COMPANY NAME

Project Name

HEAVY EQUIPMENT INSPECTION

Subject : Bulldozer
Scrapper

Type of equipment
Equipment No
Capacity
Manufacturer
Company user
Date of inspection

Road Roller

Excavator

Drag Line

Wheel Loader

Clamshell

Grader

:
:
:
:
:
:

No Check Item
1
a
b
c
d
e
f
g
2
a
b
c
3
a
b
c
d
e
4
a
b
c
d
e
f
5
a
b
c
d

Power Unit
Engine
Engine oil/Filter/Piping
Fuel Tank/Pump/Filter/Pipe
Radiator/Water Pump/Fan Belt
Air Cleaner Element
Transmission/Torque converter
Muffler/Flame Arrestor
Electric System
Battery
Starter Motor/Dynamo
Wiring
Hydraulic/Pneumatic Devices
Hydraulic Oil Tank/Filter
Hydraulic pump/motor
Hydraulic cylinder
Compressor/Air Tank
Piping/Hose/Fitting
Operation
Levers/Pedals
Clutch
Brakes
Locks (Swing/Bucket/Arm)
Gauge
Horn
Travelling
Caterpillar
Shoes/Rink/Pin/Bush
Upper/Lower Rollers
Brake/Brake Pedal

Attachment

a
b

Shovel/Bucket/Blade
Wire Rope/Sheaves/Chain

Check Points

Result
YES NO N/A

Starting , Sound , Vibration

Volume , Smudge , Leakage
Leakage ,Breakage , Smudge
Water vol.., Leakage , Damage
Damage , Leakage ,Smudge
Oil Vol .., Leakage , Smudge
Exhaust color , Sound , Missing

Liquid vol.., Aging , Terminal

Function , Breakage
Damage , Connection

Damage , Oil vol.. , Smudge

Sound , Leakage , Overheat
Damage , Leakage
Damage ,Leakage
Damage ,Leakage , Connection

Operating check , Breakage

Operating check , Leakage
Operating check , Leakage
Operating check , Leakage
Function
Function

Damage , Tension
Abrasion
Abrasion ,Damage
Operating Check , Play

Damage/Fitting
Abrasion , Damage , Fitting

Remarks

No Check Item
7
a
b
c
d
8
a
b
c
9
a
b
10
a
b
c

Safety Devices/Guard
Head Guard
Light
Horn/Alarm
Meters(Fuel ,Temp ,Speed)
Wheel Type Equipment
Wheels
Foot Brake/Hand Brake
Handle
Others
Drivers Seat/Seat belt
Mirrors
Indication
Operators Name
Warning Signs
Carry in Certification

Check Points

Result
YES NO

N/A

Damage , Missing
Function
Function
Function

Tire Pressure , Abrasion

Operating check
Operability , Play ,Breakage

Damage ,Dirt ,Missing

Missing , Breakage

Indication
Indication
Possession

BASED ON INSPECTION RESULT ABOVE, THIS SOIL HANDLING EQUIPMENT STATED :

Inspected by,

Date

(
Acknowledge by,

(
Client Representative

Date

Date

OK
Not OK

FOR USE

Remarks