Company: Your Company Name Date: Start Time: am/pm
Operator: Evaluator: Location: Excavator Type: Status: Status: 1 - Pre Start-up Walk-around Status OK NO NA 2 - Start-up Status OK NO NA Safe Area / Equipment Secured Seat belt Inspected and Fastened Undercarriage Engine Sounds Normal Track Shoes / Wheels & Tires Instrument Panel Warnings / Indicators Rollers Oil Pressure Sprockets Coolant Temperature Idler Wheels Hourmeter Track Links 3 - Powered Systems OK NO NA Turntable / Slewing Assembly Lights Turret Horn Cab Wipers Glass Fan / Heater / Air Conditioner Doors Radio / Accessories Emergency Exit Hydraulic Controls Entry / Exit Steps Drive ROPS / FOPS / TOPS Steer Counterweight Bolts Turret Rotate Lights Boom Mirrors Dipper / Stick Engine / Engine Compartment Work Attachment Fluid Levels Accessories Leaks 4 - General OK NO NA Belts / Hoses Housekeeping Radiators / Coolers Fire Extinguisher Fire Suppression System Manufacturer’s Manual Digging Assembly Log Book Boom Decals / Warnings / Placards Dipper / Stick Certification / Capacity Labels Work Attachment Level Indicator Articulated Joints 5 - Other OK NO NA Hydraulics Fluid Level Leaks Cylinders Pins / Locks Report ANY problems to your supervisor Fittings Hoses ALWAYS tag out unsafe equipment Comments:
Operator’s Signature: Reorder Product # 3112 from • Crownmax •1-800-252-4011