Uploaded by Briana LaBerge

Pre-Trip Inspection - Skid Steer June 28

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ORS-27
Skid Steer / Bobcat Pre-Trip Inspection Report
(INSTRUCTIONS: All boxes are to be checked for response, Click to initiate check mark if N/A or discrepancies leave blank and fill comments)
JuneTime:
27 ___:___
2022 am ☐ pm11
Address:_______________________ Date:____/____/_____
☐ 41
289D
2327
Equipment #:______
Hour Meter:________
Devean Scheonfelder
Inspected By:________________________
Marking boxes below. Leave blank if it requires attention or is less than ideal. Mark  if it meets
industry standards.
✔
Cab: (walk around)
Chassis:
✔ Check Cab Glass/Mirrors
☐
✔ Check Emergency Exit
☐
✔
☐ Check Emergency Exit Steps
✔ Check ROPS/FOPS
☐
✔
☐
Check Fire Extinguisher/ Suppression
✔ Check Lights /Strobes
☐
✔ Check Mirrors or Visibility Aids
☐
✔ Check Windshield wipers
☐
✔ Check
☐
✔ Check
☐
☐✔ Check
✔ Check
☐
✔ Check
☐
✔ Check
☐
✔ Check
☐
System
Undercarriage:
Interior:
☐ Check
✔ Check
☐
✔
☐
Check
✔ Check
☐
✔ Check
☐
✔ Check
☐
✔
Tracks/Shoes/Wheels/Tires
Track Link/Roller Sprockets/ Idler
Wheels
Chassis for cracks /holes etc.
Digging Assembly
Bucket & Cutting edge
work Attachments
Loader Arms& Pins
while loaded
Counterweight/Counterweight Bolts
Seat Secured/ Adjustable/ Seatbelt
to see if seat cover is ripped or torn
Gauges/ Instrument cluster
Interior Heat / AC if equipped
Engine and engine compartment:
✔ Check
☐
✔ Check
☐
✔ Check
☐
✔ Check
☐
✔ Check
☐
✔ Check
☐
✔ Check
☐
Belts and Hoses
Cables/Wires/Debris
Battery Terminals/Tight/Clean/Dry/Secure
Hydraulic Cylinders/Rods/Hoses/Lines
Fittings/ Pins Locks/Fluids
Engine Oil/Engine Coolant/ Hydraulic Oil
Fuel Filter and Water Sediment bowl
The overall machine:
✔ Check
☐
✔ Check
☐
✔ Check
☐
to see if Machine has been cleaned
to see if Machine runs well no Smoke
overhead Obstructions
dig!
✔ Call before you
☐
✔ Check Fuel level
☐
✔ Check Tires
☐
Walk Around Visual Inspection:
Mark all damage where it is located on the
sketch below or using the identifying letter from
this.
A= SCRATCH- SCRAPE C= Cracked
B= Broken
E= Loose
D = Dented F= Missing
(Circle or Draw line to damaged or malfunctioning part(s) & provide description
Comments: Auto-font 200 characters max
Signature of employee:_________________
( Diesel )
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