LV-PNW-AZ

High Pressure and High CFM Air compressors
Cranes
DVT, Vibrocat, FMS
Medium Drills
Large Drills
Grout Pumps
Large pumps
Grout Tanks
Compaction Grout Batchers
Concrete Pumps
Silos
Excavators
Loaders
Forklifts

Keller Equipment

This site is designed to directly send equipment issues to the local equipment authority.

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Equipment Inspection

Rig Number/Name

Job number

Operator name

Date

Time

Supers

Inspection Type

Inbound Outbound Daily

Urgency

High(requires site visit) Medium(can be done this week) Low(Can be done when returns to shop)

Safety Switches & Devices (lights, alarm, beacon)

OK Fault N/A

Condition of Access Ladders/Handrails/Guards

OK Fault N/A

Condition of Tracks/Tires/Undercarriage/Hitch

OK Fault N/A

Condition of Wheel Chalks & Placement

OK Fault N/A

Condition of Brake System/Parking Brake

OK Fault N/A

Condition of Lock Out/Master Switch

OK Fault N/A

Fuel Level

OK Fault N/A

Engine Oil Level/Performance/Belts/Gauge

OK Fault N/A

Condition of Air Receiver Oil System & Level

OK Fault N/A

Condition of Air System & Drain

OK Fault N/A

Condition of Air System Whip Checks

OK Fault N/A

Condition of Air Hoses & Connections

OK Fault N/A

Condition of Electrical/Manual Air Shut Downs

OK Fault N/A

Condition of Cooling System & Levels

OK Fault N/A

Condition of Batteries & Connections

OK Fault N/A

Condition of Belts Tension & Wear

OK Fault N/A

Check for Loose and/or Missing Bolts

OK Fault N/A

Check Air Filters

OK Fault N/A

Condition of Pressure Gauges/Oil/Water/Charging

OK Fault N/A

Condition of Fire Extinguishers

OK Fault N/A

Check Service Date/Annual Certification

OK Fault N/A

Did you grease and clean your machine?

Yes No

Describe All Issues

Add Image

Equipment Hours

Phone Number

Last Service

Rig Number/Name

Job number

Operator name

Date

Time

Supers

Inspection Type

Inbound Outbound Daily

Urgency

High(requires site visit) Medium(can be done this week) Low(Can be done when returns to shop)

Operators Manual/Configuration drawings

Yes No N/A

High Voltage Warning Sign

Yes No N/A

Horn

Yes No N/A

Boom Angle Indicator

Working Bad N/A

Anti-Two Block Device Main

Clean Avg Dirty

Load Moment Indicator

Good Bad N/A

Hydraulic Tank

Good Bad N/A

Catwalk and Handrails

Good Bad N/A

Head, Tail and Brake lights

Good Bad N/A

Lubrication,Fluid Levels and Fluid Condition

Good Bad N/A

Check Boom Hoist Kickout

Good Bad N/A

Check Jib Backstop

Good Bad N/A

Check Operation By Fully Extending and Retracting

Good Bad N/A

Check Boom Pivot Shaft and Keepers

Good Bad N/A

Check Boom Point Sheaves

Good Bad N/A

Check Condition Of Auxiliary Hoist Rope

Good Bad N/A

Check Condition Of Pendants Especially At Sockets

Good Bad N/A

Check Main Hook And Safety Latch

Good Bad N/A

Check Sheaves

Good Bad N/A

Hydraulic Auxiliary Hoist

Good Bad N/A

Main Hoist Brake

Good Bad N/A

Hand Signals Posted

Good Bad N/A

Capacity Chart In Cab

Good Bad N/A

Fire Extinguisher Present

Good Bad N/A

Backup Alarm

Good Bad N/A

Anti Two Black Device Auxiliary

Good Bad N/A

Handholds And Steps

Good Bad N/A

Non-Skid Surfaces

Good Bad N/A

Directional Signs

Good Bad N/A

Housekeeping

Good Bad N/A

Check Integrity Of Boom Steps

Good Bad N/A

Description

Chords And Lacing

Good Bad N/A

Check All Boom And Jib Connecting Pins and Locks

Good Bad N/A

Check Welds

Good Bad N/A

Check Boom Hoist Cylinders And Pins

Good Bad N/A

Check Condition Of Main Hoist Ropes

Good Bad N/A

Check Condition Of Rope Dead Ends,Clamps And Socks

Good Bad N/A

Check Auxiliary Hook And Safety Latch

Good Bad N/A

Hydraulic Main Hoist

Good Bad N/A

Hydraulic Swing And Brake

Good Bad N/A

Describe all issues

Add Image

Phone Number

Last Service

Rig Number/Name

Job number

Operator name

Date

Time

Supers

Inspection Type

Inbound Outbound Daily

Urgency

High(requires site visit) Medium(can be done this week) Low(Can be done when returns to shop)

Safety Switches & Devices (lights, alarm, beacon, horn)

OK Fault N/A

Condition of Lights (head/tail lights, signal)

OK Fault N/A

Condition of Access Ladders/Handrails/Guards

OK Fault N/A

Condition of Back-up Camera (working, clean, etc)

OK Fault N/A

Condition of Tracks/Tires/Undercarriage

OK Fault N/A

Condition of Controls & Levers inc Steering

OK Fault N/A

Condition of Attachments

OK Fault N/A

Condition of Brake System/Parking Brake

OK Fault N/A

Condition of Lock Out/Master Switch

OK Fault N/A

Fuel Level

OK Fault N/A

Description

Engine Oil Level/Performance/Belts/Gauge

OK Fault N/A

Transmission Oil Level/Condition

OK Fault N/A

Hydraulic Oil Level/Hoses/Cylinder/Quick Coupler

OK Fault N/A

Condition of Cooling System & Levels

OK Fault N/A

Condition of Batteries & Connections

OK Fault N/A

Condition of Belts Tension & Wear

OK Fault N/A

Check for Loose and/or Missing Bolts

OK Fault N/A

Check Air Filters

OK Fault N/A

Condition of Fire Extinguishers

OK Fault N/A

Check Service Date/Annual Inspection

OK Fault N/A

Did you Grease and Clean Your Machine?

Yes No

Describe all issues

Add Image

Equipment Hours

Phone Number

Last Service

Rig Number/Name

Job number

Operator name

Date

Time

Supers

Inspection Type

Inbound Outbound Daily

Urgency

High(requires site visit) Medium(can be done this week) Low(Can be done when returns to shop)

Safety Switches & Devices (lights, alarm, beacon, horn)

OK Fault N/A

Condition of Dash & Lights (head/tail lights, signal)

OK Fault N/A

Condition of Access Ladders/Handrails/Guards

OK Fault N/A

Condition of Back-up Camera (working, clean, etc)

OK Fault N/A

Condition of Tracks/Tires/Undercarriage

OK Fault N/A

Condition of Windows/Wipers/Mirrors

OK Fault N/A

Condition of Controls & Levers inc Steering

OK Fault N/A

Condition of Seat/Seatbelt

OK Fault N/A

Condition of Cab (cleanliness/garbage)

OK Fault N/A

Condition of Cab Heater & Switches

OK Fault N/A

Condition of Main Drive Chain & Adjustment

OK Fault N/A

Condition of Shear Pin Assembly, Driveline, U Joints

OK Fault N/A

Condition of Boom, Hydraulic Cylinders, Sheaves

OK Fault N/A

Condtion of Cables, Outer Kelly Cable, Clamps

OK Fault N/A

Condition of Cables, Inner Kelly Cable, Clamps

OK Fault N/A

Condition of Cables, Service Cable, Swivel, Hook

OK Fault N/A

Condition of Slide

OK Fault N/A

Condition of Swing Motors, Rotex

OK Fault N/A

Condition of Hanging Hoses (if applicable)l, Hook

OK Fault N/A

Condition of Brake Bands & Clutches

OK Fault N/A

Condition of Lock Out/Master Switch

OK Fault N/A

Condition of Remote Control (if applicable)

OK Fault N/A

Fuel Level

OK Fault N/A

Engine Oil Level/Performance/Belts/Gauge

OK Fault N/A

Transmission Oil Level/Condition

OK Fault N/A

Hydraulic Oil Level/Hoses/Cylinder/Quick Coupler

OK Fault N/A

Condition of Cooling System & Levels

OK Fault N/A

Condition of Air System & Drain

OK Fault N/A

Condition of Batteries & Connections

OK Fault N/A

Condition of Pressure Gauges (oil, water, charging)

OK Fault N/A

Condition of Belts Tension & Wear

OK Fault N/A

Check for Loose and/or Missing Bolts

OK Fault N/A

Check Air Filters

OK Fault N/A

Condition of Fire Extinguishers

OK Fault N/A

Check Service Date/Annual Inspection

OK Fault N/A

Did you grease and clean your machine?

Yes No

Describe all issues

Add Image

Equipment Hours

Phone Number

Last Service

Rig Number/Name

Job number

Operator name

Date

Time

Supers

Inspection Type

Inbound Outbound Daily

Urgency

High(requires site visit) Medium(can be done this week) Low(Can be done when returns to shop)

Safety Switches & Devices (lights, alarm, beacon, horn)

OK Fault N/A

Condition of Dash & Lights (head/tail lights, signal)

OK Fault N/A

Condition of Access Ladders/Handrails/Guards

OK Fault N/A

Condition of Back-up Camera (working, clean, etc)

OK Fault N/A

Condition of Tracks/Tires/Undercarriage

OK Fault N/A

Condition of Windows/Wipers/Mirrors

OK Fault N/A

Condition of Controls & Levers inc Steering

OK Fault N/A

Condition of Seat/Seatbelt

OK Fault N/A

Condition of Cab (cleanliness/garbage)

OK Fault N/A

Condition of Cab Heater & Switches

OK Fault N/A

Condition of Main Drive Chain & Adjustment

OK Fault N/A

Condition of Shear Pin Assembly, Driveline, U Joints

OK Fault N/A

Condition of Boom, Hydraulic Cylinders, Sheaves

OK Fault N/A

Condtion of Cables, Outer Kelly Cable, Clamps

OK Fault N/A

Condition of Cables, Inner Kelly Cable, Clamps

OK Fault N/A

Condition of Cables, Service Cable, Swivel, Hook

OK Fault N/A

Condition of Slide

OK Fault N/A

Condition of Swing Motors, Rotex

OK Fault N/A

Condition of Hanging Hoses (if applicable)

OK Fault N/A

Description

Condition of Brake Bands & Clutches

OK Fault N/A

Condition of Lock Out/Master Switch

OK Fault N/A

Condition of Remote Control (if applicable)

OK Fault N/A

Fuel Level

OK Fault N/A

Engine Oil Level/Performance/Belts/Gauge

OK Fault N/A

Transmission Oil Level/Condition

OK Fault N/A

Hydraulic Oil Level/Hoses/Cylinder/Quick Coupler

OK Fault N/A

Condition of Cooling System & Levels

OK Fault N/A

Condition of Air System & Drain

OK Fault N/A

Condition of Batteries & Connections

OK Fault N/A

Condition of Pressure Gauges (oil, water, charging)

OK Fault N/A

Condition of Belts Tension & Wear

OK Fault N/A

Check for Loose and/or Missing Bolts

OK Fault N/A

Check Air Filters

OK Fault N/A

Condition of Fire Extinguishers

OK Fault N/A

Check Service Date/Annual Inspection

OK Fault N/A

Did you clean and grease your machine?

Yes No

Describe all issues

Add Image

Equipment Hours

Phone Number

Last Service

Rig Number/Name

Job number

Operator name

Date

Time

Supers

Inspection Type

Inbound Outbound Daily

Urgency

High(requires site visit) Medium(can be done this week) Low(Can be done when returns to shop)

Safety Switches & Devices (lights, alarm, beacon, horn)

OK Fault N/A

Condition of Dash & Lights (head/tail lights, signal)

OK Fault N/A

Condition of Access Ladders/Handrails/Guards

OK Fault N/A

Condition of Back-up Camera (working, clean, etc)

OK Fault N/A

Condition of Tracks/Tires/Undercarriage

OK Fault N/A

Condition of Windows/Wipers/Mirrors

OK Fault N/A

Condition of Controls & Levers inc Steering

OK Fault N/A

Condition of Seat/Seatbelt

OK Fault N/A

Condition of Cab (cleanliness/garbage)

OK Fault N/A

Condition of Cab Heater & Switches

OK Fault N/A

Condition of Main Drive Chain & Adjustment

OK Fault N/A

Condition of Shear Pin Assembly, Driveline, U Joints

OK Fault N/A

Condition of Boom, Hydraulic Cylinders, Sheaves

OK Fault N/A

Condtion of Cables, Outer Kelly Cable, Clamps

OK Fault N/A

Condition of Cables, Inner Kelly Cable, Clamps

OK Fault N/A

Condition of Cables, Service Cable, Swivel, Hook

OK Fault N/A

Condition of Slide

OK Fault N/A

Condition of Swing Motors, Rotex

OK Fault N/A

Condition of Hanging Hoses (if applicable)

OK Fault N/A

Condition of Brake Bands & Clutches

OK Fault N/A

Condition of Lock Out/Master Switch

OK Fault N/A

Condition of Remote Control (if applicable)

OK Fault N/A

Fuel Level

OK Fault N/A

Engine Oil Level/Performance/Belts/Gauge

OK Fault N/A

Transmission Oil Level/Condition

OK Fault N/A

Hydraulic Oil Level/Hoses/Cylinder/Quick Coupler

OK Fault N/A

Condition of Cooling System & Levels

OK Fault N/A

Condition of Air System & Drain

OK Fault N/A

Condition of Batteries & Connections

OK Fault N/A

Condition of Pressure Gauges (oil, water, charging)

OK Fault N/A

Condition of Belts Tension & Wear

OK Fault N/A

Check for Loose and/or Missing Bolts

OK Fault N/A

Check Air Filters

OK Fault N/A

Condition of Fire Extinguishers

OK Fault N/A

Check Service Date/Annual Inspection

OK Fault N/A

Did you grease and clean your machine?

Yes No

Describe all Issues

Add Image

Equipment Hours

Phone Number

Last Service

Rig Number/Name

Job number

Operator name

Date

Time

Supers

Inspection Type

Inbound Outbound Daily

Urgency

High(requires site visit) Medium(can be done this week) Low(Can be done when returns to shop)

Safety Switches & Devices (lights, alarm, beacon)

OK Fault N/A

Condition of Access Ladders/Handrails/Guards

OK Fault N/A

Condition of Tracks/Tires/Undercarriage/Hitch

OK Fault N/A

Condition of Wheel Chalks & Placement

OK Fault N/A

Condition of Brake System/Parking Brake

OK Fault N/A

Condition of Lock Out/Master Switch

OK Fault N/A

Fuel Level

OK Fault N/A

Engine Oil Level/Performance/Belts/Gauge

OK Fault N/A

Transmission Oil Level/Condition

OK Fault N/A

Hydraulic Oil Level/Hoses/Cylinder/Quick Coupler

OK Fault N/A

Condition of Air System & Drain

OK Fault N/A

Condition of Cooling System & Levels

OK Fault N/A

Condition of Batteries & Connections

OK Fault N/A

Condition of Belts Tension & Wear

OK Fault N/A

Check for Loose and/or Missing Bolts

OK Fault N/A

Condition of Pressure Gauges/Oil/Water/Charging

OK Fault N/A

Condition of Hoses

OK Fault N/A

Condition of Blow Out System (horn, clamps, air-cuff/ballast, etc)

OK Fault N/A

Condition of Fire Extinguishers

OK Fault N/A

Check Service Date/Annual Certification

OK Fault N/A

Did you clean your machine?

Yes No

Describe all issues

Add Image

Equipment Hours

Phone Number

Last Service

Rig Number/Name

Job number

Operator name

Date

Time

Supers

Inspection Type

Inbound Outbound Daily

Urgency

High(requires site visit) Medium(can be done this week) Low(Can be done when returns to shop)

Safety Switches & Devices (lights, alarm, beacon, horn)

OK Fault N/A

Condition of Dash & Lights (head/tail lights, signal)

OK Fault N/A

Condition of Cargo Lights & Heater

OK Fault N/A

Condition of Access Ladders/Handrails/Guards

OK Fault N/A

Condition of Tires/Rims/Studs/Undercarriage

OK Fault N/A

Condition of Wheel Chalks & Placement

OK Fault N/A

Condition of Windows/Wipers/Mirrors

OK Fault N/A

Condition of Steering & Suspension inc Levels

OK Fault N/A

Condition of Seat/Seatbelt

OK Fault N/A

Condition of Cab (cleanliness/garbage)

OK Fault N/A

Condition of Cab Heater & Switches

OK Fault N/A

Condition of Brake System/Parking Brake

OK Fault N/A

Condition of Lock Out/Master Switch

OK Fault N/A

Fuel Level

OK Fault N/A

Engine Oil Level/Performance/Belts/Gauge

OK Fault N/A

Transmission Oil Level/Condition

OK Fault N/A

Hydraulic Oil Level/Hoses/Cylinder/Quick Coupler

OK Fault N/A

Condition of Cooling System & Levels

OK Fault N/A

Condition of Batteries & Connections

OK Fault N/A

Condition of Air System Valves & Drain

OK Fault N/A

Condition of Grout Pump & Hoses

OK Fault N/A

Condition of Electrical/Manual Air Shut Downs

OK Fault N/A

Condition of Belts Tension & Wear

OK Fault N/A

Check for Loose and/or Missing Bolts

OK Fault N/A

Condition of Fire Extinguishers

OK Fault N/A

Check Service Date/Annual Inspection

OK Fault N/A

Did you grease and clean your machine?

Yes No

Description

Add Image

Equipment Hours

Phone Number

Last Service

Rig Number/Name

Job number

Operator name

Date

Time

Supers

Inspection Type

Inbound Outbound Daily

Urgency

High(requires site visit) Medium(can be done this week) Low(Can be done when returns to shop)

Safety Switches & Devices (lights, alarm, beacon)

OK Fault N/A

Condition of Dash & Lights (head/tail lights, signal)

OK Fault N/A

Condition of Cargo Lights & Heater

OK Fault N/A

Condition of Access Ladders/Handrails/Guards

OK Fault N/A

Condition of Tires/Rims/Studs/Undercarriage

OK Fault N/A

Condition of Wheel Chalks & Placement

OK Fault N/A

Condition of Lock Out/Master Switch

OK Fault N/A

Fuel Level

OK Fault N/A

Engine Oil Level/Performance/Belts/Gauge

OK Fault N/A

Transmission Oil Level/Condition

OK Fault N/A

Hydraulic Oil Level/Hoses/Cylinder/Quick Coupler

OK Fault N/A

Condition of Air System & Drain

OK Fault N/A

Condition of Cooling System & Levels

OK Fault N/A

Condition of Batteries & Connections

OK Fault N/A

Condition of Belts Tension & Wear

OK Fault N/A

Check for Loose and/or Missing Bolts

OK Fault N/A

Condition of Pressure Gauges/Oil/Water/Charging

OK Fault N/A

Condition of Hoses

OK Fault N/A

Condition of Fire Extinguishers

OK Fault N/A

Check Service Date/Annual Certification

OK Fault N/A

Did you clean your machine?

Yes No

Describe all issues

Add Image

Equipment Hours

Phone Number

Last Service

Rig Number/Name

Job number

Operator name

Date

Time

Supers

Inspection Type

Inbound Outbound Daily

Urgency

High(requires site visit) Medium(can be done this week) Low(Can be done when returns to shop)

Safety Switches & Devices (lights, alarm, beacon)

OK Fault N/A

Condition of Access Ladders/Handrails/Guards

OK Fault N/A

Condition of Tracks/Tires/Undercarriage/Hitch

OK Fault N/A

Condition of Wheel Chalks & Placement

OK Fault N/A

Condition of Brake System/Parking Brake

OK Fault N/A

Condition of Lock Out/Master Switch

OK Fault N/A

Fuel Level

OK Fault N/A

Engine Oil Level/Performance/Belts/Gauge

OK Fault N/A

Transmission Oil Level/Condition

OK Fault N/A

Hydraulic Oil Level/Hoses/Cylinder/Quick Coupler

OK Fault N/A

Condition of Air System & Drain

OK Fault N/A

Condition of Cooling System & Levels

OK Fault N/A

Condition of Batteries & Connections

OK Fault N/A

Condition of Belts Tension & Wear

OK Fault N/A

Check for Loose and/or Missing Bolts

OK Fault N/A

Check Air Filters

OK Fault N/A

Condition of Pressure Gauges/Oil/Water/Charging

OK Fault N/A

Wear Ring/ Wear Plate (Turn Every 150hrs)

OK Fault N/A

Wash-Box

OK Fault N/A

Hopper/Agitator/Trapdoor

OK Fault N/A

Rock Valve Tension Nut

OK Fault N/A

Rock Valve (Swing Tube) Internal Condition

OK Fault N/A

Bolts/Rams/Rod Packings on Pistons

OK Fault N/A

Bleed Moisture in Hydraulic Tank

OK Fault N/A

Condition of Concrete Hoses

OK Fault N/A

Condition of Blow Out System (horn, clamps, air-cuff/ballast, etc)

OK Fault N/A

Condition of Fire Extinguishers

OK Fault N/A

Check Service Date/Annual Certification

OK Fault N/A

Did you grease and clean your machine?

Yes No

Describe all issues

Add Image

Equipment Hours

Phone Number

Last Service

Rig Number/Name

Job number

Operator name

Date

Time

Supers

Inspection Type

Inbound Outbound Daily

Urgency

High(requires site visit) Medium(can be done this week) Low(Can be done when returns to shop)

Safety Switches & Devices (lights, alarm, beacon)

OK Fault N/A

Check E-Stop

OK Fault N/A

Condition of Access Ladders/Handrails/Guards/Steps/Deck/Safety Chains

OK Fault N/A

Condition of Tracks/Tires/Undercarriage/Hitch

OK Fault N/A

Condition of Wheel Chalks & Placement

OK Fault N/A

Condition of Brake System/Parking Brake

OK Fault N/A

Condition of Lock Out/Master Switch

OK Fault N/A

Fuel Level

OK Fault N/A

Engine Oil Level/Performance/Belts/Gauge

OK Fault N/A

Transmission Oil Level/Condition

OK Fault N/A

Hydraulic Oil Level/Hoses/Cylinder/Quick Coupler

OK Fault N/A

Condition of Cooling System & Levels

OK Fault N/A

Condition of Batteries & Connections

OK Fault N/A

Condition of Belts Tension & Wear

OK Fault N/A

Check for Loose and/or Missing Bolts

OK Fault N/A

Check Air Filters

OK Fault N/A

Condition of Pressure Gauges/Oil/Water/Charging

OK Fault N/A

Condition of Fire Extinguishers

OK Fault N/A

Check Service Date/Annual Certification

OK Fault N/A

Did you grease and clean your machine?

Yes No

Describe all issues

Add Image

Equipment Hours

Phone Number

Last Service

Rig Number/Name

Job number

Operator name

Date

Time

Supers

Inspection Type

Inbound Outbound Daily

Urgency

High(requires site visit) Medium(can be done this week) Low(Can be done when returns to shop)

Fluids(Oil,Antifreeze,Hydraulic)

Good Low

Electric components

Good Bad

Physical Defects

Yes No

Added Accessories

Working Bad

Cleanliness

Clean Avg Dirty

Describe all issues

Add Image

Equipment Hours

Phone Number

Last Service

Rig Number/Name

Job number

Operator name

Date

Time

Supers

Inspection Type

Inbound Outbound Daily

Safety Switches & Devices (lights, alarm, beacon, horn)

OK Fault N/A

Condition of Dash & Lights (head/tail lights, signal)

OK Fault N/A

Condition of Access Ladders/Handrails/Guards

OK Fault N/A

Condition of Back-up Camera (working, clean, etc)

OK Fault N/A

Condition of Tracks/Tires/Undercarriage

OK Fault N/A

Condition of Windows/Wipers/Mirrors

OK Fault N/A

Condition of Controls & Levers inc Steering

OK Fault N/A

Condition of Seat/Seatbelt

OK Fault N/A

Condition of Cab (cleanliness/garbage)

OK Fault N/A

Condition of Cab Heater & Switches

OK Fault N/A

Condition of Attachments (bucket/forks/jib/etc)

OK Fault N/A

Condition of Brake System/Parking Brake

OK Fault N/A

Condition of Lock Out/Master Switch

OK Fault N/A

Fuel Level

OK Fault N/A

Engine Oil Level/Performance/Belts/Gauge

OK Fault N/A

Transmission Oil Level/Condition

OK Fault N/A

Hydraulic Oil Level/Hoses/Cylinder/Quick Coupler

OK Fault N/A

Condition of Cooling System & Levels

OK Fault N/A

Condition of Batteries & Connections

OK Fault N/A

Condition of Belts Tension & Wear

OK Fault N/A

Check for Loose and/or Missing Bolts

OK Fault N/A

Check Air Filters

OK Fault N/A

Condition of Fire Extinguishers

OK Fault N/A

Check Service Date/Annual Inspection

OK Fault N/A

Did you clean and grease your machine?

Yes No

Describe all issues

Add Image

Equipment Hours

Phone Number

Last Service

Rig Number/Name

Job number

Operator name

Date

Time

Supers

Inspection Type

Inbound Outbound Daily

Urgency

High(requires site visit) Medium(can be done this week) Low(Can be done when returns to shop)

Safety Switches & Devices (lights, alarm, beacon, horn)

OK Fault N/A

Condition of Dash & Lights (head/tail lights, signal)

OK Fault N/A

Condition of Access Ladders/Handrails/Guards

OK Fault N/A

Condition of Back-up Camera (working, clean, etc)

OK Fault N/A

Condition of Tracks/Tires/Undercarriage

OK Fault N/A

Condition of Windows/Wipers/Mirrors

OK Fault N/A

Condition of Controls & Levers inc Steering

OK Fault N/A

Condition of Seat/Seatbelt

OK Fault N/A

Condition of Cab (cleanliness/garbage)

OK Fault N/A

Condition of Cab Heater & Switches

OK Fault N/A

Condition of Attachments (bucket/forks/jib/etc)

OK Fault N/A

Condition of Brake System/Parking Brake

OK Fault N/A

Condition of Lock Out/Master Switch

OK Fault N/A

Fuel Level

OK Fault N/A

Engine Oil Level/Performance/Belts/Gauge

OK Fault N/A

Transmission Oil Level/Condition

OK Fault N/A

Hydraulic Oil Level/Hoses/Cylinder/Quick Coupler

OK Fault N/A

Condition of Cooling System & Levels

OK Fault N/A

Condition of Batteries & Connections

OK Fault N/A

Condition of Belts Tension & Wear

OK Fault N/A

Check for Loose and/or Missing Bolts

OK Fault N/A

Check Air Filters

OK Fault N/A

Condition of Fire Extinguishers

OK Fault N/A

Check Service Date/Annual Inspection

OK Fault N/A

Did you grease and clean your machine?

Yes No

Describe all issues

Add Image

Equipment Hours

Phone Number

Last Service

Rig Number/Name

Job number

Operator name

Date

Time

Supers

Inspection Type

Inbound Outbound Daily

Urgency

High(requires site visit) Medium(can be done this week) Low(Can be done when returns to shop)

Safety Switches & Devices (lights, alarm, beacon, horn)

OK Fault N/A

Condition of Dash & Lights (head/tail lights, signal)

OK Fault N/A

Condition of Access Ladders/Handrails/Guards

OK Fault N/A

Condition of Back-up Camera (working, clean, etc)

OK Fault N/A

Condition of Tracks/Tires/Undercarriage

OK Fault N/A

Condition of Windows/Wipers/Mirrors

OK Fault N/A

Condition of Controls & Levers inc Steering

OK Fault N/A

Condition of Seat/Seatbelt

OK Fault N/A

Condition of Cab (cleanliness/garbage)

OK Fault N/A

Condition of Cab Heater & Switches

OK Fault N/A

Condition of Forks

OK Fault N/A

Condition of Brake System/Parking Brake

OK Fault N/A

Condition of Lock Out/Master Switch

OK Fault N/A

Propane Level

OK Fault N/A

Engine Oil Level/Performance/Belts/Gauge

OK Fault N/A

Transmission Oil Level/Condition

OK Fault N/A

Hydraulic Oil Level/Hoses/Cylinder/Quick Coupler

OK Fault N/A

Condition of Cooling System & Levels

OK Fault N/A

Condition of Batteries & Connections

OK Fault N/A

Condition of Belts Tension & Wear

OK Fault N/A

Check for Loose and/or Missing Bolts

OK Fault N/A

Check Air Filters

OK Fault N/A

Condition of Fire Extinguishers

OK Fault N/A

Check Service Date/Annual Inspection

OK Fault N/A

Did you grease and clean your machine?

Yes No

Describe all issues

Add Image

Equipment Hours

Phone Number

Last Service

LV-PNW-AZ

Keller Equipment

Equipment Inspection

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