Heavy Machinery Daily Safety Inspection Form
Date
Machine Name/ID
Operator Name
Location
Inspection Items
Walk-around visual check
Pass
Fail
N/A
Fluid levels (oil, coolant, fuel)
Pass
Fail
N/A
Hydraulic hoses/connections
Pass
Fail
N/A
Tires/tracks/wheels condition
Pass
Fail
N/A
Mirrors, lights, and horn
Pass
Fail
N/A
Brakes and steering
Pass
Fail
N/A
Fire extinguisher condition
Pass
Fail
N/A
Seat belts and safety devices
Pass
Fail
N/A
Warning labels/decals present
Pass
Fail
N/A
Comments / Defects Noted
Defects Reported?
Yes
No
Operator Signature