Excavator Inspection Form
Company
Equipment Type
Equipment Model
Equipment Number
Place “√” indicating item has been inspected and is ok, place “p” indicating a problem.
No.
Items To Be Inspected
1
Check Certification
2
Connecting Pin
3
Head Light, Tail Light
4
Beacon, Reverse Alarm, Horn
5
Safety Lever
6
Tire, Wheel Assembly
7
Bucket pin, Safety Latch
8
Boom Condition
9
Operator's Vision
10
Rear Protection, Reflector & Cover
11
Lower Component
12
Track Tension
13
Hydraulic Cylinder
14
Rearview Mirror
15
Frame Condition
16
Oil Leakage
17
Seat Belt
18
Fire Extinguisher
19
PWAS
20
Others
Inspected by
Name
Ok
Not Ok
Signature
NA
Deficiency
Date
Excavator Operator
Wison Equipment Coordinator
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