Thorough Examination Report

• This checklist should be followed when carrying out a thorough examination of a crawler excavator.
  Where the thorough examination reveals items in a satisfactory condition, record a tick in the "Pass." column.
  Where a defect is identified, record a cross in the "Fail." column and the details of the defect on the Thorough Examination Defect Summary Report.
  Other defects affecting the safety of the equipment which are not listed on this form should also be recorded on the Thorough Examination Defect Summary Report

• Competent Person

• Order No

• Customer

• Location
  Address

• Date and Time

  Date

• Document Number

• Make Model

• Serial Number

• Year Of manufacture

• Machine Hours – Mileage

• Boom Length (M)

• Dipper Length (m)

• Track Pad

  Steel

  Rubber

  Pads

• Track Pad size

• Quick hitch

  Yes

  No

• Quick Hitch make

• Serial Number

• Has the quick hitch been adopted by the machine

  Yes ( 12mth inspection)

  No (6mth inspection)

1. Access and egress

• Access steps and handrails secure and free from damage and excessive corrosion

  Pass

  Fail

  N/A

• Treads on access steps free from excessive wear

  Pass

  Fail

  N/A

• Access steps or handrails free from any non-approved repair or modification

  Pass

  Fail

  N/A

2. Oil and other fluids

• Fluid levels correct, e.g. engine oil, coolant, hydraulic oil, etc

  Pass

  Fail

  N/A

• Fluids for evidence of contamination, e.g. water in oil, etc.

  Pass

  Fail

  N/A

• Machine servicing up to date

  Pass

  Fail

  N/A

3. Covers and guards

• Fan and drive belt guards in position, secure and free from damage

  Pass

  Fail

  N/A

• All machine panels and guards in position, secure and free from damage

  Pass

  Fail

  N/A

4. Windscreen and cab windows

• Windscreen free from cracks or scratches which obscure operator’s field of view

  Pass

  Fail

  N/A

• Other cab windows free from damage

  Pass

  Fail

  N/A

• Emergency Egress compliant (removable cab guards ect)

  Pass

  Fail

  N/A

5 Operator’s seat and restraint belt

• Operators restraint belt free from defects or damage

  Pass

  Fail

  N/A

• Seat mounting bolts in place and secure

  Pass

  Fail

  N/A

• Operators restraint belt anchors secure

  Pass

  Fail

  N/A

• Operator’s seat suspension mechanism free from defects or damage

  Pass

  Fail

  N/A

6. Lights, beacon, horn

• All lights [brake lights, headlights, etc. (free from damage and function correctly)

  Pass

  Fail

  N/A

• Horn functions correctly

  Pass

  Fail

  N/A

• Seat belt beacon working

  Pass

  Fail

  N/A

• Quick hitch warning beacon (if fitted)

  Pass

  Fail

  N/A

7. Visibility aids

• All mirrors in position and free from damage

  Pass

  Fail

  N/A

• Correct mirrors fitted

  Pass

  Fail

  N/A

• Camera and monitor function correctly

  Pass

  Fail

  N/A

8. Signs and decals

• CE and machine identification plate displayed and legible

  Pass

  Fail

  N/A

• All warning signs and decals displayed and legible

  Pass

  Fail

  N/A

9. Control levers

• All control lever decals legible

  Pass

  Fail

  N/A

• Operator’s instruction manual available

  Pass

  Fail

  N/A

• All control levers not excessively loose or tight and function correctly

  Pass

  Fail

  N/A

• Machine free from uncontrolled movement of implements, etc.

  Pass

  Fail

  N/A

• All switches in place, legible and function correctly

  Pass

  Fail

  N/A

10. Lift capacity table

• Correct lift capacity table for machine displayed or available in cab

  Pass

  Fail

  N/A

11. Rated capacity indicator

• RCI functional

  Pass

  Fail

  N/A

• RCI displays correct readings

  Pass

  Fail

  N/A

• RCI tested to ensure correct calibration within last 12 months

  Pass

  Fail

  N/A

• RCI make

12. Overload warning

• Overload warning functions correctly

  Pass

  Fail

  N/A

• Overload warning audible alarm and warning light operative

  Pass

  Fail

  N/A

• Overload warning switch markings legible

  Pass

  Fail

  N/A

13. Boom and dipper

• Boom and dipper hold’s in raised position

  Pass

  Fail

  N/A

• Boom and dipper not bent or twisted

  Pass

  Fail

  N/A

• Boom and dipper free from cracks, damage, and excessive corrosion

  Pass

  Fail

  N/A

• All boom and dipper pins, bushes, and bosses free from excessive wear

  Pass

  Fail

  N/A

• All boom and dipper pin bosses free from cracks

  Pass

  Fail

  N/A

• All boom and dipper pin retaining bolts in position and secure

  Pass

  Fail

  N/A

• Evidence of broken pins in boom and dipper

  Pass

  Fail

  N/A

• Boom and dipper free from any non-approved repair or modification

  Pass

  Fail

  N/A

• All boom and dipper pins, bushes and bearings adequately lubricated

  Pass

  Fail

  N/A

14. Telescopic extension

• Telescopic extension stationary under load

  Pass

  Fail

  N/A

• Telescopic extension slide mechanism free from excessive wear or corrosion

  Pass

  Fail

  N/A

• Telescopic extension extends and retracts correctly

  Pass

  Fail

  N/A

• Telescopic extension components adequately lubricated

  Pass

  Fail

  N/A

15. Bucket

• Bucket does not roll under its own weight

  Pass

  Fail

  N/A

• Bucket and linkage free from cracks, damage, and excessive corrosion

  Pass

  Fail

  N/A

• All bucket and linkage pins, bushes, and bosses free from excessive wear

  Pass

  Fail

  N/A

• All bucket and linkage pin bosses free from cracks

  Pass

  Fail

  N/A

• All bucket and linkage pin retaining bolts in position and secure

  Pass

  Fail

  N/A

• Evidence of broken pins in bucket and linkage

  Pass

  Fail

  N/A

• Bucket and linkage free from any non-approved repair or modification

  Pass

  Fail

  N/A

• All bucket and linkage pins and bushes adequately lubricated

  Pass

  Fail

  N/A

16. Load attachment point

• Hook safety catch secure, in position and functions correctly

  Pass

  Fail

  N/A

• Hook / eye free from cracks, damage, or excessive wear

  Pass

  Fail

  N/A

• Hook / eye free from any non-approved repair or modification

  Pass

  Fail

  N/A

17. Hydraulic cylinders

• All hydraulic cylinders free from excessive creep

  Pass

  Fail

  N/A

• All hydraulic cylinder jackets and rod seals free from oil leaks

  Pass

  Fail

  N/A

• All hydraulic cylinder rods free from scoring or bending

  Pass

  Fail

  N/A

• All hydraulic cylinder rods and cylinder jackets free from excessive corrosion

  Pass

  Fail

  N/A

• All hydraulic cylinder jackets free from cracks

  Pass

  Fail

  N/A

• All hydraulic cylinder pins and bushes free from excessive wear

  Pass

  Fail

  N/A

• All hydraulic cylinder pin retaining bolts in position and secure

  Pass

  Fail

  N/A

• Evidence of broken pins in hydraulic cylinders and rods

  Pass

  Fail

  N/A

• All hydraulic cylinders free from any non-approved repair or modification

  Pass

  Fail

  N/A

• All hydraulic cylinder pins and bushes adequately lubricated

  Pass

  Fail

  N/A

18. Hydraulic hoses

• All hoses or joints free from oil leaks

  Pass

  Fail

  N/A

• All hoses free from exposed broken wires

  Pass

  Fail

  N/A

• All hoses free from kinks, crushing, stretching, chafing or other deformities

  Pass

  Fail

  N/A

• Correct length hoses fitted [too short / long]

  Pass

  Fail

  N/A

• Hose securing clamps in place and secure

  Pass

  Fail

  N/A

19. Hydraulic pipes

• All pipe joints free from oil leaks

  Pass

  Fail

  N/A

• All pipes free from dents, bending, crushing or other deformities

  Pass

  Fail

  N/A

• Pipe securing clamps in place and secure

  Pass

  Fail

  N/A

20. Hose rupture valves

• Hose rupture valves free from damage

  Pass

  Fail

  N/A

• Hose rupture valves correctly installed

  Pass

  Fail

  N/A

• Hose rupture vales free from oil leaks

  Pass

  Fail

  N/A

21. Servos, valves, and solenoids

• All servos and valves free from oil leaks

  Pass

  Fail

  N/A

• All servos, valves, and solenoids secure

  Pass

  Fail

  N/A

• All solenoid electrical connectors secure and free from visible corrosion

  Pass

  Fail

  N/A

22. Slew

• Slew brake holds

  Pass

  Fail

  N/A

• Swing gearbox bolts in place and none visibly loose, missing or broken

  Pass

  Fail

  N/A

• Swing gearbox and motor free from oil leaks

  Pass

  Fail

  N/A

• Slew ring and gears adequately lubricated

  Pass

  Fail

  N/A

• Slew ring free from excessive lift

  Pass

  Fail

  N/A

• Slew ring bolts in place and none visibly loose, missing or broken

  Pass

  Fail

  N/A

• Slew ring free from excessive backlash

  Pass

  Fail

  N/A

• Slew brake slows slewing motion effectively

  Pass

  Fail

  N/A

23. Superstructure and undercarriage

• Superstructure and undercarriage free from cracks

  Pass

  Fail

  N/A

• Superstructure and undercarriage free from damage and excessive corrosion

  Pass

  Fail

  N/A

• Superstructure and undercarriage free from any non-approved repair or modification

  Pass

  Fail

  N/A

• Counterweight bolts in position and secure

  Pass

  Fail

  N/A

24. Tracks, sprockets, idlers, and rollers

• Track chain links and bushings free from cracks

  Pass

  Fail

  N/A

• Tension on track chains adequate

  Pass

  Fail

  N/A

• Track pins in place and secure

  Pass

  Fail

  N/A

• Track pad bolts in place and none visibly loose or missing

  Pass

  Fail

  N/A

• Track chains, sprockets, idlers, and rollers free from excessive wear

  Pass

  Fail

  N/A

• Under roller mounting bolts in place and none visibly loose or missing

  Pass

  Fail

  N/A

• Idler tracks free from excessive wear

  Pass

  Fail

  N/A

• Sprocket tooth edge mm

• Sprocket mouth mm

• Chain length over 5 links

25. Blade (If fitted)

• Machine holds when raised on blade

  Pass

  Fail

  N/A

• Blade holds in raised position

  Pass

  Fail

  N/A

• Blade raises and lowers correctly

  Pass

  Fail

  N/A

• Blade free from cracks, damage, bending and excessive wear or corrosion

  Pass

  Fail

  N/A

• All blade linkage pin retaining bolts in position and secure

  Pass

  Fail

  N/A

• Evidence of broken pins in blade or linkage

  Pass

  Fail

  N/A

• Blade free from any non-approved repair or modification

  Pass

  Fail

  N/A

• Blade adequately lubricated

  Pass

  Fail

  N/A

SIGN OFF

• Defect categories:
  Category A: Defects which are a danger to persons and require immediate attention
  Category B: Defects which are not yet but could become a danger to persons if not rectified within a specified timescale
  Category C: Other observations or recommendations

• Type of thorough examination performed

  Select Before the equipment was used for the first time Within an interval of 6 months Within an interval if 12 months

  • Before the equipment was used for the first time
  • Within an interval of 6 months
  • Within an interval if 12 months

• I confirm that the equipment has been thoroughly examined and

  Select Subject to the remedial action stated above being completed, the equipment is safe to operate* The equipment is not safe to operate* Machine or equipment is free from any defect at this time of Examination.

  • Subject to the remedial action stated above being completed, the equipment is safe to operate*
  • The equipment is not safe to operate*
  • Machine or equipment is free from any defect at this time of Examination.

• Competent Person's Name and Signature

  Sign

• Front elevation

  Media

• Left elevation

  Media

• Rear elevation

  Media

• Right elevation

  Media

• Boom elevation

  Media

• Cab internal

  Media