Title Page

  • Site conducted

  • Dredging Division

  • TA1 Inspection

  • Equipment Photo

  • Equipment Number

  • Equipment Make

  • Equipment Model
  • Equipment Serial Number
  • Location

Contact Information

  • Prepared By

  • Inspection Date

  • Phone

  • Email

General Information

General Information & Comments

  • Reason for Call Out

  • General Condition

  • Photos

  • Last Performed Service Type

  • Documented Hours of Last Performed Service

  • Service Completed during Down Period

  • Overall Recommendations

  • Cost of Work Performed

Inspection Report

  • Machine Type

1.) Preparation of Machine

  • 1.1 - Check with Operator for Complaints

  • Any Complaints Noted

  • 1.2 - Perform Machine Inspection Preparation

  • General Comments

  • 1.3 - Perform Site Safety & Pre-Star Inspection

  • 1.4 - Log Machine Fault Codes

  • Any Fault Codes Present

  • List Fault Codes

  • Photo of Fault Screen

  • 1.5 - Confirm Product is Linked to OEM Software

  • Product Link Confirmed

  • Comments

  • 1.6 - Observe Engine Exhaust Color

  • Exhaust Color

  • Believed Reason for Abnormality

  • 1.7 - Listen for Unusual Noises

  • Any Unusual Noises Present

  • Description of Noise & Possible Cause

2.) Lower-Level Inspection

  • 2.1 - Inspection of Final Drives & Sprockets

  • Condition

  • Comments

  • Photo

  • 2.2 - Carrier Rollers

  • Condition

  • Comments

  • Photo

  • 2.3 - Track Rollers

  • Condition

  • Comments

  • Photo

  • 2.4 - Track Roller Bogies

  • Condition

  • Comments

  • Photo

  • 2.5 - Front & Rear Idlers

  • Condition

  • Comments

  • Photo

  • 2.6 - Track Guides

  • Condition

  • Comments

  • Photo

  • 2.7 - Track Shoes

  • Condition

  • Comments

  • Photo

  • 2.8 - Track Links, Pins, & Bushings

  • Condition

  • Comments

  • Photo

  • 2.9 - Track Roller Frame

  • Condition

  • Comments

  • Photo

  • 2.10 - Equalizer Bar

  • Condition

  • Comments

  • Photo

  • 2.11 - Pivot Shaft

  • Condition

  • Comments

  • Photo

  • 2.12 - Bottom Guard

  • Condition

  • Comments

  • Photo

3.) Middle-Level Inspection

  • 3.1 - Steps & Handrails

  • Condition

  • Comments

  • Photo

  • 3.2 - Work Lights

  • Condition

  • Comments

  • Photo

  • 3.3 - Hood & Platform

  • Condition

  • Comments

  • Photo

  • 3.4 - Cooling Fan, Fan Guard, & Shroud

  • Condition

  • Comments

  • Photo

  • 3.5 - Radiator, Aftercooler, Oil Cooler, & Condenser

  • Condition

  • Comments

  • Photo

  • 3.6 - Radiator Cap

  • Condition

  • Comments

  • Photo

  • 3.7 - Upper & Lower Radiator Lines, Air Inlet Lines, & Aftercooler Lines

  • Condition

  • Comments

  • Photo

  • 3.8 - Precleaner & Air Cleaner

  • Condition

  • Comments

  • Photo

  • 3.9 - Cylinder Head & Valve Cover

  • Condition

  • Comments

  • Photo

  • 3.10 - Turbo Charger

  • Condition

  • Comments

  • Photo

  • 3.11 - Exhaust Manifold

  • Condition

  • Comments

  • Photo

  • 3.12 - Pulleys, Belts, Compressor Clutch, & Alternator

  • Condition

  • Comments

  • Photo

  • 3.13 - JW Water Pump

  • Condition

  • Comments

  • Photo

  • 3.14 - Engine Wiring Harness

  • Condition

  • Comments

  • Photo

  • 3.15 - Fuel Lines, Fuel Pump, & Fuel Filter Base

  • Condition

  • Comments

  • Photo

4.) Upper-Level Inspection

  • 4.1 - Cab Exterior

  • Condition

  • Comments

  • Photo

  • 4.2 - Cab Interior

  • Condition

  • Comments

  • Photo

  • 4.3 - Battery & Cables

  • Condition

  • Comments

  • Photo

  • 4.4 - Power Train & Hydraulic Oil Filter Compartment

  • Condition

  • Comments

  • Photo

  • 4.5 - Hydraulic Tank

  • Condition

  • Comments

  • Photo

  • 4.6 - Backup Alarm

  • Condition

  • Comments

  • Photo

5.) Implement/Attachment Inspetion

  • 5.1 - Blade & Trunnion Ball Joints, Stabilizer Bar, & Tilt & Angle Cylinders

  • Condition

  • Comments

  • Photo

  • 5.2 - Blade Lift Cylinder

  • Condition

  • Comments

  • Photo

  • 5.3 - Blade Cutting Edges & End Bits

  • Condition

  • Comments

  • Photo

1.) Preparation of Machine

  • 1.1 - Check with Operator for Complaints

  • Any Complaints Noted

  • 1.2 - Perform Machine Inspection Preparation

  • General Comments

  • 1.3 - Download Product Status Report (ET Download)

  • Any Codes Present

  • Record Code

  • 1.4 - Is the machine software including Product Link & VIMS Config files current with what is published in SIS?

  • 1.5 - Check Product Link

  • Product Link Confirmed

  • Comments

  • 1.6 - Observe Engine Exhaust Color

  • Exhaust Color

  • Believed Reason for Abnormality

  • 1.7 - Listen for Unusual Noises

  • Any Unusual Noises Present

  • Description of Noise & Possible Cause

  • 1.8 - Lockout/Tagout Machine

2.) Lower-Level Inspection

  • 2.1 - Tires & Rims

  • Condition

  • Comments

  • Photo

  • 2.2 - Rear Final Drives, Breaks, & Wheel Spindles

  • Condition

  • Comments

  • Photo

  • 2.3 - Front & Rear Differentials

  • Condition

  • Comments

  • Photo

  • 2.4 - Main, Front, Center, Rear, & Hitch Drive Shafts

  • Condition

  • Comments

  • Photo

  • 2.5 - Steering Cylinder

  • Condition

  • Comments

  • Photo

  • 2.6 - Center Support Bearing

  • Condition

  • Comments

  • Photo

  • 2.7 - Torque Converter, Transmission, & Transfer Gear

  • Condition

  • Comments

  • Photo

  • 2.8 - Hydraulic Pump Compartment

  • Condition

  • Comments

  • Photo

  • 2.9 - Upper & Lower Hitch Pins/Bores

  • Condition

  • Comments

  • Photo

  • 2.10 - Main Machine Frame

  • Condition

  • Comments

  • Photo

3.) Middle-Level Inspection

  • 3.1 - Steps & Handrails

  • Condition

  • Comments

  • Photo

  • 3.2 - Work Lights

  • Condition

  • Comments

  • Photo

  • 3.3 - Cab Mounts

  • Condition

  • Comments

  • Photo

  • 3.4 - Steering Control Valve, Steering Neutralizer Valve, Brake Valve, & HMU

  • Condition

  • Comments

  • Photo

  • 3.5 - Implement Control Valve

  • Condition

  • Comments

  • Photo

  • 3.6 - Radiator, Aftercooler, Oil Cooler & Condenser

  • Condition

  • Comments

  • Photo

  • 3.7 - Radiator, Air Inlet, Oil Cooler, & Aftercooler Lines

  • Condition

  • Comments

  • Photo

  • 3.8 - Hood & Platform

  • Condition

  • Comments

  • Photo

  • 3.9 - Battery & Cables

  • Condition

  • Comments

  • Photo

  • 3.10 - Fenders

  • Condition

  • Comments

  • Photo

  • 3.11 - Lower Radiator & Oil Coolers

  • Condition

  • Comments

  • Photo

  • 3.12 - Engine Oil Pan

  • Condition

  • Comments

  • Photo

4.) Upper-Level Inspection

  • 4.1 - Cab Exterior

  • Condition

  • Comments

  • Photo

  • 4.2 - Cab Interior

  • Condition

  • Comments

  • Photo

  • 4.3 - Precleaner & Air Cleaner

  • Condition

  • Comments

  • Photo

  • 4.4 - Upper & Lower Radiator Lines, Air Inlet Lines, Aftercooler Lines

  • Condition

  • Comments

  • Photo

  • 4.5 - Radiator Cap

  • Condition

  • Comments

  • Photo

  • 4.6 - JW Water Pump

  • Condition

  • Comments

  • Photo

  • 4.7 - Fuel Lines, Fuel Pump, & Fuel Filter Base

  • Condition

  • Comments

  • Photo

  • 4.8 - Exhaust Manifold

  • Condition

  • Comments

  • Photo

  • 4.9 - Turbo Charger

  • Condition

  • Comments

  • Photo

  • 4.10 - Cylinder Head & Valve Cover

  • Condition

  • Comments

  • Photo

  • 4.11 - Pulleys, Belts, Compressor Clutch, & Alternator

  • Condition

  • Comments

  • Photo

  • 4.12 - Cooling Fan, Fan Guard, & Shroud

  • Condition

  • Comments

  • Photo

  • 4.13 - Engine Wiring Harness

  • Condition

  • Comments

  • Photo

  • 4.14 - Mounts, Isolators, Supports, & Rails

  • Condition

  • Comments

  • Photo

5.) Implement/Attachment Inspetion

  • 5.1 - Bucket & Lift Cylinder

  • Condition

  • Comments

  • Photo

  • 5.2 - Lift Arm Attachment to Frame

  • Condition

  • Comments

  • Photo

  • 5.3 - Bucket Tilt Cylinder

  • Condition

  • Comments

  • Photo

  • 5.4 - Tilt Lever Attachment to Lift Arm

  • Condition

  • Comments

  • Photo

  • 5.5 - Bucket Linkage

  • Condition

  • Comments

  • Photo

  • 5.6 - Bucket Wear Plates

  • Condition

  • Comments

  • Photo

  • 5.7 - Bucket Side Cutters

  • Condition

  • Comments

  • Photo

  • 5.8 - Bucket Edges, Tips, & Adapters

  • Condition

  • Comments

  • Photo

1.) Preparation of Machine

  • 1.1 - Check with Operator for Complaints

  • Any Complaints Noted

  • 1.2 - Perform Machine Inspection Preparation

  • General Comments

  • 1.3 - Perform Site Safety & Pre-Star Inspection

  • 1.4 - Is the machine software including Product Link & VIMS Config files current with what is published in SIS?

  • Any Fault Codes Present

  • List Fault Codes

  • Photo of Fault Screen

  • 1.5 - Confirm Product is Linked to OEM Software

  • Product Link Confirmed

  • Comments

  • 1.6 - Observe Engine Exhaust Color

  • Exhaust Color

  • Believed Reason for Abnormality

  • 1.7 - Listen for Unusual Noises

  • Any Unusual Noises Present

  • Description of Noise & Possible Cause

2.) Lower-Level Inspection

  • 2.1 - Inspection of Final Drives & Sprockets

  • Condition

  • Comments

  • Photo

  • 2.2 - Travel Motor & Brake Valve

  • Condition

  • Comments

  • Photo

  • 2.3 - Track Adjuster

  • Condition

  • Comments

  • Photo

  • 2.4 - Carrier Rollers

  • Condition

  • Comments

  • Photo

  • 2.5 - Track Rollers

  • Condition

  • Comments

  • Photo

  • 2.6 - Front Idlers

  • Condition

  • Comments

  • Photo

  • 2.7 - Track Guides

  • Condition

  • Comments

  • Photo

  • 2.8 - Track Shoes

  • Condition

  • Comments

  • Photo

  • 2.9 - Track Links, Pins, & Bushings

  • Condition

  • Comments

  • Photo

  • 2.10 - Track Roller Frame & Carbody

  • Condition

  • Comments

  • Photo

  • 2.11 - Engine Oil Pan

  • Condition

  • Comments

  • Photo

3.) Middle-Level Inspection

  • 3.1 - Cab Exterior

  • Condition

  • Comments

  • Photo

  • 3.2 - Cab Interior

  • Condition

  • Comments

  • Photo

  • 3.3 - Steps & Handrails

  • Condition

  • Comments

  • Photo

  • 3.4 - Work Lights

  • Condition

  • Comments

  • Photo

  • 3.5 - Air Cleaner

  • Condition

  • Comments

  • Photo

  • 3.6 - Battery & Cables

  • Condition

  • Comments

  • Photo

  • 3.7 - Radiator, Air Inlet, Oil Cooler & Aftercooler Lines

  • Condition

  • Comments

  • Photo

  • 3.8 - Lower Radiator & Oil Cooler Hoses

  • Condition

  • Comments

  • Photo

  • 3.9 - Counterweight

  • Condition

  • Comments

  • Photo

  • 3.10 - Hydraulic Pump Compartment

  • Condition

  • Comments

  • Photo

  • 3.11 - Swing Drive Gear

  • Condition

  • Comments

  • Photo

4.) Upper-Level Inspection

  • 4.1 - Hood & Platform

  • Condition

  • Comments

  • Photo

  • 4.2 - Exhaust Manifold

  • Condition

  • Comments

  • Photo

  • 4.3 - Turbocharger

  • Condition

  • Comments

  • Photo

  • 4.4 - Cylinder Head(s) & Valve Cover(s)

  • Condition

  • Comments

  • Photo

  • 4.5 - Fuel Lines, Fuel Pump, & Fuel Filter Base

  • Condition

  • Comments

  • Photo

  • 4.6 - Engine Mounts

  • Condition

  • Comments

  • Photo

  • 4.7 - Pulleys, Belts, Compressors Clutch, & Alternator

  • Condition

  • Comments

  • Photo

  • 4.8 - Cooling Fan, Fan Guard, & Shroud

  • Condition

  • Comments

  • Photo

  • 4.9 - Upper & Lower Radiator Lines, Air Inlet Lines, & Aftercooler Lines

  • Condition

  • Comments

  • Photo

  • 4.10 - Radiator/Oil Cooler Screen

  • Condition

  • Comments

  • Photo

  • 4.11 - Water Pump(s)

  • Condition

  • Comments

  • Photo

  • 4.12 - Radiator Cap

  • Condition

  • Comments

  • Photo

  • 4.13 - Fuel Priming Pump

  • Condition

  • Comments

  • Photo

  • 4.14 - Secondary Fuel Filter

  • Condition

  • Comments

  • Photo

  • 4.15 - Fuel Injection Pump

  • Condition

  • Comments

  • Photo

  • 4.16 - Engine Wiring Harness

  • Condition

  • Comments

  • Photo

  • 4.17 - Swing Drive Compartment

  • Condition

  • Comments

  • Photo

  • 4.18 - Swing Drive

  • Condition

  • Comments

  • Photo

  • 4.19 - Main Hydraulic Control Valve

  • Condition

  • Comments

  • Photo

  • 4.20 - Hydraulic Tank

  • Condition

  • Comments

  • Photo

  • 4.21 - Fuel Tank

  • Condition

  • Comments

  • Photo

5.) Implement/Attachment Inspetion

  • 5.1 - Swivel

  • Condition

  • Comments

  • Photo

  • 5.2 - Lower Boom Area

  • Condition

  • Comments

  • Photo

  • 5.3 - Area Around Boom Cylinders

  • Condition

  • Comments

  • Photo

  • 5.4 - Boom Cylinder

  • Condition

  • Comments

  • Photo

  • 5.5 - Area where Boom attaches to Stick

  • Condition

  • Comments

  • Photo

  • 5.6 - Stick Cylinder

  • Condition

  • Comments

  • Photo

  • 5.7 - Bucket Cylinder

  • Condition

  • Comments

  • Photo

  • 5.8 - Bucket Linkage

  • Condition

  • Comments

  • Photo

  • 5.9 - Bucket Wear Plates

  • Condition

  • Comments

  • Photo

  • 5.10 - Bucket Side Cutters

  • Condition

  • Comments

  • Photo

  • 5.11 - Bucket Edges, Tips, & Adapters

  • Condition

  • Comments

  • Photo

1.) Preparation of Machine

  • 1.1 - Check with Operator for Complaints

  • Any Complaints Noted

  • 1.2 - Perform Machine Inspection Preparation

  • General Comments

  • 1.3 - Perform Site Safety & Pre-Star Inspection

  • 1.4 - Is the machine software including Product Link & VIMS Config files current with what is published in SIS?

  • Any Fault Codes Present

  • List Fault Codes

  • Photo of Fault Screen

  • 1.5 - Confirm Product is Linked to OEM Software

  • Product Link Confirmed

  • Comments

  • 1.6 - Observe Engine Exhaust Color

  • Exhaust Color

  • Believed Reason for Abnormality

  • 1.7 - Listen for Unusual Noises

  • Any Unusual Noises Present

  • Description of Noise & Possible Cause

2.) Lower-Level Inspection

  • 2.1 - Pontoon Equipment Number

  • 2.2 - Pontoon Bottom

  • Condition

  • Comments

  • Photo

  • 2.3 - Pontoon Sides

  • Condition

  • Comments

  • Photo

  • 2.4 - Check Frame for Cracks

  • Condition

  • Comments

  • Photo

  • 2.5 - Check Beams for Cracks/Bends

  • Condition

  • Comments

  • Photo

  • 2.6 - Steps & Handrails

  • Condition

  • Comments

  • Photo

  • 2.7 - Evaluate Tracks

  • Condition

  • Comments

  • Photo

  • 2.8 - Evaluate Gearbox for Leaks

  • Condition

  • Comments

  • Photo

  • 2.9 - Evaluate Drive Chain

  • Condition

  • Comments

  • Photo

  • 2.10 - Evaluate Idlers/Bushings

  • Condition

  • Comments

  • Photo

  • 2.11 - Inspect Hydraulic Hoses

  • Condition

  • Comments

  • Photo

  • 2.12 - Inspect Grease fittings to ensure taking grease.

  • Condition

  • Comments

  • Photo

  • 2.13 - Remove Manhole Covers and/or Plugs to check for mater or material present in pontoons. Inspect Gasket and anti-seize threads before sealing pontoon.

  • Condition

  • Comments

  • Photo

3.) Middle-Level Inspection

  • 3.1 - Cab Exterior

  • Condition

  • Comments

  • Photo

  • 3.2 - Cab Interior

  • Condition

  • Comments

  • Photo

  • 3.3 - Steps & Handrails

  • Condition

  • Comments

  • Photo

  • 3.4 -Work Lights

  • Condition

  • Comments

  • Photo

  • 3.5 - Air Cleaner

  • Condition

  • Comments

  • Photo

  • 3.6 - Battery & Cables

  • Condition

  • Comments

  • Photo

  • 3.7 - Radiator, Air Inlet, Oil Cooler & Aftercooler Lines

  • Condition

  • Comments

  • Photo

  • 3.8 - Lower Radiator & Oil Cooler Hoses

  • Condition

  • Comments

  • Photo

  • 3.9 - Counterweight

  • Condition

  • Comments

  • Photo

  • 3.10 - Hydraulic Pump Compartment

  • Condition

  • Comments

  • Photo

  • 3.11 - Swing Drive Gear

  • Condition

  • Comments

  • Photo

4.) Upper-Level Inspection

  • 4.1 - Hood & Platform

  • Condition

  • Comments

  • Photo

  • 4.2 - Exhaust Manifold

  • Condition

  • Comments

  • Photo

  • 4.3 - Turbocharger

  • Condition

  • Comments

  • Photo

  • 4.4 - Cylinder Head(s) & Valve Cover(s)

  • Condition

  • Comments

  • Photo

  • 4.5 - Fuel Lines, Fuel Pump, & Fuel Filter Base

  • Condition

  • Comments

  • Photo

  • 4.6 - Engine Mounts

  • Condition

  • Comments

  • Photo

  • 4.7 - Pulleys, Belts, Compressors Clutch, & Alternator

  • Condition

  • Comments

  • Photo

  • 4.8 - Cooling Fan, Fan Guard, & Shroud

  • Condition

  • Comments

  • Photo

  • 4.9 - Upper & Lower Radiator Lines, Air Inlet Lines, & Aftercooler Lines

  • Condition

  • Comments

  • Photo

  • 4.10 - Radiator/Oil Cooler Screen

  • Condition

  • Comments

  • Photo

  • 4.11 - Water Pump(s)

  • Condition

  • Comments

  • Photo

  • 4.12 - Radiator Cap

  • Condition

  • Comments

  • Photo

  • 4.13 - Fuel Priming Pump

  • Condition

  • Comments

  • Photo

  • 4.14 - Secondary Fuel Filter

  • Condition

  • Comments

  • Photo

  • 4.15 - Fuel Injection Pump

  • Condition

  • Comments

  • Photo

  • 4.16 - Engine Wiring Harness

  • Condition

  • Comments

  • Photo

  • 4.17 - Swing Drive Compartment

  • Condition

  • Comments

  • Photo

  • 4.18 - Swing Drive

  • Condition

  • Comments

  • Photo

  • 4.19 - Main Hydraulic Control Valve

  • Condition

  • Comments

  • Photo

  • 4.20 - Hydraulic Tank

  • Condition

  • Comments

  • Photo

  • 4.21 - Fuel Tank

  • Condition

  • Comments

  • Photo

5.) Implement/Attachment Inspetion

  • 5.1 - Swivel

  • Condition

  • Comments

  • Photo

  • 5.2 - Lower Boom Area

  • Condition

  • Comments

  • Photo

  • 5.3 - Area Around Boom Cylinders

  • Condition

  • Comments

  • Photo

  • 5.4 - Boom Cylinder

  • Condition

  • Comments

  • Photo

  • 5.5 - Area where Boom attaches to Stick

  • Condition

  • Comments

  • Photo

  • 5.6 - Stick Cylinder

  • Condition

  • Comments

  • Photo

  • 5.7 - Bucket Cylinder

  • Condition

  • Comments

  • Photo

  • 5.8 - Bucket Linkage

  • Condition

  • Comments

  • Photo

  • 5.9 - Bucket Wear Plates

  • Condition

  • Comments

  • Photo

  • 5.10 - Bucket Side Cutters

  • Condition

  • Comments

  • Photo

  • 5.11 - Bucket Edges, Tips, & Adapters

  • Condition

  • Comments

  • Photo

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.