Compliments of: ARXCIS, INC. P.O.

BOX 689, KINGSTON, WA 98346 (360) 297-3693

www.arxcis.com www.hardhattraining.com Info@arxcis.com

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Company: Manufacturer: Model #: Serial #: Equipment ID:

EXCAVATOR INSPECTION & MAINTENANCE RECORD

Equipment Location:

COMPLIMENTS OF ARXCIS, INC

AN OSHA ACCREDITED CRANE INSPECTION AGENCY

ASI 200.0 11/96

Repair and Maintenance Record

OSHA requires owners and operators to perform daily pre-shift inspections of Excavators. This Excavator Inspection & Maintenance Record is provided to help you meet this requirement. If you have any questions about the use of this book or about inspecting your aerial lift and/or other material handling devices, call: ARXCIS, Inc. at (360) 297-3693. Date Description of Work

Pre-Inspection of Excavator

The following items are to be inspected on a daily basis or for less active Excavators, prior to its use. Additional daily or monthly checks may be required based on the type of excavator and its use. Consult the machines owners manual for additional requirements. Daily Inspections Checklist: Visual Inspection Structural defects Cracked welds Loose fasteners Tire damage Boom and Attachments Loose wire connections Warning labels

Operational Inspection Operators compartment Gauges Anchorage for lanyard Steering Controls Warning devices

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The intent of this record book is to aid our customers in excavator inspections and maintenance. This document is not a definitive source and ARXCIS, Inc. does not accept responsibility nor is liable for any outcome from its use.

EXCAVATOR INSPECTION RECORD

Date Completed:_____________ Inspected by: ________________

EXCAVATOR INSPECTION RECORD

Date Completed:_____________ Inspected by: ________________

INSPECTION AREA
Sat. Roll-over Protection Air Filter Engine Oil Fuel Leaks Fuel Tank Cap Engine Coolant Engine Fuel Level Bolts and Fastener Operators Compartment Boom Structure Structural Damage Tires & Wheels Battery Fluid Level Battery Terminals Charging System Controls & Switches Control Labels Wiring Harnesses Hydraulic Leaks Hydraulic Oil Level Hydraulic Cylinders Rotation System Limit Switches & Alarms Decals & Warning Labels

INSPECTION RESULTS
Unsat. N/A Comments

INSPECTION AREA
Sat. Roll-over Protection Air Filter Engine Oil Fuel Leaks Fuel Tank Cap Engine Coolant Engine Fuel Level Bolts and Fastener Operators Compartment Boom Structure Structural Damage Tires & Wheels Battery Fluid Level Battery Terminals Charging System Controls & Switches Control Labels Wiring Harnesses Hydraulic Leaks Hydraulic Oil Level Hydraulic Cylinders Rotation System Limit Switches & Alarms Decals & Warning Labels

INSPECTION RESULTS
Unsat. N/A Comments

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Perform any additional inspections as prescribed by the manufacturer.

Complements of ARXCIS, INC.

Perform any additional inspections as prescribed by the manufacturer.

Complements of ARXCIS, INC.