Heavy-Equipment Inspection Form Page 2

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Good
Need
N/A
Repair
Ground engaging attachments
Frame, ladder(s) and walkway
Hand grabs and steps
Power cable and/or hoist cable (s)
Steering (standard and emergency)
Additional Inspection Required Prior to Use on Site:
1)
Does equipment emit noise levels above 90 decibels? Yes or No
2)
If so, has an 8-hour noise dosimetery test been performed? Yes or No
Document results of noise dosimetry:
Maintenance Completed (where applicable):
Defects and repairs needed:
General safety condition:
Operator’s or mechanic’s signature:

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