Tractor Pre-Use Safety Checklist Form
Complete this form before operating a tractor to record the operator, equipment details, pre-use safety checks, and any issues found.
Operator and Equipment Details
Operator Name
*
First Name
Last Name
Date
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Tractor / Equipment Unit Number
*
Work Site / Location
*
Pre-Use Safety Inspection
Tires and pressure, visible condition
*
OK
Needs attention
Lights and signals
*
OK
Needs attention
Brakes
*
OK
Needs attention
Steering
*
OK
Needs attention
Fluid leaks
*
OK
Needs attention
Guards and shields
*
OK
Needs attention
Hitch and PTO area
*
OK
Needs attention
Mirrors, visibility, and seatbelt/operator station condition
*
OK
Needs attention
Issues and Completion
Overall Inspection Status
*
Pass
Needs Attention
Do Not Operate
Issues Found / Corrective Actions Needed
Submit
Should be Empty: