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EQUIPMENT TYPE:

MODEL/PLATE NO.
SIZE/CAPACITY
CHASSIS/ENGINE NO.

Date checked:

Note: The items below should be inspected during a typical preventive maintenance check. Additional checklist items may be required
depending on equipment or circumstances.

EXTERIO
UNDERHOOD R
Good Fair Poor Good Fair Poor

Motor oil, power steering Stop lights

Coolant Level, hoses Head, tail, direction lights

Fuel line leaks Clear, spot, warning lights

Belt Tensions Cab, body, glass

Fuel level Reflectors

Batteries Coupling devices

Windshield washer Hydraulic lines

Gear Oil Tires, wheels, lug bolts

Transmission Oil Hydraulic reservoirs


Springs - steering
mechanism
INTERIOR Drive line, universal joints

Good Fair Poor Drain air reservoirs

Brakes

Steering GENERAL

Horn & Safety devices Good Fair Poor

Wiper blades & control Exhaust system

Mirrors Engine
Extinguishe
Meters, gauges & control r

Heater Emergency triangle

Seats & seat belts First aid kit

Clutch

Checked by: Approved by:

SIGNATURE OVER PRINTED NAME SIGNATURE OVER PRINTED NAME

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