WBPC Heavy Equipment - Daily Pre-Operational Inspection

• Audit Title

• Document No.

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

• Select date

  Date

• WBPC EQUIPMENT ID:

• MAKE & MODEL:

• Hour Meter / Odometer:

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

  Select operable needs repair N/A

  • operable
  • needs repair
  • N/A

WALK AROUND VISUAL INSPECTION

• Cleanliness

  Select clean needs cleaning

  • clean
  • needs cleaning

• Fluid Leaks

  no leaks

  leaking

• Broken Glass

  Select no broken glass broken glass

  • no broken glass
  • broken glass

• Body or Structural Damage

  Select operable needs repair N/A

  • operable
  • needs repair
  • N/A

• Tires / Tracks - Inflated / Adjusted Properly

  Select operable needs repair N/A

  • operable
  • needs repair
  • N/A

• Fire Extinguisher Equipped and Charged

  Select operable needs repair N/A

  • operable
  • needs repair
  • N/A

• Mirrors

  Select operable needs repair N/A

  • operable
  • needs repair
  • N/A

• Mud Flaps

  Select operable needs repair N/A

  • operable
  • needs repair
  • N/A

• Wipers, Lights, Reflectors

  Select operable needs repair N/A

  • operable
  • needs repair
  • N/A

• Ladders / Steps and Grab Rails

  Select operable needs repair N/A

  • operable
  • needs repair
  • N/A

• Decals Installed and Legible

  Select yes no N/A

  • yes
  • no
  • N/A

• Loose Parts or Missing Covers - if applicable include in comments<br>

  OK

  Service/Repair

  Unacceptable

  N/A

• Belts and Hoses Servicable

  Select operable needs repair N/A

  • operable
  • needs repair
  • N/A

• Exhaust System

  Select operable needs repair N/A

  • operable
  • needs repair
  • N/A

• Hydraulic Lines and Cylinders

  Select operable needs repair N/A

  • operable
  • needs repair
  • N/A

• Batteries and Cables

  Select operable needs repair N/A

  • operable
  • needs repair
  • N/A

• Broken Welds

  Select yes no N/A

  • yes
  • no
  • N/A

• Regulatory Inspection Current

  Select yes no N/A

  • yes
  • no
  • N/A

• Lug Nuts / Rims

  Select operable needs repair N/A

  • operable
  • needs repair
  • N/A

• COMMENTS:

FLUID LEVELS

• Engine Oil

  Select yes no N/A

  • yes
  • no
  • N/A

• Transmission Fluid

  Select yes no N/A

  • yes
  • no
  • N/A

• Hydraulic Fluid

  Select yes no N/A

  • yes
  • no
  • N/A

• Coolant

  Select yes no N/A

  • yes
  • no
  • N/A

• Fuel

  Select yes no N/A

  • yes
  • no
  • N/A

• Lubricants

  OK

  Service/Repair

  Unacceptable

  N/A

• COMMENTS:

ATTACHMENTS

• Any attachments checked for leaks and proper operation

  Select operable needs repair N/A

  • operable
  • needs repair
  • N/A

• COMMENTS:

CAB OPERATIONAL CHECK

• Cleanliness

  Select operable needs repair N/A

  • operable
  • needs repair
  • N/A

• Seat and Seatbelts

  Select operable needs repair N/A

  • operable
  • needs repair
  • N/A

• Gauges and Instruments

  Select operable needs repair N/A

  • operable
  • needs repair
  • N/A

• Controls and Levers

  Select operable needs repair N/A

  • operable
  • needs repair
  • N/A

• Parking Brake

  Select operable needs repair N/A

  • operable
  • needs repair
  • N/A

• Service Brake

  Select operable needs repair N/A

  • operable
  • needs repair
  • N/A

• Emergency Shutdown

  Select operable needs repair N/A

  • operable
  • needs repair
  • N/A

• Steering System

  Select operable needs repair N/A

  • operable
  • needs repair
  • N/A

• Heater and AC System

  operable

  needs repair

  N/A

• Horn, Warning Alarms / Devices

  Select operable needs repair N/A

  • operable
  • needs repair
  • N/A

• Clutches

  Select operable needs repair N/A

  • operable
  • needs repair
  • N/A

• Drives

  Select operable needs repair N/A

  • operable
  • needs repair
  • N/A

• Transmission

  Select operable needs repair N/A

  • operable
  • needs repair
  • N/A

• Engine

  Select operable needs repair N/A

  • operable
  • needs repair
  • N/A

• Hydraulic Mechanisms

  operable

  needs repair

  N/A

• Electrical Wiring

  Select operable needs repair N/A

  • operable
  • needs repair
  • N/A

• Daily Log / Inspection Book

  Select yes no N/A

  • yes
  • no
  • N/A

• Is equipment in safe operating condition?

  Select yes no N/A

  • yes
  • no
  • N/A

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

  Select yes no N/A

  • yes
  • no
  • N/A

• COMMENTS:

SIGNATURES

• Superintendent's Signature:

  Sign