Pre-Operation Equipment Inspection Form
Type of Inspection
*
Daily or Pre-Use
Inbound
Outbound
Date
*
-
Month
-
Day
Year
Date
Is this a Subcontractor or IWS employee/affiliate filling out the form
*
Yes
No
Equipment Name
*
State
*
Project Name
*
Project Number
*
Your Name
*
First Name
Last Name
Your Email
example@example.com
Is this a written inspection?
Yes
No
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Manufacturer
*
Model Number
*
Serial Number
Hour Meter Reading
*
Pre-Use/Daily Inspection (select each item that shows a deficiency)
1. Structural Damage – none apparent
2. Tires / Tracks – condition acceptable
3. Load Chart – available/readable
4. Glass / Mirrors – clean/clear; unobstructed
5. Electrical Connections (generators)
6. Hydraulic Hoses – good condition/no leaks
7. Check Valves - functional
8. Lubrication – adequate amount
9. Fluid Levels – adequate amounts/no leaks
10. Engine Oil - level/appearance good
11. Cooling Water – adequate amount/no leaks
12. Operating Manual - available
13. Fire Extinguisher – present, charged, dated
14. Seat Belts – functional/latch properly
15. Operating Controls - functional
16. Horn / Gauges - functional
17. Lights and Reflectors – clean/functional
18. Windshield Wipers - functional
19. Air Systems - functional
20. Steering Mechanism - functional
21. Brakes - functional
22. Backup Alarm - functional
23. Kill Switch (if available) - functional
24. Roll-off Truck Cable – no single strand broken; no kinks; no stretching; clamps tight
Pre-Use/Daily Inspection Findings
Pre-Use Photos (not required for subcontractors)
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Inbound Equipment Inspection Form
51. Tires / Tracks / Drive Chains
52. Leaking Fluids Present
53. Hydraulic Hoses in Good Condition
54. Lights and Mirrors
55. Structural Damage Present
56. Computer Aids / Operator Controls
57. Roll Over Protection
58. Seat Belt Latches Properly
59. Fire Extinguisher with Current Inspection
60. Glass Condition
61. Back Up Alarm
62. Kill Switch
63. Horn
64. Operator Controls
65. Labels, Voltage & Hand Signal Chart
66. Wire Rope
67. Outriggers
68. Aux. Hook and Ball
69. Main Hook and Block
70. Boom / Mask / Cylinders
71. Anti Two Block
72. Wedge Socket Plus Cable Length (6 x Diameter)
73. Brakes
74. Emergency Flares and Triangles
75. Forklift Assembly Bolts
76. Operators Manual Present
77. Load Chart
78. Record of Last Performed Maintenance
79. DOT Annual Inspection
80. OSHA Annual Inspection (if required)
81. Generator Circuit Breaker is Open (Off) Position
82. Generator has no Electrical Primary Feed or Secondary
83. Load Cables Connected
Inbound Equipment Inspection Findings
Inbound Photos (not required for subcontractors)
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Outbound Equipment Inspection Form
101. Tires / Tracks / Drive Chains
102. Leaking Fluids Present
103. Hydraulic Hoses in Good Condition
104. Lights and Mirrors
105. Structural Damage Present
106. Computer Aids / Operator Controls
107. Roll Over Protection
108. Seat Belt Latches Properly
109. Fire Extinguisher with Current Inspection
110. Glass Condition
111. Back Up Alarm
112. Kill Switch
113. Horn
114. Operator Controls
115. Labels, Voltage & Hand Signal Chart
116. Wire Rope
117. Outriggers
118. Aux. Hook and Ball
119. Main Hook and Block
120. Boom / Mask / Cylinders
121. Anti Two Block
122. Wedge Socket Plus Cable Length (6 x Diameter)
123. Brakes
124. Emergency Flares and Triangles
125. Forklift Assembly Bolts
126. Operators Manual Present
127. Load Chart
128. Record of Last Performed Maintenance
129. DOT Annual Inspection
130. OSHA Annual Inspection (if required)
131. Generator Circuit Breaker is Open (Off) Position
132. Generator has no Electrical Primary Feed or Secondary
133. Load Cables Connected
Outbound Equipment Inspection Findings
Outbound Photos (not required for subcontractors)
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Notes
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