Heavy Equipment Inspection

Inspect heavy equipment faster than ever before with our Heavy Equipment Inspection app for Android and iOS.
Take photos, GPS points, and much more. Find the digital version of this form and more at
https://www.fulcrumapp.com/apps/heavy-equipment-inspection-app.

Basic Information
Date / /

Time : AM / PM

Equipment Type ☐ Backhoe ☐ Excavator ☐ Paver

Choose one
☐ Bulldozer ☐ Forklist ☐ Snowcat
☐ Compactor ☐ Grader ☐ Yarder
☐ Crane ☐ Harvester
Unit #

Inspection
Tires or Tracks
☐ Good ☐ Needs Repair ☐ N/A
Hydraulic Oil
☐ Good ☐ Needs Repair ☐ N/A
Hose Condition
☐ Good ☐ Needs Repair ☐ N/A
Oil Leak / Lube
☐ Good ☐ Needs Repair ☐ N/A
Cab, Mirrors, Seat Belt and Glass
☐ Good ☐ Needs Repair ☐ N/A

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 Horn and Gauges
☐ Good ☐ Needs Repair ☐ N/A
Lights
☐ Good ☐ Needs Repair ☐ N/A
Turn Signal
☐ Good ☐ Needs Repair ☐ N/A
Backup Lights and Alarm
☐ Good ☐ Needs Repair ☐ N/A
Brake Condition (Dynamic Service, Park, etc.)
☐ Good ☐ Needs Repair ☐ N/A
Fire Extinguisher Condition
☐ Good ☐ Needs Repair ☐ N/A
Engine Oil
☐ Good ☐ Needs Repair ☐ N/A
Transmission Fluid
☐ Good ☐ Needs Repair ☐ N/A
Brake Fluid
☐ Good ☐ Needs Repair ☐ N/A
Cooling System Fluid
☐ Good ☐ Needs Repair ☐ N/A
Windshield Wipers and Fluid
☐ Good ☐ Needs Repair ☐ N/A
Coupling Devices and Connectors
☐ Good ☐ Needs Repair ☐ N/A
Exhaust System
☐ Good ☐ Needs Repair ☐ N/A

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 Blade / Boom / Ripper Condition
☐ Good ☐ Needs Repair ☐ N/A
Ground Engaging Attachments
☐ Good ☐ Needs Repair ☐ N/A
Frame, Ladders and Walkway
☐ Good ☐ Needs Repair ☐ N/A
Hand Grabs and Steps
☐ Good ☐ Needs Repair ☐ N/A
Power Cable and/or Hoist Cables
☐ Good ☐ Needs Repair ☐ N/A
Steering (Standard and Emergency)
☐ Good ☐ Needs Repair ☐ N/A

Additional Information
Does equipment emit noise levels above 90 decibels?
☐ Yes ☐ No
If so, has an 8-hour noise dosimetry test been performed?
☐ Yes ☐ No
Document results of noise dosimetry

Maintenance Completed

Defects and Repairs Needed

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 General Safety Condition

Signature

Name

Signature

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