Skid Steer Daily Inspection

Project*
Meter Reading (Hours)*
Unit Number*
Month*
Year*
For the following section you will need to locate the service sticker. The sticker is usually located around the engine bay or in the cab. If you are unable to locate the service sticker contact your supervisor.
Last Service Date*

MonthDayYear
Date
Next Service Date*

MonthDayYear
Date
Serviced By*
If supplier is unknown, please check owner's manual or site superintendent
Notes:
1. Inspect the following before the start of each shift.
2. Any discrepancies shall be reported ASARP.
3. Remember to Tag Out faulty unit and contact supervision.
Inspection Items

Visual Checks*

Operational Checks*

	Good	Deficient
Brakes
Parking Brake
Seat Belt/Inter block Bar
Backup Alarm/ Rotating Light
Joystick Controls
Hydraulic Cylinder Functions
Track Rollers Good
Track in good condition
Inspector Initials

If deficiencies were noted, would any of these require you to place a 'do not operate tag' on this piece of equipment?*

YesNo
Print First and Last Name*
Company Name*
Signature*

Clear
What's your email?*
example@example.com (A copy of your completed permit will be emailed here)
Should be Empty:

Inspection Items