Information

  • Audit title:

  • Document No.

  • Conducted on:

  • Prepared by:

  • Location (Drop Pin for GPS & Address):

Equipment Status Assessment:

  • Equipment Operational Status:

Photos:

  • Please take photos of the front, rear, left, and right sides of the piece of equipment.

  • Please take photos of the hour meter.

Preventative Maintenance Schedule:

  • Service?

  • 250 Hour Service?

  • SOS enginer oil:

  • Change engine oil and filter:

  • Change fuel filter:

  • Clean primary fuel screen:

  • Clean fuel tank strainer / breather:

  • Check coolant level:

  • Level one coolant sample:

  • Blowout radiator a/c core:

  • Add coolant conditioner:

  • Check, clean and or replace filters:

  • Clean engine breather:

  • Drain fuel tank sediments:

  • Test starting aid:

  • Clean cabin air filters:

  • Check brake fluid reservoir:

  • Test brakes - service and parking:

  • Inspect and adjust fan belts as necessary:

  • Inspect batteries:

  • Inspect backup alarm:

  • Inspect seat belts:

  • Lubricate all fittings per operating and maintenance guide:

  • 500 Hour Service?

  • SOS engine oil:

  • Change the transmission filter:

  • Change hydraulic oil filters:

  • 1000 Hour Service?

  • Change transmission oil and filter:

  • Clean magnetic screen:

  • Inspect ROPS:

  • 2000 Hour Service?

  • Change hydraulic oil:

  • Change front / rear axle oil:

  • Change final drive oils:

  • Clean governor screen:

  • Inspect brakes:

  • 3000 Hour Service?

  • Change coolant (as needed):

TECHNICIAN'S NOTES:

  • Please enter any important information regarding the preventative maintenance service performed for this piece of equipment:

SIGNATURES:

  • Technician's 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.