Example: dental hygienist

ITEMS TO BE CHECKED OPERATOR'S INSPECTION …

ITEMS TO BE CHECKED (MONTH/YEAR)DATEOPERATOR'S INSPECTION guide AND TROUBLE report (Place "X" in block adjacent to ITEMS requiring OPERATOR'S INSPECTION for the vehicle type only)(For use with all Registered vehicle Equipment except Refueling Vehicles andEquipment)(During Operation)CLEANLINESS/DAMAGE/MISSING ITEMS (Interior/Exterior)/UNUSUAL NOISE OR OCCURRENCE1 vehicle TYPEREGISTRATION LEVELS (Visually check for any leaks/check oil/coolant/hydraulic/transimission/brak e fluid)3 SAFETY DEVICES (Wiring/lights/horn/warning devices/sirens/reflectors/mirrors/seat belts)ORGANIZATIONLOCATION/BASEPHONE (Fluid/damage/cleanliness/security)/INST RUMENTS/GAUGES (Operation & readings)DRIVE BELTS (Fraying/cracking/tension)/PULLY/MOTOR (Air/hydraulic/electrical)5 STEERING/SPRINGS/SHACKLES (Free play/excessive wear)6 vehicle CONTROL OFFICER NAMEPHONE SYSTEM/SPARK ARRESTORS (Damage/leaks)8 TIRES/ WHEELS (Lug nuts/cracks) TRACKSOPERATOR'S SIGNATURE SIGNIFIES ACCOMPLISHMENT OF CHECKS9 HEATER/DEFROSTER/AIR-CONDITIONER/AUXILL

ITEMS TO BE CHECKED. OPERATOR'S INSPECTION GUIDE AND TROUBLE REPORT. DATE (MONTH/YEAR) (Place "X" in block adjacent to items requiring Operator's inspection for the vehicle type only)

Tags:

  Guide, Report, Vehicle, Operator, Inspection, Checked, Be checked operator s inspection, Be checked, Operator s inspection guide

Information

Domain:

Source:

Link to this page:

Please notify us if you found a problem with this document:

Other abuse

Advertisement

Transcription of ITEMS TO BE CHECKED OPERATOR'S INSPECTION …

1 ITEMS TO BE CHECKED (MONTH/YEAR)DATEOPERATOR'S INSPECTION guide AND TROUBLE report (Place "X" in block adjacent to ITEMS requiring OPERATOR'S INSPECTION for the vehicle type only)(For use with all Registered vehicle Equipment except Refueling Vehicles andEquipment)(During Operation)CLEANLINESS/DAMAGE/MISSING ITEMS (Interior/Exterior)/UNUSUAL NOISE OR OCCURRENCE1 vehicle TYPEREGISTRATION LEVELS (Visually check for any leaks/check oil/coolant/hydraulic/transimission/brak e fluid)3 SAFETY DEVICES (Wiring/lights/horn/warning devices/sirens/reflectors/mirrors/seat belts)ORGANIZATIONLOCATION/BASEPHONE (Fluid/damage/cleanliness/security)/INST RUMENTS/GAUGES (Operation & readings)DRIVE BELTS (Fraying/cracking/tension)/PULLY/MOTOR (Air/hydraulic/electrical)5 STEERING/SPRINGS/SHACKLES (Free play/excessive wear)6 vehicle CONTROL OFFICER NAMEPHONE SYSTEM/SPARK ARRESTORS (Damage/leaks)8 TIRES/ WHEELS (Lug nuts/cracks) TRACKSOPERATOR'S SIGNATURE SIGNIFIES ACCOMPLISHMENT OF CHECKS9 HEATER/DEFROSTER/AIR-CONDITIONER/AUXILLI ARY GENERATORS/AUXILLARY HEATERS(First Initial, Last Name)10 BRAKES (Servicing-Parking)/CLUTCHES (Operate)/ACCELERATOR PEDAL (Damage/worn)SHIFT/SIGNATUREDAYDAYSHIFT/ SIGNATUREDAYSHIFT/SIGNATUREWINDSHIELD (Wipers/washer fluid/cracks)11 HYDRAULIC HOSES (Damage/frayed)/CYLINDERS/VALVES (Damage/leaks)

2 1221111 COLD WEATHER AIDS (Ether/alcohol injector/battery heater/oil-engine heater/coolant heater, etc.)13 POWER TAKE-OFF (PTO)1422122 WINCH/TOW CONNECTIONS15 AIR TANKS (Drain daily or after operation)16 MAST TINES/ROLLERIZED TINES172313318 ROLLERS/POWER CONVEYORS/RAILS/LADDERS/CAT WALKS/CARGO BEDBED (K-LOAD) TOP/HALF/LOWEST/ROLL/SHIFT/YAW (check position)192414420 LOWER LOBE CAB SHIFT (Operation)EMERGENCY STAND-BY SYSTEM21 MARKINGS-CHECK LEGIBILITY ("WATCH STEP" stencil IAW36-1-191)2225155 CHUTES/AUGERS/FAN BLADES/WEAR SHOES23 DRUMS/CROWNS/FAIR LEADS24 BOOMS/OUTRIGGERS/BASKET/PLATFORM/TURNTAB LE (Check for cracks and damage)2561626 BROOMS/SPROCKETS/CHAINS26 BLADES/REELS/SICKLE BARS/FLAILS27 KETTLE/HOISTING MECHANISM/AGITATORS2827177 SHEAVES/BLOCKS/CABLES29 MOULDBOARDS/BOWLS/CUTTING EDGES/SKIDS30 PUMPS/PIPING/DISCHARGE VALVES FOR LEAKS, CORROSION/SPARE BARS318281832 FIREFIGHTING SYSTEM OPERATION AND FOAM/WATER LEVELS3329919 AUXILLIARY FIREFIGHTING SYSTEM (Nitrogen tank pressure, agent levels, etc)3435 HOSE/REELS/HANDLINES/TURRETS (Operation/all functions)36 OTHER (Specify)102030 OTHER (Specify)37 OTHER (Specify)3831 OTHER (Specify)

3 39 PAGE 1 OF 3 PAGESPAGE 3 OF 3 PAGESAF FORM 1800, 20100401AF FORM 1800, 20100401 FIREFIGHTING SPECIALIZED EQUIPMENT/SAFETY DEVICES (Axe, spanner wrench, power saw, ladder, pike trouble light, mega phone, generator, resuscitator, rescue tools, winch/Buzzers, fire extinguishers, ropes, breathing apparatus, personal alert safety system, etc) OPERATOR'S MONTHLY REQUIREMENTBEGINNING OF MONTH OPERATING MILES/HOURSTIRE PRESSURE CHECK(Check manufacturer's manual or vehicle for applicable pressure)FRONT PSI:(DD/MM/YYYY)DATE:MILES:HOURS:REAR PSI:(DD/MM/YYYY)(DD/MM/YYYY)DATE:DATE:(p rint legibly)(print legibly) OPERATOR'S NAMEand SIGNATUREOPERATOR'S NAMEand SIGNATUREVEHICLE / EQUIPMENT DISCREPANCY AND MAINTENANCE REPORTOPERATOR REPORTREPORTED TO MAINTENANCEMAINTENANCE report STATUSDATE TIMEITEM HOURSNAMEWORK ORDER#DATESTATUS CODEEMPLOYEE NUMBERDISCREPANCY(DD/MM/YY)(print legibly)(DD/MM/YY)(DD/MM/YY)STATUSW = Waiver for RepairC-T by Temp Fix C-P by Perm FixD-P for PartsC = CORRECTEDD = DELAYEDD-D for DispositionN = No Repairs RequiredD-M for 2 OF 3 PAGESAF FORM 1800, 20100401


Related search queries