Gaming Machine Inspection Checklist Form
Complete this checklist to verify the condition and operation of the gaming machine.
Date of Inspection
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Machine ID or Serial Number
*
Location of Machine
*
Power Supply Functioning
*
Yes
No
Needs Attention
Display Screen Condition
*
Good
Damaged
Needs Cleaning
Buttons and Controls Working
*
All Working
Some Not Working
Needs Repair
Coin or Bill Mechanism Functionality
*
Accepts Properly
Jams/Rejects
Needs Service
Payout Mechanism Operation
*
Working
Not Working
Needs Service
Security Features Intact (Locks, Seals)
*
Intact
Tampered
Needs Replacement
Additional Notes or Observations
Submit Inspection
Should be Empty: