Header | |||
1. Technician | 7. Serial Number | ||
2. W.O Number | 8. Equip Number | ||
3. Date Received | 9. Received From | ||
4. Make | 10. Current Date | ||
5. Model | 11. Current Hours | ||
6. Customer Unit | |||
Service Order # |
GENERAL INSPECTION - SAFETY | Ok Unreliable Critical N/A |
12. Horn | |
13. Driver's Overhead Guard | |
14. Load Back Rest | |
15. Service Brakes | |
16. Parking Brake | |
17. Steering System | |
18. Lights / Warning Device | |
19. Forks and Pins | |
20. Lift Chain Condition | |
21. Warning Decals | |
22. Pedal Pads | |
23. Data Plate | |
24. Operator Restraint | |
25. Operator Presence System | |
26. Comments |
GENERAL INSPECTION - OPERATOR COMPARTMENT | Ok Unreliable Critical N/A |
27. Hour Meter Working | |
28. Seat Condition | |
29. Knobs | |
30. Steering Handwheel | |
31. Sheet Metal | |
32. Paint Condition | |
33. Gauges | |
34. Comments |
GENERAL INSPECTION - TIRES | Ok Unreliable Critical N/A |
35. Tire Chunks / Cuts | |
36. Drive — 0 D /T D R | |
37. Drive — 0 D /T D L | |
38. Steer — 0 D /T D R | |
39. Steer — 0 D /T D L | |
40. Load Wheels | |
41. Caster Wheels | |
42. Comments |
GENERAL INSPECTION - COMPONENT MOUNTING SECURITY | Ok Unreliable Critical N/A |
43. Steering Gear | |
44. Steer Axle | |
45. Wheel Lug Bolts | |
46. Counter weight Bolts | |
47. Drive Unit / Differential | |
48. Comments |
GENERAL INSPECTION - UPRIGHT | Ok Unreliable Critical N/A |
49. Chain Adjustment | |
50. Carriage Condition | |
51. Cylinder Condition | |
52. Roller Condition | |
53. Shim Adjustment | |
54. Upright Drift | |
55. Tilt Stroke Adjustment | |
56. Hydraulic Hose Routing/Wear | |
57. Comments |
GAS / LPG EQUIPMENT - TEST DRIVE | Ok Unreliable Critical N/A |
58. Drive Train Noise | |
59. Transmission Operation | |
60. Inching Operation | |
61. Hyd Pump / Valve Operation | |
62. Governor Operation | |
63. Neutral / Start Switch | |
64. Engine Exhaust Smoke | |
65. Levers and Linkage | |
66. Engine Operation / Performance | |
67. Comments |
GAS / LPG EQUIPMENT - COOLING SYSTEM | Ok Unreliable Critical N/A |
68. Water Pump and Fan Blade | |
69. Fan Belts | |
70. Comments |
ELECTRIC EQUIPMENT -TEST DRIVE | Ok RELIABLE Critical N/A |
71. Drive Train Noise | |
72. Hyd. Pump/Valve Switch Operation | |
73. Levers and Linkage | |
74. Steer Angle Sensor | |
75. Smooth Speed Control | |
76. Check Proper Creep Speed | |
77. Plugging Control | |
78. Brake Switch Operation | |
79. Comments |
ELECTRIC EQUIPMENT - BATTERY | Ok Unreliable Critical N/A |
80. Stops | |
81. General Condition | |
82. Battery Cables | |
83. Charge Condition | |
84. Comments |
SWEEPER / SCRUBBER - SWEEPING SYSTEM | Ok Unreliable Critical N/A |
85. Side Broom Operation & Adj. | |
86. Main Broom Length (4” New) | |
87. Main Broom Pattern (Adjust to 2 1/2") | |
88. Side Broom Length (6” New) | |
89. Hopper Operation & Condition | |
90. Shaker Operation | |
91. Vacuum Operation | |
92. Comments |
SWEEPER / SCRUBBER - SCRUBBER SYSTEM | Ok Unreliable Critical N/A |
93. Squeegee Condition | |
94. Squeegee Adjustment | |
95. Brush Lengths (1 3/4” New) | |
96. Solution Tank Condition | |
97. Solution Control | |
98. Vacuum Operation | |
99. Recovery Tank Operation | |
100. Recovery Path | |
101. Drain Hose | |
102. Drain Tanks |
MAINTENANCE LIFTS - TEST DRIVE | Ok Unreliable Critical N/A |
103. Outriggers Condition | |
104. Scissor Condition | |
105. Smooth Speed Control | |
106. Check Proper Creep Speed | |
107. Railing Condition | |
108. Steering / Hyd. Controls | |
109. Platform Stability | |
110. Platform Extension Condition |
TOP OFF FLUID LEVELS - CHECK FOR LEAKS | Ok Seepage or Dampness Needs Repair Soon Needs Immediate Repair |
111. Engine Oil | |
112. Transmission Fluid | |
113. Coolant Level (-20) | |
114. Battery Water | |
115. Hydraulic Fluid | |
116. Master Cylinder |
ATTACHMENT | Ok Unreliable Critical N/A |
117. Operation / Mounting |
OBVIOUS DAMAGE | |
118. List | |
119. RECOMMENDED ADDITIONAL WORK | |
120. STATUS WHEN TURNED IN | Rentable Non-Rentable |
RECOMMENDED ADDITIONAL WORK | |
121. RECOMMENDED ADDITIONAL WORK |