TVA - Heavy Equipment - Operator/Driver: Pre-Operational Inspection

• Audit Title

• Document No.

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

• Select date

  Date

• TVA EQUIPMENT ID:

• MAKE & MODEL:

• SHIFT:

  1st

  2nd

  3rd

• Hour Meter / Odometer:

• General Equipment Condition: ( if unacceptable explain in comments section )

  NEW

  GOOD

  FAIR

  POOR

  Unacceptable

WALK AROUND VISUAL INSPECTION

• Cleanliness

  OK

  Service/Repair

  Unacceptable

  N/A

• Fluid Leaks

  OK

  Service/Repair

  Unacceptable

  N/A

• Broken Glass

  OK

  Service/Repair

  Unacceptable

  N/A

• Body or Structural Damage

  OK

  Service/Repair

  Unacceptable

  N/A

• Tires / Tracks - Inflated / Adjusted Properly

  OK

  Service/Repair

  Unacceptable

  N/A

• Fire Extinguisher Equipped and Charged

  OK

  Service/Repair

  Unacceptable

  N/A

• Mirrors

  OK

  Service/Repair

  Unacceptable

  N/A

• Mud Flaps

  OK

  Service/Repair

  Unacceptable

  N/A

• Wipers, Lights, Reflectors

  OK

  Service/Repair

  Unacceptable

  N/A

• Ladders / Steps and Grab Rails

  OK

  Service/Repair

  Unacceptable

  N/A

• Decals Installed and Legible

  OK

  Service/Repair

  Unacceptable

  N/A

• Loose Parts or Missing Covers

  OK

  Service/Repair

  Unacceptable

  N/A

• Belts and Hoses Servicable

  OK

  Service/Repair

  Unacceptable

  N/A

• Exhaust System

  OK

  Service/Repair

  Unacceptable

  N/A

• Hydraulic Lines and Cylinders

  OK

  Service/Repair

  Unacceptable

  N/A

• Batteries and Cables

  OK

  Service/Repair

  Unacceptable

  N/A

• Broken Welds

  OK

  Service/Repair

  Unacceptable

  N/A

• Regulatory Inspection Current

  OK

  Service/Repair

  Unacceptable

  N/A

• Lug Nuts / Rims

  OK

  Service/Repair

  Unacceptable

  N/A

• For work that requires close proximity to waters of the U.S. are diapers in place

  OK

  Service/Repair

  Unacceptable

  N/A

• OTHER:

  OK

  Service/Repair

  Unacceptable

  N/A

• COMMENTS:

FLUID LEVELS

• Engine Oil

  OK

  Service/Repair

  Unacceptable

  N/A

• Transmission Fluid

  OK

  Service/Repair

  Unacceptable

  N/A

• Hydraulic Fluid

  OK

  Service/Repair

  Unacceptable

  N/A

• Coolant

  OK

  Service/Repair

  Unacceptable

  N/A

• Fuel

  OK

  Service/Repair

  Unacceptable

  N/A

• Lubricants

  OK

  Service/Repair

  Unacceptable

  N/A

• COMMENTS:

ATTACHMENTS

• Cutting Edges / Teeth / Pins / Bushings etc.

  OK

  Service/Repair

  Unacceptable

  N/A

• Buckets / Blades

  OK

  Service/Repair

  Unacceptable

  N/A

• COMMENTS:

CAB OPERATIONAL CHECK

• Cleanliness

  OK

  Service/Repair

  Unacceptable

  N/A

• Seat and Seatbelts

  OK

  Service/Repair

  Unacceptable

  N/A

• Gauges and Instruments

  OK

  Service/Repair

  Unacceptable

  N/A

• Controls and Levers

  OK

  Service/Repair

  Unacceptable

  N/A

• Parking Brake

  OK

  Service/Repair

  Unacceptable

  N/A

• Service Brake

  OK

  Service/Repair

  Unacceptable

  N/A

• Limit of Safety Switches

  OK

  Service/Repair

  Unacceptable

  N/A

• Emergency Shutdown

  OK

  Service/Repair

  Unacceptable

  N/A

• Steering System

  OK

  Service/Repair

  Unacceptable

  N/A

• Heater and AC System

  OK

  Service/Repair

  Unacceptable

  N/A

• Horn, Warning Alarms / Devices

  OK

  Service/Repair

  Unacceptable

  N/A

• Clutches

  OK

  Service/Repair

  Unacceptable

  N/A

• Drives

  OK

  Service/Repair

  Unacceptable

  N/A

• Transmission

  OK

  Service/Repair

  Unacceptable

  N/A

• Engine

  OK

  Service/Repair

  Unacceptable

  N/A

• Hydraulic Mechanisms

  OK

  Service/Repair

  Unacceptable

  N/A

• Electrical Wiring

  OK

  Service/Repair

  Unacceptable

  N/A

• Charging System

  OK

  Service/Repair

  Unacceptable

  N/A

• Daily Log / Inspection Book

  OK

  Service/Repair

  Unacceptable

  N/A

• TVA FUEL Card Available and Current

  OK

  Service/Repair

  Unacceptable

  N/A

• Is equipment in safe operating condition?

  OK

  Service/Repair

  Unacceptable

  N/A

• Is the Operator's Manual in the equipment cab?

  OK

  Service/Repair

  Unacceptable

  N/A

• Are Spill Kits in place?

  OK

  Service/Repair

  Unacceptable

  N/A

• OTHER:

  OK

  Service/Repair

  Unacceptable

  N/A

• COMMENTS:

SIGNATURES

• Operator's Signature:

  Sign

• Foreman / Supervisor Signature:

  Sign

• cc: Site Mechanic / Site Mechanic Foreman or send to ESS Assigned Section at LP 5E-C or fax (423)751-7956