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[Company Logo] Company Name

Equipment Operators Daily Check

Name: For week starting (Monday):


Circle days worked.
Check deficiencies.

Pre-Work Inspection Monday Tuesday Wednesday Thursday Friday Saturday Sunday Comments and Corrective Date Initials
Action Completed
Oil level
Oil pressure
Water level
Fuel tank or tanks
Brakes
Engine warm-up
Tires
Extras
Operational Inspection
Engine
Clutch
Steering
Transmission
Rear axle or final drive
Tracks
Idle Time Inspection
Leaks
Loose bolts
Broken (bolts, braces, glass, etc)
Secure (wiring, oil/air/water lines)
Tires
Lubrication
Fire ext. and tools
Spill kit
First Aid kit
Pre-work completed
Man-check arranged
PPE
No issues noted

E2 Equipment Operators Daily Checklist Version 1.01 June 25, 2010 Page 1