Your Company Name
Mobile Equipment Inspection Form This form must be completed by the equipment operator at the start of each shift before placing any mobile equipment into operation. REPORT ANY DEFECTS TO YOUR SUPERVISOR IMMEDIATELY! Sat Unsat 1. TIRES IN GOOD CONDITION? 2. ANY OBVIOUS LEAKS OF FLUIDS? 3. MIRRORS/WINDOWS IN GOOD CONDITION? 4. FIRE EXTINGUISHER SERVICABLE (if equiped)? 5. SEAT BELT IN GOOD CONDITION? 6. ALL GAGES WORKING PROPERLY 7. HORN AUDIBLE (above background noise)? 8. BACKUP ALARM AUDIBLE (above background noise)? 9. WINDSHIELD WIPERS WORKING PROPERLY? 10. LIGHS WORKING PROPERLY? 11. SERVICE BRAKES WORKING PROPERLY? 12. PARKING BRAKE HOLDING OK? 13. STEERING WORKING PROPERLY? 14. TRANSMISSION & GEARS WORKING PROPERLY?
REMARKS/DEFECTS:
Date Employee Signature
Time
Equipment No. Foremans Signature