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Equipment Inspection Form
Kubota 420
Primary User/Operator
Engine Hours or KM
Job Site Name
Visual Inspection Pre-Shift
*
No obvious leaks or damage
Leaks or damage present
HIGH (Notify Supervisor)
Is the Machine Greased? Skid steer pins, bushing and other pivot point throughout the machine should be greased every 10 hours of operation.
*
Machine is greased
Machine is NOT greased. Please perform greasing procedure
Check Engine Oil Level
*
LOW (FIll + Check for Leaks)
GOOD
HIGH (Notify Supervisor)
Check Hydraulic Oil Level
*
LOW (FIll + Check for Leaks)
GOOD
HIGH (Issue only if reservoir is pressurized))
Check Engine Coolant Level
*
LOW (FIll + Check for Leaks)
GOOD
HIGH
Check Tires/Track Condition
*
Tread Low on tires or tracks
Excessive or uneven wear on tires or tracks
Gouges or penetrative objects in tires or tracks
Check Machine Exterior Lights, Horn and Back-Up Alarm
*
All safety devices good
One or more machine lights not functioning
Horn not functional
Back-Up alarm not functional
Wipers function
Additional Information
I certify this machine inspection has been completed to the best of my knowledge and that I have made note of any issues with this machine and/or have reported them to the production manager for foreman.
Submit
Thanks for completing!
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