Puller Inspection Checklist Form
Complete this checklist to ensure puller equipment is in safe and optimal working condition.
Inspector Name
*
First Name
Last Name
Inspection Date
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Puller Equipment ID / Serial Number
*
Operational Status
*
Operational
Requires Maintenance
Out of Service
Visual Condition (Check for damage, wear, or corrosion)
*
Good
Minor Issues
Major Issues
Lubrication Status
*
Adequate
Needs Lubrication
Safety Guards in Place
*
Yes
No
Abnormal Noise or Vibration Detected
*
No
Yes
Additional Notes / Observations
Final Inspection Result
*
Pass
Fail
Submit Inspection
Should be Empty: