Keller Equipment
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LITTLE ELM INSPECTIONS
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Equipment Number
Job Site Number
*
Inspector Name
*
Date / Time
*
Date
Time
Hours
Hours
Current Hours
*
Inspection Type
*
Incoming
Outgoing
Safety Switches & Devices (lights, alarms, beacon)
OK
Fault
N/A (Not Applicable)
Condition of Access Ladders/Handrails/Guards
OK
Fault
N/A (Not Applicable)
Condition of Dash & Lights (head/taillights, signal)
OK
Fault
N/A (Not Applicable)
Condition of Back-up Camera (working, clean, etc.)
OK
Fault
N/A (Not Applicable)
Condition of Tires
OK
Fault
N/A (Not Applicable)
Condition of Cargo Lights & Heater
OK
Fault
N/A (Not Applicable)
Condition of Tires/Rims/Studs/Undercarriage
OK
Fault
N/A (Not Applicable)
Condition of Tracks/Tires/Undercarriage/Hitch
OK
Fault
N/A (Not Applicable)
Condition of Windows/Wipers/Mirrors
OK
Fault
N/A (Not Applicable)
Condition of Controls & Levers inc Steering
OK
Fault
N/A (Not Applicable)
Condition of Steering & Suspension inc Levels
OK
Fault
N/A (Not Applicable)
Condition of Seat/Seatbelt
OK
Fault
N/A (Not Applicable)
Condition of Cab (cleanliness/garbage)
OK
Fault
N/A (Not Applicable)
Condition of Cab Heater & Switches
OK
Fault
N/A (Not Applicable)
Condition of Attachments (bucket/forks/jib/etc.)
OK
Fault
N/A (Not Applicable)
Condition of Main Drive Chain & Adjustment
OK
Fault
N/A (Not Applicable)
Condition of Shear Pin Assembly, Driveline, U Joints
OK
Fault
N/A (Not Applicable)
Condition of Boom, Hydraulic Cylinders, Sheaves
OK
Fault
N/A (Not Applicable)
Condition of Cables, Outer Kelly Cable, Clamps
OK
Fault
N/A (Not Applicable)
Condition of Cables, Inner Kelly Cable, Clamps
OK
Fault
N/A (Not Applicable)
Condition of Cables, Service Cable, Swivel, Hook
OK
Fault
N/A (Not Applicable)
Condition of Slide
OK
Fault
N/A (Not Applicable)
Condition of Swing Motors, Rotex
OK
Fault
N/A (Not Applicable)
Condition of Hanging Hoses (if applicable)
OK
Fault
N/A (Not Applicable)
Condition of Brake Bands & Clutches
OK
Fault
N/A (Not Applicable)
Condition of Wheel Chalks & Placement
OK
Fault
N/A (Not Applicable)
Condition of Brake System/Parking Brake
OK
Fault
N/A (Not Applicable)
Condition of Lock Out/Master Switch
OK
Fault
N/A (Not Applicable)
Condition of Remote Control (if applicable)
OK
Fault
N/A (Not Applicable)
Fuel/Propane Level
OK
Fault
N/A (Not Applicable)
Engine Oil Level/Performance/Belts/Gauge
OK
Fault
N/A (Not Applicable)
Transmission Oil Level/Condition
OK
Fault
N/A (Not Applicable)
Hydraulic Oil Level/Hoses/Cylinder/Quick Coupler
OK
Fault
N/A (Not Applicable)
Condition of Air Receiver Oil System & Level
OK
Fault
N/A (Not Applicable)
of of and/or
Condition of Air System & Drain
OK
Fault
N/A (Not Applicable)
Condition of Air System Whip Checks
OK
Fault
N/A (Not Applicable)
Condition of Air Hoses & Connections
OK
Fault
N/A (Not Applicable)
Condition of Electrical/Manual Air Shut Downs
OK
Fault
N/A (Not Applicable)
Condition of Cooling System & Levels
OK
Fault
N/A (Not Applicable)
Condition of Batteries & Connections
OK
Fault
N/A (Not Applicable)
Condition of Belts Tension & Wear
OK
Fault
N/A (Not Applicable)
Check Air Filters
OK
Fault
N/A (Not Applicable)
Condition of Air System Valves & Drain
OK
Fault
N/A (Not Applicable)
Condition of Grout Pumps & Hoses
OK
Fault
N/A (Not Applicable)
Condition of Electrical/Manual Air Shutdowns
OK
Fault
N/A (Not Applicable)
Condition of Hoses
OK
Fault
N/A (Not Applicable)
Condition of Pressure Gauges/Oil/Water/Charging
OK
Fault
N/A (Not Applicable)
Wear Ring/ Wear Plate (Turn Every 150hrs)
OK
Fault
N/A (Not Applicable)
Wash-Box
OK
Fault
N/A (Not Applicable)
Hopper/Agitator/Trapdoor
OK
Fault
N/A (Not Applicable)
Rock Valve Tension Nut
OK
Fault
N/A (Not Applicable)
Rock Valve (Swing Tube) Internal Condition
OK
Fault
N/A (Not Applicable)
Bolts/Rams/Rod Packings on Pistons
OK
Fault
N/A (Not Applicable)
Bleed Moisture in Hydraulic Tank
OK
Fault
N/A (Not Applicable)
Condition of Concrete Hoses
OK
Fault
N/A (Not Applicable)
Condition of Blow Out System (horn, clamps, air-cuff/ballast, etc.)
OK
Fault
N/A (Not Applicable)
Check for Loose and/or Missing Bolts
OK
Fault
N/A (Not Applicable)
Condition of Fire Extinguishers
OK
Fault
N/A (Not Applicable)
Check Service Date/Annual Inspection
OK
Fault
N/A (Not Applicable)
Fluids (Oil, Antifreeze, Hydraulic)
OK
Fault
N/A (Not Applicable)
Electric Components
OK
Fault
N/A (Not Applicable)
Physical Defects
OK
Fault
N/A (Not Applicable)
Added Accessories
OK
Fault
N/A (Not Applicable)
Cleanliness
OK
Fault
N/A (Not Applicable)
Describe All Faults
Describe any and all faults listed
Signature
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