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Pre-Shift Inspection Form
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1
Date
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This field is required.
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Date
Year
Month
Day
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2
Time
*
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Hour
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Minutes
AM
PM
PM
AM
PM
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3
Equipment Model
*
This field is required.
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4
SN#
*
This field is required.
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5
Hours
Hours on equipment
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6
Inspection
*
This field is required.
Good
Needs Repair
N/A
Backup lights and alarm
Row 0, Column 0
Row 0, Column 1
Row 0, Column 2
Blade/Bloom/Ripper condition
Row 1, Column 0
Row 1, Column 1
Row 1, Column 2
Brake Condition
Row 2, Column 0
Row 2, Column 1
Row 2, Column 2
Brake Fluid
Row 3, Column 0
Row 3, Column 1
Row 3, Column 2
Cab, mirror, seat belt and glass.
Row 4, Column 0
Row 4, Column 1
Row 4, Column 2
Cooling System Fluid
Row 5, Column 0
Row 5, Column 1
Row 5, Column 2
Coupling devices and connectors
Row 6, Column 0
Row 6, Column 1
Row 6, Column 2
Engine Oil
Row 7, Column 0
Row 7, Column 1
Row 7, Column 2
Exhaust System
Row 8, Column 0
Row 8, Column 1
Row 8, Column 2
Fire Extinguisher Condition
Row 9, Column 0
Row 9, Column 1
Row 9, Column 2
Frame, ladder(s) and walkway
Row 10, Column 0
Row 10, Column 1
Row 10, Column 2
Guardrails/Outrigger/Brakes
Row 11, Column 0
Row 11, Column 1
Row 11, Column 2
Ground Engaging Attachments
Row 12, Column 0
Row 12, Column 1
Row 12, Column 2
Hand grabs and steps
Row 13, Column 0
Row 13, Column 1
Row 13, Column 2
Horn and Gauges
Row 14, Column 0
Row 14, Column 1
Row 14, Column 2
Hydraulic Oil
Row 15, Column 0
Row 15, Column 1
Row 15, Column 2
Lights
Row 16, Column 0
Row 16, Column 1
Row 16, Column 2
Oil leak/lube
Row 17, Column 0
Row 17, Column 1
Row 17, Column 2
ROPS
Row 18, Column 0
Row 18, Column 1
Row 18, Column 2
Safety Decals
Row 19, Column 0
Row 19, Column 1
Row 19, Column 2
Seatbelts
Row 20, Column 0
Row 20, Column 1
Row 20, Column 2
Steering
Row 21, Column 0
Row 21, Column 1
Row 21, Column 2
Tires or tracks
Row 22, Column 0
Row 22, Column 1
Row 22, Column 2
Transmission Fluid
Row 23, Column 0
Row 23, Column 1
Row 23, Column 2
Turn Signals
Row 24, Column 0
Row 24, Column 1
Row 24, Column 2
Wheels/Tires
Row 25, Column 0
Row 25, Column 1
Row 25, Column 2
Windshield wipers and fluid
Row 26, Column 0
Row 26, Column 1
Row 26, Column 2
Backup lights and alarm
Blade/Bloom/Ripper condition
Brake Condition
Brake Fluid
Cab, mirror, seat belt and glass.
Cooling System Fluid
Coupling devices and connectors
Engine Oil
Exhaust System
Fire Extinguisher Condition
Frame, ladder(s) and walkway
Guardrails/Outrigger/Brakes
Ground Engaging Attachments
Hand grabs and steps
Horn and Gauges
Hydraulic Oil
Lights
Oil leak/lube
ROPS
Safety Decals
Seatbelts
Steering
Tires or tracks
Transmission Fluid
Turn Signals
Wheels/Tires
Windshield wipers and fluid
Good
Row 0, Column 0
Needs Repair
Row 0, Column 1
N/A
Row 0, Column 2
Good
Row 1, Column 0
Needs Repair
Row 1, Column 1
N/A
Row 1, Column 2
Good
Row 2, Column 0
Needs Repair
Row 2, Column 1
N/A
Row 2, Column 2
Good
Row 3, Column 0
Needs Repair
Row 3, Column 1
N/A
Row 3, Column 2
Good
Row 4, Column 0
Needs Repair
Row 4, Column 1
N/A
Row 4, Column 2
Good
Row 5, Column 0
Needs Repair
Row 5, Column 1
N/A
Row 5, Column 2
Good
Row 6, Column 0
Needs Repair
Row 6, Column 1
N/A
Row 6, Column 2
Good
Row 7, Column 0
Needs Repair
Row 7, Column 1
N/A
Row 7, Column 2
Good
Row 8, Column 0
Needs Repair
Row 8, Column 1
N/A
Row 8, Column 2
Good
Row 9, Column 0
Needs Repair
Row 9, Column 1
N/A
Row 9, Column 2
Good
Row 10, Column 0
Needs Repair
Row 10, Column 1
N/A
Row 10, Column 2
Good
Row 11, Column 0
Needs Repair
Row 11, Column 1
N/A
Row 11, Column 2
Good
Row 12, Column 0
Needs Repair
Row 12, Column 1
N/A
Row 12, Column 2
Good
Row 13, Column 0
Needs Repair
Row 13, Column 1
N/A
Row 13, Column 2
Good
Row 14, Column 0
Needs Repair
Row 14, Column 1
N/A
Row 14, Column 2
Good
Row 15, Column 0
Needs Repair
Row 15, Column 1
N/A
Row 15, Column 2
Good
Row 16, Column 0
Needs Repair
Row 16, Column 1
N/A
Row 16, Column 2
Good
Row 17, Column 0
Needs Repair
Row 17, Column 1
N/A
Row 17, Column 2
Good
Row 18, Column 0
Needs Repair
Row 18, Column 1
N/A
Row 18, Column 2
Good
Row 19, Column 0
Needs Repair
Row 19, Column 1
N/A
Row 19, Column 2
Good
Row 20, Column 0
Needs Repair
Row 20, Column 1
N/A
Row 20, Column 2
Good
Row 21, Column 0
Needs Repair
Row 21, Column 1
N/A
Row 21, Column 2
Good
Row 22, Column 0
Needs Repair
Row 22, Column 1
N/A
Row 22, Column 2
Good
Row 23, Column 0
Needs Repair
Row 23, Column 1
N/A
Row 23, Column 2
Good
Row 24, Column 0
Needs Repair
Row 24, Column 1
N/A
Row 24, Column 2
Good
Row 25, Column 0
Needs Repair
Row 25, Column 1
N/A
Row 25, Column 2
Good
Row 26, Column 0
Needs Repair
Row 26, Column 1
N/A
Row 26, Column 2
1
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7
General safety condition
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8
Problems or repairs needed
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9
Repairs or Maintenance completed
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10
Other Notes
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11
Inspection Completed By
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First Name
Last Name
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