Mining Equipment Audit Checklist Form
Complete the Mining Equipment Audit Checklist Form to record equipment condition, safety checks, and required follow-up.
Equipment ID or Asset Number
*
Audit Date
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Mine Site or Equipment Location
*
Inspector Name
*
First Name
Last Name
Equipment Type
*
Please Select
Haul truck
Excavator
Drill rig
Loader
Dozer
Crushing or screening equipment
Conveyor system
Other
Condition and Safety Checks
*
Rows
Status
Brakes and steering
1
Tires, tracks, or running gear
2
Guards and safety devices
3
Lights, alarms, and visibility
4
Hydraulic lines and fluid leaks
5
Electrical systems and controls
6
Fire extinguisher and emergency equipment
7
Cab, seat belt, and operator access
8
Operational Status
*
Operational
Operational with restrictions
Out of service
Issues or Defects Noted
Corrective Actions Required
Overall Audit Result
*
Pass
Pass with corrective actions
Fail — follow-up required
Submit Audit
Should be Empty: