Structured Safety
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Daily Equipment Inspection
Equipment Inspection Checklist
Date
*
Job Number
*
Job Name
*
Inspected By (Your Name)
*
Employee #
*
Equipment Number
*
Equipment Hours
*
Checklist
1. Check house cleaning
*
Select an option...
OK
Repair or Replace
2. Check all fluid levels & fill caps are secure
*
Select an option...
OK
Repair or Replace
3. Check tires or rollers & tracks
*
Select an option...
OK
Repair or Replace
4. Check for oil leaks, worn hoses
*
Select an option...
OK
Repair or Replace
5. Check brakes and park brakes
*
Select an option...
OK
Repair or Replace
6. Warning decals and grip paper in the needed areas
*
Select an option...
OK
Repair or Replace
7. Check pins & all hinge points. Inspect lift hooks & safety clasps
*
Select an option...
OK
Repair or Replace
8. Check condition of lights
*
Select an option...
OK
Repair or Replace
9. Operators' manual on machine
*
Select an option...
OK
Repair or Replace
10. Check back-up alarm & horn
*
Select an option...
OK
Repair or Replace
11. Inspect damage to body panels & sheet metal
*
Select an option...
OK
Repair or Replace
12. Check windows, mirrors, & wipers
*
Select an option...
OK
Repair or Replace
13. Check hand grips & steps
*
Select an option...
OK
Repair or Replace
14. Check seatbelt
*
Select an option...
OK
Repair or Replace
15. Check quick disconnects & alarm
*
Select an option...
OK
Repair or Replace
16. Fire extinguisher in machine
*
Select an option...
OK
Repair or Replace
Fire Extinguisher Expiration Date
*
Routing
*
Project Manager
Shop
Safety Director
Select all applicable routing destinations
Additional Comments and/or Concerns of the Equipment not on the check list
Please photograph anything requiring service
Upload or take a photo of the equipment
Maximum file size: 10MB
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