Fourway

Project:
DAILY CHECKLIST
Ref No:
Back Hoe Rev No.:
OPERATOR NAME REG # DATE
MAKE MODEL ODOMETER
CONDITION
ITEM REMARKS
OK NOT OK
M T W T F S S
OPERATOR'S CAB
Condition of step, Door Handle
Two point seat belt
Windshield, cab glass
Windshield wiper, washer
Hour Meter
Air Conditioner
Audio, Visual alarms
Indicators, gauges and switches
Mirrors, Rear, Left, Right
ELECTRICAL SYSTEM
Headlights, Low/ High Beam
Signal/hazard lights, Front rear
Tail lights, brake lights
Horn
ENGINE
Oil Leaks
Coolant leaks
Fan, guards, belts
Exhaust smoke
Silencer
Radiator, No leaks, Gasket
FUEL TANK
Cap, Gasket
Fuel Lines, connections
DRIVE TRAIN
Automatic Transmission drive
Operates in all gears, Ranges
Transmission pump, oil leaks, noise
Drive Axle Housing, Hubs, Oil leaks
Differential, oil leaks, Noise
Drive Shaft, Universal joints
STEERING SYSTEM
Hydraulic Pump, Noise, Oil leaks
Steering Cylinders, Oil Leaks
Hoses, Tubes, Connections, oil leaks
BRAKE SYSTEM
Front Brake Drums, linings
Brake Cylinders,Lines, Adjusters
Parking Brake
FRONT AXLE
Center Pin, Bearing
Spindles, King Pins
HYDRAULIC SYSTEM
Control Valves, Oil Leaks
Hydraulic tank, oil leaks, cap, seals
Hoses, tubes, connections, oil leaks
Lift cylinders oil leaks
Tilt Cylinders, oil leaks
SAFETY
Load Chart
Fire Extinguisher
First Aid Box
ENVIRONMENTAL
Emergency spill kit
TYRES
Front Tyres
Rear tyres
Wheels, Rims, Lock rings
Mounting studs, Clamps Nuts

COMMENTS

S
Name of operator Signature

Name of Supervisor Signature

Name HSE Signature