Keller Equipment

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Equipment Inspection

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Equipment Number *

Job Number *

Equipment Number *

Inspector Name *

Equipment Type

CG600 MIXER
1010 GROUT PLANT
1011 GROUT PLANT
CHEM GROUT CG600
INTRIC D12 MIXER
SCHELTZKE MPS110

Equipment Type

IMT AF250-41600014
IMT AF250-41600015

Equipment Type

VC171

Date / Time

Date

Heure

Mechanic Tab

Mechanic Tab

Parts ONLY

Parts ONLY

Work Done

Service
Repair
BOTH (Service & Repair)

How Fast Do You Need Them?

Early AM
2-3 Days
Re-Stock
No RUSH

Ordered?(LEAVE BLANK FOR MIKE/AL)

YES
NO

Parts Needed

Part Description/Number

Quantity

Serviced or Replaced

Hydraulic Oil
Motor Oil
Filter
Electrical plugs
Coolant
Cables
Full Service
Tracks
Codes Cleared
Windshields or Mirrors

Cables Replaced

Winch
Kelly
Other

Describe What was wrong with Cables

What cable was replaced ?

Oil Used

Filters Used

Was replacement Electrical plug ordered?

List Codes Cleared

Days it took to repair

Equipment Type

TK70 Pump(2106T4607)
LIEBHERR THS 110
PUTZ TK15(2106T0119)
SCHWING PUMP (18060)

Equipment Type

TCC 500 (S5K5-4515)
MANITOWOC 4000W (40402)
MANITOWOC 3900 (391242)
MANITOWOC 3900 (39815)

Equipment Type

Watson 1100(12128)
Watson EDT7 (025ED-150-42)

Equipment Type

Klemm 806

Equipment Type

ABI TM-20

Equipment Type

BG-33H

Equipment Type

Comacchio MC-4D (3635)
Comacchio MC-8 (2302)
Comacchio MC-22 (4037)

Equipment Type

BIG 40 WELDER
MILLER WELDER
LINCOLN WELDER
VANTAGE 300

Equipment Type

BG-39

Hour Meter

Enter Hours

Hours:

Last Service Hours:

Describe issues

MANUAL IN EQUIPMENT

YES
NO

ENGINE OIL LEVEL

ADEQUATE
INADEQUATE
N/A

BELT CONDITIONS

ADEQUATE
INADEQUATE
N/A

COOLANT LEVEL/FREEZE POINT (RED)

ADEQUATE
INADEQUATE
N/A

RADIATOR/LEAKS/CLEAN

ADEQUATE
INADEQUATE
N/A

BATTERY CONDITION

ADEQUATE
INADEQUATE
N/A

BATTERY SWITCH

ADEQUATE
INADEQUATE
N/A

HORNS/TRAVEL ALARMS/ CAMERAS

WORKING
NOT WORKING
N/A

HYDRAULIC OIL LEVEL (CAT 10)

ADEQUATE
INADEQUATE
N/A

HYDRAULIC HOSE CONDITIONS

ADEQUATE
INADEQUATE
N/A

HYDRAULIC LEAKS

YES
NO
N/A

FINAL DRIVE OIL LEAKS

ADEQUATE
INADEQUATE
N/A

PUMP DRIVE OIL LEVEL(CAT 30 OR 10/30)

ADEQUATE
INADEQUATE
N/A

WINCHES OIL LEVEL (220)

ADEQUATE
INADEQUATE
N/A

CABLE TENSIONERS/ROLLERS

ADEQUATE
INADEQUATE
N/A

SAFETY SLIDES/KELLY GAUGES

TRACK ROLLERS CONDITION

ADEQUATE
INADEQUATE
N/A

SWING MOTOR OIL (CAT 30)

ADEQUATE
INADEQUATE
N/A

ROTARY OIL LEVEL (80/90)

ADEQUATE
INADEQUATE
N/A

ROTARY REDUCTION GEARS OIL(85/40)

ADEQUATE
INADEQUATE
N/A

ROTARY LOCKS

ADEQUATE
INADEQUATE
N/A

CHECK ROTARY SPEEDS

ADEQUATE
INADEQUATE
N/A

SHIVES

ADEQUATE
INADEQUATE
N/A

MAST LOCKING PIN

ADEQUATE
INADEQUATE
N/A

ROTARY SLIDES/KELLY BAR SLIDES

ADEQUATE
INADEQUATE
N/A

ANTI 2 BLOCK SWITCHES

ADEQUATE
INADEQUATE
N/A

CAB DOOR

ADEQUATE
INADEQUATE
N/A

DEPTH COUNTER

ADEQUATE
INADEQUATE
N/A

WORK LIGHTS

ADEQUATE
INADEQUATE
N/A

ELECTRICAL PLUGS

ADEQUATE
INADEQUATE
N/A

CABLE CONDITIONS

ADEQUATE
INADEQUATE
N/A

DEPTH COUNTER

ADEQUATE
INADEQUATE
N/A

DASH GAUGES

ADEQUATE
INADEQUATE
N/A

WINDOW WIPER/WASHER

ADEQUATE
INADEQUATE
N/A

FIRE EXTINGUISHER

PRESENT
NOT PRESENT

BELT CONDITIONS

ADEQUATE
INADEQUATE
N/A

COOLANT LEVEL/FREEZE POINT(GREEN)

ADEQUATE
INADEQUATE
N/A

RADIATOR/LEAKS/CLEAN

ADEQUATE
INADEQUATE
N/A

BATTERY SWITCH

ADEQUATE
INADEQUATE
N/A

HYDRAULIC OIL LEVEL(46)

ADEQUATE
INADEQUATE
N/A

FINAL DRIVE OIL LEVEL

ADEQUATE
INADEQUATE
N/A

PUMP DRIVE OIL LEVEL (80/90)

ADEQUATE
INADEQUATE
N/A

GREASER FULL

ADEQUATE
INADEQUATE
N/A

WINCHES OIL LEVEL

ADEQUATE
INADEQUATE
N/A

CABLE TENSIONER/ROLLERS

ADEQUATE
INADEQUATE
N/A

TRACKS/ROLLER CONDITIONS

ADEQUATE
INADEQUATE
N/A

CROWD CABLE

ADEQUATE
INADEQUATE
N/A

SKIP ROLLERS

ADEQUATE
INADEQUATE
N/A

SKIP DOOR

ADEQUATE
INADEQUATE
N/A

RED BAR/SKIP STOP, SLOW DOWN

ADEQUATE
INADEQUATE
N/A

NECCESARY HARDWARE FOR ASSEMBLY

ADEQUATE
INADEQUATE
N/A

VARIABLE PANEL CONDITION

ADEQUATE
INADEQUATE
N/A

SLED SLIDES

ADEQUATE
INADEQUATE
N/A

SWING MOTOR OIL

ADEQUATE
INADEQUATE
N/A

CHECK GENERATOR FOR SERVICE

ADEQUATE
INADEQUATE
N/A

CHECK AIR COMPRESSOR FOR SERVICE

ADEQUATE
INADEQUATE
N/A

Is it operating properly ?

NO
YES
N/A

IS REMOTE WORKING ( IF APPLICABLE)

NO
YES
N/A

COOLANT LEVEL

ADEQUATE
INADEQUATE
N/A

BELT CONDITION

ADEQUATE
INADEQUATE
N/A

GREASE SYSTEM

ADEQUATE
INADEQUATE
N/A

FINAL DRIVE OIL

ADEQUATE
INADEQUATE
N/A

BATTERY CHARGING?

NO
YES
N/A

SWING TUBE

ADEQUATE
INADEQUATE
N/A

SLUSH BOX( CLEAN/EMPTY)

ADEQUATE
INADEQUATE
N/A

TEST LIGHTS

ADEQUATE
INADEQUATE
N/A

GREASER FULL

ADEQUATE
INADEQUATE
N/A

AGITATOR/MIXER WORKING

ADEQUATE
INADEQUATE
N/A

DRAIN WATER FROM AIRTANKS

ADEQUATE
INADEQUATE
N/A

GRATE VIBRATORS WORKING ?

YES
NO
N/A

SUPPORT BOX CONDITION

ADEQUATE
INADEQUATE
N/A

WEAR PLATE CONDITION

ADEQUATE
INADEQUATE
N/A

ELECTRICAL BOX DRY/CLEAN

ADEQUATE
INADEQUATE
N/A

HOPPER DOOR WORKS/SEALS

ADEQUATE
INADEQUATE
N/A

GAUGES WORKING PROPERLY?

YES
NO
N/A

HIGH VOLTAGE WARNING SIGN

ADEQUATE
INADEQUATE

BOOM ANGLE INDICATOR

ADEQUATE
INADEQUATE

ANTI-TWO BLOCK DEVICE, MAIN

ADEQUATE
INADEQUATE

LOAD MOMENT INDICATOR

ADEQUATE
INADEQUATE

HYDRAULIC TANK

ADEQUATE
INADEQUATE

CATWALK AND HANDRAILS

ADEQUATE
INADEQUATE

HEAD,TAIL AND BRAKE LIGHTS

ADEQUATE
INADEQUATE

LUBRICATION, FLUID LEVELS AND FLUID CONDITION

ADEQUATE
INADEQUATE

CHECK BOOM HOIST KICKOUT

ADEQUATE
INADEQUATE

CHECK JIB BACKSTOP

ADEQUATE
INADEQUATE

CHECK OPERATION BY FULLY EXTENDING AND RETRACTING

ADEQUATE
INADEQUATE

CHECK BOOM PIVOT SHAFT AND KEEPERS

ADEQUATE
INADEQUATE

CHECK BOOM POINT SHEAVES

ADEQUATE
INADEQUATE

CHECK CONDITION OF BOOM HOIST ROPE

ADEQUATE
INADEQUATE

CHECK CONDITION OF ROPE DEAD ENDS,CLAMPS & SOCKS

ADEQUATE
INADEQUATE

CHECK AUXILIARY HOOK AND SAFETY LATCH

ADEQUATE
INADEQUATE

HYDRAULIC MAIN HOIST

ADEQUATE
INADEQUATE

HYDRAULIC SWING AND BRAKE

ADEQUATE
INADEQUATE

HAND SIGNALS POSTED

ADEQUATE
INADEQUATE

CAPACITY CHART IN CAB

ADEQUATE
INADEQUATE

ANTI-TWO BLOCK DEVICE, AUXILIARY

ADEQUATE
INADEQUATE

HANDHOLDS AND STEPS

ADEQUATE
INADEQUATE

NON-SKID SURFACES

ADEQUATE
INADEQUATE

DIRECTIONAL SIGNS

ADEQUATE
INADEQUATE

HOUSEKEEPING

ADEQUATE
INADEQUATE

CHECK INTEGRITY OF BOOM STEPS

ADEQUATE
INADEQUATE

CHORDS AND LACING

ADEQUATE
INADEQUATE

CHECK ALL BOOM AND JIB CONNECTING PINS AND LOCKS

ADEQUATE
INADEQUATE

CHECK WELDS

ADEQUATE
INADEQUATE

CHECK BOOM HOIST CYLINDERS AND PINS

ADEQUATE
INADEQUATE

CHECK CONDITION OF AUXILIARY HOIST ROPE

ADEQUATE
INADEQUATE

CHECK CONDITIONS OF PENDANTS ESPECIALLY AT SOCKETS

ADEQUATE
INADEQUATE

CHECK MAIN HOOK AND SAFETY LATCH

ADEQUATE
INADEQUATE

CHECK SHEAVES

ADEQUATE
INADEQUATE

HYDRAULIC AUXILIARY HOIST

ADEQUATE
INADEQUATE

MAIN HOISE BRAKE

ADEQUATE
INADEQUATE

TRACK CONDITION/ TENSION

ADEQUATE
INADEQUATE

TRACK EXTENSION ARMS

ADEQUATE
INADEQUATE

BOOM WEAR PLATES

ADEQUATE
INADEQUATE

HAND RAILS/CATWALKS

ADEQUATE
INADEQUATE

DIGITAL DISPLAY WORKING?

ADEQUATE
INADEQUATE

FINAL DRIVE OIL LEVEL/CONDITION

ADEQUATE
INADEQUATE

COOLANT LEVEL AND TEST FREEZE POINT

ADEQUATE
INADEQUATE

ENGINE BELT CONDITION

ADEQUATE
INADEQUATE

WINCH OIL LEVELS/CONDITIONS

ADEQUATE
INADEQUATE

HYDRAULIC OIL LEVEL (THF 1000)

ADEQUATE
INADEQUATE

FINAL DRIVE OIL LEVER/ CONDITION

ADEQUATE
INADEQUATE

TRANSMISSION OIL LEVEL/CONDITION

ADEQUATE
INADEQUATE

WINCHES OIL LEVEL

ADEQUATE
INADEQUATE

SHEAVES/HARDWARE CONDITION

ADEQUATE
INADEQUATE

TRACKS/ROLLERS CONDITION

ADEQUATE
INADEQUATE

ROTARY OIL LEVEL/CONDITION

ADEQUATE
INADEQUATE

HOUSE SLIDES(PLASTIC)

ADEQUATE
INADEQUATE

KELLY SWIVEL SLIDES ( PLASTIC)

ADEQUATE
INADEQUATE

CHECK ROTARY SPEEDS

ADEQUATE
INADEQUATE

HARDWARE IN MAST TILT BUSHINGS

ADEQUATE
INADEQUATE

DRIVESHAFT/U-JOINTS-GREASE

ADEQUATE
INADEQUATE

DEPTH REEL/RUBBER ORINGS

ADEQUATE
INADEQUATE

FINAL DRIVE OIL CONDITION

ADEQUATE
INADEQUATE

HYDRAULIC OIL LEVEL

ADEQUATE
INADEQUATE

FUNCTION CHECK

ADEQUATE
INADEQUATE

COOLANT LEVEL

ADEQUATE
INADEQUATE

BELTS CONDITION

ADEQUATE
INADEQUATE

GAUGES CONDITION

ADEQUATE
INADEQUATE

EXHAUST, RAIN CAP CONDITION

ADEQUATE
INADEQUATE

BRASS SLIDES

ADEQUATE
INADEQUATE

JAW PADS

ADEQUATE
INADEQUATE

CHAIN CONDITION

ADEQUATE
INADEQUATE

WINCH CABLE

ADEQUATE
INADEQUATE

CYLINDER CONDITION

ADEQUATE
INADEQUATE

WATER VALVES/CONDITION

ADEQUATE
INADEQUATE

RADIATORS/COOLERS-CLEAN LEAKS

ADEQUATE
INADEQUATE

HEAD STOP SWITCH

ADEQUATE
INADEQUATE

MAST REST/HEAD STOP RUBBER

ADEQUATE
INADEQUATE

ELECTRICAL BOXES DRY/CLEAN

ADEQUATE
INADEQUATE

TRACKS CONDITIONS

ADEQUATE
INADEQUATE

ROTARY SPEEDS

ADEQUATE
INADEQUATE

CONTROL VALVES-DRY LEAKS

ADEQUATE
INADEQUATE

ENERGY CHAIN-CONDITION

ADEQUATE
INADEQUATE

ENGINE OIL LEAKS

ADEQUATE
INADEQUATE

CHECK CHARGING SYSTEM

ADEQUATE
INADEQUATE

FEED MOTOR REDUCTION GEAR OIL

ADEQUATE
INADEQUATE

PRESSURE REGULATOR OPERATION

ADEQUATE
INADEQUATE

COOLANT LEVEL

ADEQUATE
INADEQUATE

RADIATOR/LEAKS /CLEAN

ADEQUATE
INADEQUATE

BATTERY SWITCH

ADEQUATE
INADEQUATE

HYDRAULIC OIL LEVEL (46)

ADEQUATE
INADEQUATE

FINAL DRIVE OIL LEAKS

ADEQUATE
INADEQUATE

PUMP DRIVE OIL LEVEL(80/90)

ADEQUATE
INADEQUATE

GREASER FULL

ADEQUATE
INADEQUATE

TRACKS/ROLLERS CONDITION

ADEQUATE
INADEQUATE

CROWD CABLE

ADEQUATE
INADEQUATE

STEPS/CATWALK

ADEQUATE
INADEQUATE

NECCESARY HARDWARE FOR ASSEMBLY

ADEQUATE
INADEQUATE

CODES IF ANY

ADEQUATE
INADEQUATE

COOLANT LEVEL/FREEZE POINT

ADEQUATE
INADEQUATE

BATTERY SWITCH

ADEQUATE
INADEQUATE

HYDRAULIC OIL LEVEL(CAT 10)

ADEQUATE
INADEQUATE

FINAL DRIVE OIL LEVEL(CAT 30)

ADEQUATE
INADEQUATE

PUMP DRIVE OIL LEVEL(CAT 30)

ADEQUATE
INADEQUATE

WINCHES OIL LEVEL

ADEQUATE
INADEQUATE

TRACKS/ROLLERS CONDITIONS

ADEQUATE
INADEQUATE

TRACKS SLIDES/LOCKS

ADEQUATE
INADEQUATE

HOUSE LOCK-PINS, HARDWARE

ADEQUATE
INADEQUATE

ELECTRICAL BOXES, PLUGS,CONNECTIONS

ADEQUATE
INADEQUATE

CABINET DOORS,LATCHES,ROLLERS

ADEQUATE
INADEQUATE

MIRRORS

ADEQUATE
INADEQUATE

CATWALKS/HANDRAILS/STEPS

ADEQUATE
INADEQUATE

ROTARY SLIDES

ADEQUATE
INADEQUATE

HYDRAULIC QD'S-CLEAN,CAPS ON

ADEQUATE
INADEQUATE

SWING GEAR OIL LEVEL/CONDITION

ADEQUATE
INADEQUATE

CONCRETE TUBES/CLAMPS CONDITION

ADEQUATE
INADEQUATE

UPPER MAST LOCK PIN

ADEQUATE
INADEQUATE

HYDRAULIC HOSE TARPS CONDITION

ADEQUATE
INADEQUATE

ANTI 2 BLOCK SWITCHES

ADEQUATE
INADEQUATE

ANY CODES?

YES
NO

COOLANT LEVEL

ADEQUATE
INADEQUATE

BELT CONDITION

ADEQUATE
INADEQUATE

RADIATORS/COOLERS-CLEAN/LEAKS

ADEQUATE
INADEQUATE

BATTERY CONDITION/CHARGING

ADEQUATE
INADEQUATE

BATTERY SWITCH

ADEQUATE
INADEQUATE

HYDRAULIC OIL LEVEL

ADEQUATE
INADEQUATE

HYDRAULIC CYLINDERS(PINS,KEEPERS)

ADEQUATE
INADEQUATE

ROTARY HEADS-OIL LEVEL, CONDITION

ADEQUATE
INADEQUATE

JAW PADS

ADEQUATE
INADEQUATE

FEED CHAIN CONDITIONS

ADEQUATE
INADEQUATE

WINCH CABLE/TENSIONER/HOOK

ADEQUATE
INADEQUATE

FINAL DRIVE OIL LEVEL/CONDITION

ADEQUATE
INADEQUATE

HEAD ROLLERS

ADEQUATE
INADEQUATE

HOSE CHAIN/TRAY

ADEQUATE
INADEQUATE

OUTRIGGERS

ADEQUATE
INADEQUATE

TRACKS/ROLLERS-TENSION/CONDITION

ADEQUATE
INADEQUATE

GAUGES

ADEQUATE
INADEQUATE

REMOTE FUNCTION

ADEQUATE
INADEQUATE

ROTARY SPEED CHECK

ADEQUATE
INADEQUATE

PRESSURE WASHER OIL LEVEL

GOOD
INADEQUATE

AIR LINE OILER DRAINED

GOOD
INADEQUATE

ELECTRICAL BOXES-DRY/CLEAN

ADEQUATE
INADEQUATE

WINCH OIL LEVEL

ADEQUATE
INADEQUATE

FEED MOTOR OIL LEVELS

ADEQUATE
INADEQUATE

POWER PACK

ADEQUATE
INADEQUATE

PRESSURE REGULATOR OPERATION

ADEQUATE
INADEQUATE

PLUG IN REMOTE FUNCTION

ADEQUATE
INADEQUATE

CODES ?

YES
NO

E-Stops

ADEQUATE
INADEQUATE

SUPERINTENDENTS

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