Title Page
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Equipment Name or Number
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Hour Meter
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Conducted on
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Weather Conditions
- Wind
- Heat
- Cold
- Clear Sky
- Cloudy
- Rain
- Snow
- Frost
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Maximum Wind Gusts Expected During Shift
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Maximum Temperature Expected During Shift
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Minimum Temperature Expected During Shift
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Job Name
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Location
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Superintendent
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On site at the time of the inspection?
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Foreman
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On site at the time of the inspection?
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Document Number
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Important: The information on this check list is a non-exhaustive overview. The manufacturer's guidelines and recommendation MUST be reviewed and followed.
Inspection Details
Inspection Details
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Power Off Checklist
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Wheels/Tires
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Lights/Strobes
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Engine/Battery Inspected
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Cover Panels/Guards
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Belts/Hoses
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Air Filter
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Battery (Dry/Clean/Secure)
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Wires/Cables/Terminals
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Fluids
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Engine Oil
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Coolant
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Hydraulic
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Transmission
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Brake
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Fuel
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Hydraulic Components
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Cylinders
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Lines
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Fittings
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Overhead Guard
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Counterweight
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Door/Gate/Window/Screen
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Mirrors
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Mast/Boom
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Attachments
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Fire Extinguisher
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Manual
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Capacity Plate/Load Charts/Decals
Inspection Details
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Power On Checklist
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Unit Starts & Runs Properly
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Instruments/Warning Indicators
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Horn & Audible Warning Devices
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Function Controls
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Drive
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Sterring
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Braking
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Park Brake
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Frame Level/Outrigger
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Mast/Boom Operation
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Jib/Carriage/Platform/Attachments
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Emergency Functions
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Seatbelt/PFAS/Anchor Points
Inspection Details
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General Conditions Checklist
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Ground & Surface Conditions
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Energized Powerlines
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Overhead Obstructions
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Pedestrian & Vehicle Traffic
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Weather Conditions
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Comments:
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Additional Photos
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Signature