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Inspection Form: Walk-Around
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Layout
Job:
*
Shift:
Day
Night
Equip #:
*
Beginning Hr. Meter:
Ending Hr. Meter:
Date
*
Time
*
The following items shall be inspected by performing a brief pre-shift walk-around.
You must tap / click one of the following for each item:
Layout
in GOOD condition.
NEEDS REPAIR
provide comment below.
not a part of this equipment
Section Divider
Layout
1. Engine
*
2. Trans
*
3. Hydraulics
*
4. Tires / Wheels
*
5. Suspension
*
6. Steering
*
7. Lights
*
8. Tracks
*
9. Boom
*
10. Swing
*
11. Bucket
*
12. Hoist
*
13. Ground Controls
*
14. Cutting Edge
*
15. Gauges
*
16. Brakes / Air
*
17. Mirrons
*
18. Glass
*
19. Anchor Points
*
20. Seats / Belts
*
21. Horns / Alarms
*
22. Foot Ladders / Grab Rails
*
23. Fire Extinguishers
*
24. Hinge Pins
*
25. Frame
*
26. Other
Comments (Describe each problem for the numbers noted):
*
Attach pictures if necessary (up to 3)
Click or drag files to this area to upload.
You can upload up to 3 files.
CAN EQUIPMENT BE USED?
*
NO repair required
NEEDS REPAIR
If you notice any items while operating that require repair, they should be noted below during or after your shift.
Layout
Operator Name
*
Select from list
Type in a name
BARNEY, P.
BEATY, B.
BELLAIRE, C.
BEVIS, B.
BRIMER, C.
BROTSKY, A.
BUNNELL, E.
CALANDRINO, D.
COWELL, J.
COY, A.
COY, M.
DISALVO, K.
GELAUDE, B.
GILBERT, H.
HANLEY, M.
HARRISON, B.
HARRISON, M.
JANOVSKY, C.
KELCH, J.
KRAMER, A.
LAFORE, M.
MILLER, K.
MORRISON, C.
PECHIN, D.
PEER, D.
PETRIE, D.
PODSCHLNE, J.
PRATT, C.
PRINGLE, J.
PRITULA, W.
PYYKKONEN, J.
SIPOLA, G.
STEWART, O.
TAYLOR, K.
WILLIAMS, J.
WILSON, B.
WOOD, S.
ZIMMERMAN, E.
Enter name if not on list
*
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Last
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