EQUIPMENT SAFETY CHECKLIST TEMPLATE Last Updated: February 2026 ═══════════════════════════════════════════════════════════════ EQUIPMENT INFORMATION ═══════════════════════════════════════════════════════════════ Equipment ID/Number: _________________________ Equipment Type/Description: _________________________ Make/Model: _________________________ Serial Number: _________________________ Date of Inspection: _________________________ Inspector Name: _________________________ ═══════════════════════════════════════════════════════════════ PRE-USE INSPECTION ═══════════════════════════════════════════════════════════════ Visual Inspection: ☐ Visual Inspection Complete ☐ Fluid Levels Checked (Oil: ☐ OK ☐ Low, Coolant: ☐ OK ☐ Low, Hydraulic: ☐ OK ☐ Low) ☐ Tire/Track Condition Good ☐ Hydraulic System (No Leaks: ☐ Yes ☐ No) ☐ Electrical System (Wiring Good: ☐ Yes ☐ No) ☐ Safety Devices Functional ☐ Guards in Place ☐ Lights Working ☐ Horn/Audible Warning Working ☐ Fire Extinguisher Present ☐ First Aid Kit Present ═══════════════════════════════════════════════════════════════ OPERATIONAL CHECKS ═══════════════════════════════════════════════════════════════ ☐ Engine Starts Properly ☐ Controls Function Properly ☐ Brakes Work ☐ Steering Works ☐ No Unusual Noises ☐ No Leaks ═══════════════════════════════════════════════════════════════ SAFETY EQUIPMENT ═══════════════════════════════════════════════════════════════ ☐ Seat Belts Present and Functional ☐ ROPS/FOPS in Place (if required) ☐ Mirrors Adjusted ☐ Backup Alarm Working ☐ Warning Labels Visible ═══════════════════════════════════════════════════════════════ DOCUMENTATION ═══════════════════════════════════════════════════════════════ ☐ Operator Manual Present ☐ Maintenance Records Current ☐ Inspection Tags Current ☐ Training Records Current ═══════════════════════════════════════════════════════════════ FINDINGS ═══════════════════════════════════════════════════════════════ Deficiencies Found: _____________________________________________________________ _____________________________________________________________ Action Taken: _____________________________________________________________ _____________________________________________________________ Safe to Use: ☐ Yes ☐ No If No, Reason: _____________________________________________________________ _____________________________________________________________ ═══════════════════════════════════════════════════════════════ SIGNATURES ═══════════════════════════════════════════════════════════════ Inspector Signature: _________________________ Date/Time: ___________ Operator Signature (if applicable): _________________________ Date/Time: ___________ ═══════════════════════════════════════════════════════════════ NOTES ═══════════════════════════════════════════════════════════════ Additional Notes: _____________________________________________________________ _____________________________________________________________