Laserfiche WebLink
Monthly Mobile/Heavy Equipment Safety Inspection Checklist <br />This form is to be completed by the qualified operator of the equipment <br />Date: Project No.: Site/Location: <br />Equipment Type: Model No.: Odometer: <br />Operator/Inspector Name: Machine <br />Hours: <br />Warning: Do not operate a malfunctioning machine until corrective measures have been taken and all discrepancies have been cleared by a qualified operator/mechanic. <br />In addition to elements on this checklist, the owner's manual for the specific piece of equipment being operated may contain other daily inspection checks and/or preventative <br />maintenance procedures. <br />General Safety <br />II Operator Qualification • PPE Supplies IN Fire Extinguisher (ready-to-use) <br />• Owners Manual (present) • DriverCheck (decal in place) • First-Aid Kit (present & stocked) <br />• Manufacturer Specs Followed MI Access Ladder (secure and ok) • Housekeeping (clean) <br />• Emergency Kit (signs, flares) • Flashlight Markers (cones, barricades, etc.) <br />Vehicle, Engine, and <br />Hydraulic Systems <br />(note any added fluid) <br />Engine Oil (fluid level, condition) Fuel Level . Other Fluid <br />• Transmission (fluid level, fluid <br />condition, unit operation) • Brake Fluid Steering (power steering fluid level, <br />no play in steering) <br />• Radiator (coolant level, hose <br />condition) <br />• Fan Belts (tension/condition) • Brakes (vehicle, parking) <br />• Hydraulic System (fluid level, fluid <br />condition, hose condition, <br />cylinders, leakage) <br />• Chassis (proper lubrication) • Tires (condition, inflation) <br />Outriggers (operational, if <br />equipped) — , <br />M • <br />-mow <br />Tracked Vehicles J Track Tension (proper tension) Plates and/or Shoes <br />-.-5 <br />. <br />--0....-- <br />Grouser Plates <br />Rollers • Drive Sprockets <br />Lights and alarms <br />(clean and functional) <br />D Headlights (hi, low, run beams) Parking Lights ü Revolving Flashing Lights (if <br />required) <br />M Reverse Lights (backup) • Equipment Work Lights • Horn <br />M Brake/Tail Lights_________• Turn Signals/Hazard Flashers • Reverse Alarms (backup) <br />Vehicle cab <br />(clean and functional) <br />• Seatbelts (if required) <br />..4‘t <br />Windshield Wipers • Body Damage <br />M Housekeeping • 2 Way Communication • Speed/Hour Meter <br />M Fuel Gauge • Horn (operational) • Windshield (glass ok, clean) <br />LI Controls O•erational • Mirrors rear view, side - _ <br />Maintenance/ Equipment Ref uest Corrected By: Date: <br />Inspectors Signature: <br />Date