Mobile Equipment Pre-Use Inspection Form
Complete this form to document a pre-use safety inspection of mobile equipment before operation.
Equipment Identification Number
*
Equipment Type
*
Please Select
Forklift
Excavator
Loader
Crane
Bulldozer
Other
Inspector/Operator Name
*
First Name
Last Name
Inspection Date
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Inspection Time
*
Hour Minutes
AM
PM
AM/PM Option
Visual Condition Check (body, tires, hoses, attachments)
*
Satisfactory
Needs Attention
Not Applicable
Fluid Levels (oil, coolant, hydraulic, fuel)
*
Satisfactory
Needs Attention
Not Applicable
Safety Devices (alarms, lights, brakes, seat belts)
*
Operational
Defective
Not Applicable
Defects or Issues Found
Action Taken
*
No Action Needed
Repaired/Corrected Before Use
Removed from Service
Approval Status
*
Approved for Use
Remove from Service
Submit Inspection
Should be Empty: