• If observed condition of a component could affect safe operation, DO NOT OPERATE. Follow the company Lockout/Tagout Procedure or refer to the instructions in the Operator's Manual. 

     

    The responsible operator, filling out this checklist, has been adequately trained to both complete the pre-operation safety and maintenance inspection and to operate this equipment. The operator confirms understanding of the safety standards for each component and is capable of properly addressing any observed issues using the correct procedure(s). This checklist is NOT intended to replace the operator's manual. It is the responsibility of the operator to have read the operator's manual prior to completing this checklist or operating the machine. it is the responsibility of the operator to check with the appropriate competent person for details of any additional requirements or checks. For additional information, refer to the operator's manual. 

  • Date*
     - -
    2 digit month, 2 digit day, 4 digit year
  • Engine Oil*
  • Hydraulic Oil*
  • Transmission Oil*
  • Engine Coolant*
  • Washer Fluid*
  • DEF*
    • From the Ground 
    • ROPS, Grab Bars, Steps, Hand Holds*
    • Browse Files
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    • Frame/Undercarriage*
    • Browse Files
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    • Lights, Harnesses, Electrical Items*
    • Browse Files
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    • Tires, Rims, Wheel Locks/Tracks*
    • Browse Files
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    • Belts, Hoses, Hydraulic Cylinders*
    • Browse Files
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    • Rigging Points*
    • Browse Files
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    • Cutting Edges/Teeth/Metal Wear Items*
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    • In the Operator's Station 
    • Cab Windows*
    • Browse Files
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    • Operator's Manual (Present)*
    • Browse Files
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    • Seat, Seat Belt, Buckle, Mount*
    • Browse Files
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      Choose a file
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    • Mirrors, Rear Camera*
    • Browse Files
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      Cancelof
    • Windshield Wipers*
    • Browse Files
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    • Gauges, Indicator Lights, Switches*
    • Browse Files
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    • Fire Extinguisher/Fire Response Kit*
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    • Horn*
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    • Park Brake*
    • Browse Files
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    • Brakes*
    • Browse Files
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    • Steering/Secondary Steering*
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    • Travel Alarm/Back up Alarm*
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    • Diagnostic Trouble Codes*
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    • Operator Acknowledgment

      I have completed this equipment inspection and certify that, to the best of my knowledge, the equipment described on this form is:

    • Operator *

    • By signing below, I acknowledge that I have accurately completed this inspection and reported any defects, deficiencies, or safety concerns identified during the inspection.

    • FM-00256                                                                                                Rev. 6

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