Information

  • Audit Title

  • Document No.

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

  • Select date

  • TVA EQUIPMENT ID:

  • MAKE & MODEL:

  • SHIFT:

  • Hour Meter / Odometer:

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

WALK AROUND VISUAL INSPECTION

  • Cleanliness

  • Fluid Leaks

  • Broken Glass

  • Body or Structural Damage

  • Tires / Tracks - Inflated / Adjusted Properly

  • Fire Extinguisher Equipped and Charged

  • Mirrors

  • Mud Flaps

  • Wipers, Lights, Reflectors

  • Ladders / Steps and Grab Rails

  • Decals Installed and Legible

  • Loose Parts or Missing Covers

  • Belts and Hoses Servicable

  • Exhaust System

  • Hydraulic Lines and Cylinders

  • Batteries and Cables

  • Broken Welds

  • Regulatory Inspection Current

  • Lug Nuts / Rims

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

  • OTHER:

  • COMMENTS:

FLUID LEVELS

  • Engine Oil

  • Transmission Fluid

  • Hydraulic Fluid

  • Coolant

  • Fuel

  • Lubricants

  • COMMENTS:

ATTACHMENTS

  • Cutting Edges / Teeth / Pins / Bushings etc.

  • Buckets / Blades

  • COMMENTS:

CAB OPERATIONAL CHECK

  • Cleanliness

  • Seat and Seatbelts

  • Gauges and Instruments

  • Controls and Levers

  • Parking Brake

  • Service Brake

  • Limit of Safety Switches

  • Emergency Shutdown

  • Steering System

  • Heater and AC System

  • Horn, Warning Alarms / Devices

  • Clutches

  • Drives

  • Transmission

  • Engine

  • Hydraulic Mechanisms

  • Electrical Wiring

  • Charging System

  • Daily Log / Inspection Book

  • TVA FUEL Card Available and Current

  • Is equipment in safe operating condition?

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

  • Are Spill Kits in place?

  • OTHER:

  • COMMENTS:

SIGNATURES

  • Operator's Signature:

  • Foreman / Supervisor Signature:

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

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