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 )
