OUTBOUND EQUIPMENT PRE-USE SAFETY INSPECTION FORM
This pre-use inspection checklist form intends to identify defects and safety hazards before operation. The main aim of a pre-start checklist inspection is to ensure that your equipment is safe to use.
MaintainX
07/16/2022
OUTBOUND EQUIPMENT PRE-USE SAFETY INSPECTION FORM
This pre-use inspection checklist form intends to identify defects and safety hazards before operation. The main aim of a pre-start checklist inspection is to ensure that your equipment is safe to use.
Section 1 – Inspection Performed by Qualified Personnel Only
Location / Project
Equipment Inspected By
Date
Contractor
Section 2 – Check Type of Equipment Inspecting
Type of Equipment
Manufacturer
Model Number
Serial Number
Contact Name
Contact Phone
Section 3 – General Categories to Inspect
Tires / Tracks / Drive Chains
Leaking Fluids Present
Hydraulic Hoses in Good Condition
Lights and Mirrors
Structural Damage Present
Computer Aids / Operator Controls
Roll Over Protection
Seat Belt Latches Properly
Fire Extinguisher with Current Inspection
Glass Condition
Back Up Alarm / Bi-directional
Kill Switch
Horn
Operator Controls
Labels, Voltage & Hand Signal Chart, e.g.
Wire Rope
Outriggers
Aux. Hook and Ball
Main Hook and Block
Boom / Mask / Cylinders
Anti Two Block
Wedge Socket Plus Cable Length (6 x Diameter)
Brakes
Emergency Flares and Triangles
Fork Lift Assembly Bolts
Operators Manual Present and Load Chart
Record of Last Performed Maintenance
C of C Not Having Counterfeit Material
Periodic Inspection
DOT Annual Inspection
OSHA Annual Inspection (if required)
Generator Circuit Breaker is Open (Off) Position
Generator has no Electrical Primary Feed or Secondary Load Cables Connected
Section 4 – Fuel Type
Fuel Type
Section 5 – Comments
Comments:
Section 6 – Leased Equipment Manager
Leased Equipment Manager
Print name:
Signature:
Click here to sign
Source: MaintainX (Community Member)