail But Corrected
Not Applicable
INSIDE THE CAB
Engine fuel level
Seatbelt working properly?
Pass
Fail
Fail But Corrected
Not Applicable
Horn working?
Pass
Fail
Fail But Corrected
Not Applicable
Lights (Headlight, Marker, Taillight, Rotator,) strobe are working?
Pass
Fail
Fail But Corrected
Not Applicable
Independent Parking/Secondary Brake
Pass
Fail
Fail But Corrected
Not Applicable
Check tab on emergency window in back
Pass
Fail
Fail But Corrected
Not Applicable
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Thomas Isola
SKID STEER PRE-OPERATION INSPECTION
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