No.	Item Check	Checks to Make	Mon	Tues	Wed	Thurs	Fri	Sat	Sun	Date Reported	
			√	X	√	X	√	X	√	X	√	X	√	X	√	X		
1.		Bucket	Broken Welds / Cracks / Damage																
2.		Bucket Cylinder	Hydraulic Leaks / Condition																
3.		Dipper	Broken Welds / Cracks / Damage																
4.		Dipper Cylinder	Hydraulic Leaks / Condition																
5.		Boom	Broken Welds / Cracks / Damage																
6.		Boom Cylinder	Hydraulic Leaks / Condition																
7.		Underneath Machine	Clean / Clear / Damage / Leaks																
8.		Steps & Handholds	Free from Damage & Debris																
9.		Batteries/Hold Downs	Secure / Corrosion																
10.		Air Filter	Clean / Clack																
11.		Wipers/Washers	Maintained / Full																
12.		Engine Coolant	Maintained / Full																
13.		Radiator	Maintained / Full																
14.		Hydraulic Oil Tank	Maintained / Full																
15.		Fuel Tank	Maintained / Full																
16.		Fire Extinguisher	Present																
17.		Lights	Damage / Working Order																
18.		Mirrors	Damage / Correct Position																
19.		External Machine	No obvious Damage																
20.		Tracks	Wear / Tear / Secure / Tension																
21.		Sprockets	Clear & Free from Debris																
22.		Driver Seat/Seat Belt	Secure / Working Order																
23.		Audible Warning	Working Order																
24.		Safety Devices	Working Order																
25.		Hydraulic Controls	Working Order / Decals																
26.		Drive	Working Order																
27.		Dozer	Working Order																
√ Good      X Defect				Operator Signature					Supervisor Signature

																			FR561