UTV INSPECTION

• Job Site Name

• Conducted on

  Date

• Prepared by

• Supervisor's Name

• Location
  Address

UTV Inspection

• Is this the first time this piece of equipment has been inspected? / ¿Es esta la primera vez que se inspecciona este equipo?

  Yes

  No

• Is there any visible damage? / ¿Hay algún daño visible?

  Yes

  No

• Take pictures of all damages. / Toma fotos de todos los daños.

  Media

• Is this Equipment Rented

  Yes

  No

• Equipment Number

• Piedmont Steel UTV Equipment Number

  Select RTVX 1801 RTVX #2 RTVX #3 RTVX #4 RTVX#5 RTV #13 RTVX 2001 RTVX 2002 RTVX 2101 RTVX 2102 RTVX 2103 RTVX 2104 RTVX 2105 RTVX 1120 RTVX 2201 RTVX 2202 RTVX 2301 RTVX 2302 RTVX 2303 RTVX 2304

  • RTVX 1801
  • RTVX #2
  • RTVX #3
  • RTVX #4
  • RTVX#5
  • RTV #13
  • RTVX 2001
  • RTVX 2002
  • RTVX 2101
  • RTVX 2102
  • RTVX 2103
  • RTVX 2104
  • RTVX 2105
  • RTVX 1120
  • RTVX 2201
  • RTVX 2202
  • RTVX 2301
  • RTVX 2302
  • RTVX 2303
  • RTVX 2304

• UTV Hour Meter Reading / Lectura del Cronómetro UTV

• UTV Odometer Reading / Lectura del Cuentakilómetros de UTV

• Walk around inspection - (Look around and under the vehicle for such items as loose bolts, trash build up, oil or coolant leaks, broken or worn parts)

  Safe

  At Risk

  N/A

• Is the operator's manual present and in good condition? / ¿El manual del operador está presente y en buenas condiciones?

  Safe

  At Risk

  N/A

• Fire Extinguisher: Secure and charged. / Extinguidor: Seguro y cargada.

  Safe

  At Risk

  N/A

• Fire Extinguisher: Has current monthly inspection and the inspection tag has been signed / Extinguidor: Tiene una inspección mensual actual y la etiqueta de inspección ha sido firmada

  Safe

  At Risk

  N/A

• Wheel chocks are present / Cuñes de rueda están presentes

  Safe

  At Risk

  N/A

• Traffic cones (2) are present / Conos de tráfico (2) están presentes

  Safe

  At Risk

  N/A

• Operator’s Compartment: Is the operator's manual present and in good condition?

  Yes

  No

  N/A

• Check DANGER, WARNING CAUTION Labels

  Safe

  At Risk

  N/A

• Check fuel - Turn key switch to “ON” check amount of fuel by fuel gauge, Fill when less the 1/4

  Safe

  At Risk

  N/A

• Check engine oil - Check oil before starting engine or at least 5 minutes after engine has stopped. Never mix two different types of oil

  Safe

  At Risk

  N/A

• Check transmission fluid

  Safe

  At Risk

  N/A

• Check brake fluid level - Never operate if brake fluid is below the “MIN” mark.

  Safe

  At Risk

  N/A

• Check coolant level

  Safe

  At Risk

  N/A

• Clean grill/radiator screen

  Safe

  At Risk

  N/A

• Check front and rear joint boots - Check boots for cuts, cracks or deterioration

  Safe

  At Risk

  N/A

• Check brake and speed control pedal - Ensure free travel and smooth operation

  Safe

  At Risk

  N/A

• Check parking brake - Ensure when brake is applied the corresponding light illuminates on the instrument cluster

  Safe

  At Risk

  N/A

• Check indicators, gauges and meter

  Safe

  At Risk

  N/A

• Check lights

  Safe

  At Risk

  N/A

• Check seat belts

  Safe

  At Risk

  N/A

• Check tire pressure

  Safe

  At Risk

  N/A

• Check backup alarm

  Safe

  At Risk

  N/A

• Does the UTV shift into reverse and move appropriately?

  Safe

  At Risk

  N/A

• Does the UTV shift into drive and move appropriately?

  Safe

  At Risk

  N/A

• Does the UTV shift in 4x4 and 2x4 and move appropriately?

  Safe

  At Risk

  N/A

• Operator's Name and Signature:

  Sign