Title Page

  • Conducted on

  • Prepared by

  • Location

  • Customer

  • Job #

  • Purchase Order Number

  • Asset

  • Service Type

  • Current Hours

Every 10 hours VISUAL INSPECTION

  • CHECK FOR OBVIOUS DAMAGE AND LEAKS

  • WARNING PLATES AND DECALS

  • CONDITION OF TIRES AND WHEELS. AIR PRESSURE

  • LIFT CHAIN AND FASTNER

  • CARRIAGE OR ATTACHMENT AND FORKS

  • FUEL LEVEL

  • ENGINE OIL LEVEL

  • COOLANT LEVEL (RADIATOR & RESEVOIR TANK)

  • WATER SEPARATOR

  • HYDRAULIC OIL LEVEL

  • FAN BELT DAMAGE

FUNCTION TESTS

  • HORN AND LAMP

  • GAUGES AND INSTRUMENT PANEL

  • WARNING LIGHT

  • SERVICE BRAKE AND INCHING OPERATION

  • PARKING BRAKE OPERATION

  • ACCELERATOR AND ENGINE SPEED CONTROL

  • DIRECTIONAL AND SPEED CONTROL OPERATION

  • STEERING WHEEL OPERATION

  • NOISE AND VIBRATION

Every 50 hours

  • AIR CLEANER ELEMENT

  • AIR BREATHER FILTER

  • ENGINE OIL/ FILTER (INITIAL 50 HOURS ONLY)

  • TRANSMISSION OIL LEVEL

  • PILOT LINE FILTER ELEMENT (INITIAL 50 HOURS ONLY)

LUBRICATION

  • STEERING AXLE LINKAGE PIN

  • HYDRAULIC PUMP DRIVE SPLINE

TIGHTENING TORQUES

  • PUMP MOUNTING BOLT

  • DRIVE AXLE MOUNTING BOLT

  • TILT CYLINDER MOUNTING AND TOKE BOLT

  • MAST MOUNTING BOLT

  • DRIVE & STEERING AXLE WHEEN MOUNTING BOLT & NUT

  • COUNTERWEIGHT MOUNTING BOLT

  • CABIN MOUNTING BOLT

  • MAIN PUMP & MCV MOUNTING BOLT

  • ENGINE & RADIATOR MOUNTING BOLT

  • TRANSMISSION MOUNTING BOLT

  • STEERING AXLE MOUNTING BOLT

Every 250 Hours

  • DIFFERENTIAL GEAR OIL

  • PILOT LINE FILTER ELEMENT

  • BRAKE LINE FILTER (STRAINER)

LUBRICATION

  • LIFT CHAIN

  • MAST ROLLER AND PIN

  • LIFT CYLINDER ROD END

  • LIFT CYLINDER TUBE END

  • TILT CYLINDER ROD END

  • TILT CYLINDER TUBE END

  • STEERING CYLINDER ROD END

  • STEERING CYLINDER TUBE END

  • ATTACHEMENT OPTION CYLINDER ROD END

  • ATTACHMENT OPTION CYLINDER TUBE END

  • STEERING AXLE WHEEL BEARING

  • PEDAL PICOT

EVERY 500 HOURS

  • MAST MOUNTING BOLT

  • DRIVE AXLE MOUNTING BOLT AND NUT

  • AIR CLEANER ELEMENT

  • BATTERY

  • ENGINE IGINITION AND TIMING

  • ENGINE OIL FILTER

  • ENGINE OIL

EVERY 1000 HOURS

  • HYDRAULIC OIL RETURN FILTER

HYDRAULIC OIL TANK

  • HYDRAULIC OIL

  • SUCTION STRAINER

  • TRANSMISSION OIL & FILTER

  • DIFFERENTAL OIL

  • FAN BELT TENSION AND DAMAGE

  • BRAKE COOLING OIL

  • FUEL FILTER

EVERY 2000 HOURS

  • HYD SUCTION STRAINER

  • RADIATOR COOLCANT

  • HYDRAULIC OIL

EVERY 5000 HOURS

  • HYDRAULIC OIL

WHEN REQUIRED

  • FUEL TANK

  • WATER SEPERATOAR

  • FUEL FILTER

  • ENGINE OIL

  • ENGINE OIL FILTER CARTRIGE

  • COOLANT

  • RADIATOR

  • AIR CLEANER ELEMENT

  • HYDRUALIC OIL

  • HYDRAULIC OIL SUCTION STRAINER

  • RETURN OIL FILETER ELEEMENT

  • AIR BREATHER FILTER

HAND PUMP (CABIN TILT)

  • HYDRUALIC OIL

  • TYRE AIR PRESSURE

SERVICE COMPLETION

  • REQUIRED SERVICE COMPLETED

  • FITTER

  • RIO REPRESENTATIVE NAME

  • RIO REPRESENTATIVE SIGNATURE

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