Operator:
Company:
Location:
Make:
Model:
Hours:
Date:
Unit number:
Serial number:
1. Wheels/Tires/Tracks YesNoN/A
1.1. Tires Pressure (please insert PSI values for each tire)
2. Lights/Strobes YesNoN/A
3. Engine/Battery YesNoN/A
3.1. Cover Panel YesNoN/A
3.2. Debris YesNoN/A
3.3. Belts/Hoses YesNoN/A
3.4. Air Filter Indicator YesNoN/A
3.5. Wires/Cables/Terminals YesNoN/A
3.6. Batteries clean/dry/secure YesNoN/A
4.1. Engine Oil
4.2. Engine Coolant
4.3. Hydraulic Oil
4.4. Fuel/Battery
5. Hydraulics YesNoN/A
5.1. Cylinders/Rods/Pin Locks YesNoN/A
5.2. Hoses/Lines/Fittings YesNoN/A
6. Data/Capacity Plate YesNoN/A
7. Verify Equipment Inspections are current YesNoN/A
8. Counterweight/Counterweight Bolt(s) YesNoN/A
9. Accessory plugs & cables YesNoN/A
10. Boom/Lift arms/Extending Structure YesNoN/A
11. Power Track YesNoN/A
12. Safety Prop YesNoN/A
13. Platform/Guardrails/Anchor Points YesNoN/A
14. Weather-Resistant Storage Compartment YesNoN/A
15. OEM Approved Attachments YesNoN/A
16. Fire Extinguisher(s) YesNoN/A
17. Other
18. Unit Starts & Runs Properly YesNoN/A
19. Instruments/System Warning Indicators YesNoN/A
20. Fuel/Charge Level YesNoN/A
21. Audible/Visual Warning Devices YesNoN/A
22.1. Drive YesNoN/A
22.2. Steering YesNoN/A
22.3. Braking YesNoN/A
22.4. Platform YesNoN/A
22.5. Turret Rotate YesNoN/A
22.6. Boom/Jib/Lift Arms YesNoN/A
22.7. Accessories/Optional Equipment YesNoN/A
22.8. Function-Enable (Dead man) Devices YesNoN/A
23. Emergency/Auxiliary Controls YesNoN/A
24. Safety Interlocks YesNoN/A
25. Other
26. Housekeeping YesNoN/A
27. Manufacturer's Operating Manuals YesNoN/A
28. Decals/Warnings/Placards YesNoN/A
29. Control Markings YesNoN/A
30. Personal Protective Equipment YesNoN/A
31. Valid Operator/Training Card YesNoN/A
32. Drop-offs or Holes YesNoN/A
33. Bumps & Floor/Ground Obstructions YesNoN/A
34. Debris YesNoN/A
35. Overhead Obstructions YesNoN/A
36. Energized Power Lines YesNoN/A
37. Hazardous Locations YesNoN/A
38. Ground / Surface & Support Conditions YesNoN/A
39. Pedestrians YesNoN/A
40. Vehicle Traffic YesNoN/A
41. Weather Conditions YesNoN/A
42. Wind Speed (Less than MFG. Guidelines) YesNoN/A
43. Other Possible Hazards YesNoN/A
COMMENTS
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