Equipment Inspection Form
All subcontractors must share daily equipment inspections
Reason for Inspection
Start of Shift
Monthly
Inspections to be completed by a Competent Person. Annual and other inspections should be completed by a qualified person.
Company Name
Your Name
First Name
Last Name
Email Address
Where would you like us to send a copy of this form?
Date
-
Month
-
Day
Year
Date
Equipment Type
Ex: Forklift/ Dozer/ Tractor/ Welder/ Compressor/ Generator/ Crane/ Etc...
Take picture of the equipment, or the front of your completed equipment inspection form
Take picture of the equipment, or the back of your completed equipment inspection form
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Inspection Checklist
If you fill out your own inspection form please take a picture using the above widget and then scroll to bottom of this page and click 'Submit'. If you do not have an in-house equipment inspection form please continue using this form. Not all checklist items will apply to all equipment
Damage Present
Yes
No
Tires/ Tracks/ Drive Chains
Pass
Fail
N/A
Fluid Leaks
Yes
No
Hose Condition
Good
Bad
N/A
Seat Belts Functional
Yes
No
N/A
Fire Extinguisher Present & Operable
Yes
No
N/A
Glass and Mirrors Condition
Good
Bad
N/A
Windshield Wiper Blades Functional
Yes
No
Lights and Reflectors
Good
Bad
N/A
Operating Controls Functional
Yes
No
N/A
Antifreeze Adequate
Yes
No
N/A
Fluid Levels Good
Yes
No
N/A
Lubrication Good
Yes
No
N/A
Check Valves Functional
Yes
No
N/A
Electrical Connections Good
Yes
No
N/A
Back-up Alarm Functional
Yes
No
N/A
Kill Switch Functional
Yes
No
N/A
Horn Functional
Yes
No
N/A
Required Labels Present
Yes
No
N/A
Outriggers Good
Yes
No
N/A
Aux. Hook and Ball
Good
Bad
N/A
Main Hook and Block
Good
Bad
N/A
Boom / Mask / Cylinders
Good
Bad
N/A
Anti Two Block Functional
Yes
No
N/A
Cable Condition
Good
Bad
N/A
Brakes
Good
Bad
N/A
Cones/ Triangles Present if Required
Yes
No
N/A
Fork Lift Assembly Bolts Condition
Good
Bad
N/A
Operators Manual Present and Load Chart
Yes
No
N/A
Periodic Inspections Performed
Yes
No
DOT Annual Inspection Current
Yes
No
N/A
Steering Mechanism - functional
Yes
No
N/A
Air Systems - functional
Yes
No
N/A
Comments/ Repairs Made
Signature
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