PRE-SHIFT EQUIPMENT INSPECTION
Company
*
Date
*
-
Month
-
Day
Year
Date
Time
*
Hour Minutes
AM
PM
AM/PM Option
Project Name
*
Unit #
*
Hour/Mileage
*
Glass?
*
Good
N/A
Cab?
*
Good
N/A
Horns?
*
Good
N/A
Operator Manual?
*
Good
N/A
Seat belt?
*
Good
N/A
Load Chart in Cab?
*
Good
N/A
Capacity Plate?
*
Good
N/A
Controls Functioning Properly?
*
Good
N/A
Gauges Functioning Properly?
*
Good
N/A
Back Up Alarm?
*
Good
N/A
Lights?
*
Good
N/A
Heating and A/C System Functioning?
*
Good
N/A
Fire Extinguisher?
*
Good
N/A
Steering Functioning Properly?
*
Good
N/A
Brakes Functioning Properly?
*
Good
N/A
Tires?
*
Good
N/A
Forks/Carriage?
*
Good
N/A
Boom/Stick?
*
Good
N/A
Pins and Keepers?
*
Good
N/A
Angle and Indicator?
*
Good
N/A
Loose or Broken Parts?
*
Good
N/A
Engine Oil Level/Leaks?
*
Good
N/A
Steering Fluid?
*
Good
N/A
Hydrualic Lines/Leaks?
*
Good
N/A
Coolant Level/Leaks?
*
Good
N/A
Transmission Fluid Level/Leaks?
*
Good
N/A
Fuel Level/Leaks?
*
Good
N/A
Comments/Any deficiencies?
Items rechecked after extended breaks?
*
Yes
No
Was supervision contacted at time of inspection for items needing immediate attention?
*
Yes
No
Operator Name (Print)
*
Operator Signature
*
Supervisor Name (Print)
*
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