Equipment Basics Checklist

Description Satisfactory Remove from Notes

Condition Service

Daily Vehicle Safety Inspection

First Aid Kits (current and stocked) q Yes q No q Yes q No
Emergency Kit, Triangles, flares, etc q Yes q No q Yes q No
Rescue Kit q Yes q No q Yes q No
Fire Extinguishers (current inspection tags) q Yes q No q Yes q No
Tires q Yes q No q Yes q No
Current Registration and Inspection q Yes q No q Yes q No
Engine Fluids q Yes q No q Yes q No
Other q Yes q No q Yes q No

Daily Basic Job Inspection Forms

Tailgate Meeting Forms Signed by all Crew q Yes q No q Yes q No
Daily Rigging Inspection Form Signed/Completed q Yes q No q Yes q No
Daily Job Hazard Analysis Form Signed/Completed q Yes q No q Yes q No

Daily Basic Employee PPE Inspection

Personal Fall Arrest System q Yes q No q Yes q No
Positioning Lanyards q Yes q No q Yes q No
Eye Wear and Gloves q Yes q No q Yes q No
Proper Work Boots and Attire q Yes q No q Yes q No
Rope or Cable Grab q Yes q No q Yes q No
Hard Hat q Yes q No q Yes q No
Other q Yes q No q Yes q No

Daily Use Rigging Inspection

Synthetic Chokers q Yes q No q Yes q No
Steel Chokers q Yes q No q Yes q No
Blocks q Yes q No q Yes q No
Shackles, Properly Fitting Pin q Yes q No q Yes q No
Ropes q Yes q No q Yes q No
Lifelines q Yes q No q Yes q No
Decenders q Yes q No q Yes q No
Other q Yes q No q Yes q No

Daily Use Tools And Equipment

Power Tools q Yes q No q Yes q No
Ladders q Yes q No q Yes q No
Cad Welding Equipment q Yes q No q Yes q No
Cable Pulling Grips q Yes q No q Yes q No
Come-alongs, Wire or Chain, Tirfers q Yes q No q Yes q No
Capstan Hoist and Foot Switch q Yes q No q Yes q No
Extension Cords q Yes q No q Yes q No
Site Signage Package q Yes q No q Yes q No
2-Way Radios q Yes q No q Yes q No
Other q Yes q No q Yes q No
Continued on next page
 Equipment Basics Checklist PAGE 2

Description Satisfactory Remove from Notes

Condition Service

Instrumentation
Transit/Theodolite q Yes q No q Yes q No
Dynomometer q Yes q No q Yes q No
Guy Transit (scope) q Yes q No q Yes q No
RF Monitors q Yes q No q Yes q No
Anamometers q Yes q No q Yes q No
Other q Yes q No q Yes q No

Hoists
Manual and Maintenance Log q Yes q No q Yes q No
Trial Lift Form if Hoisting Personnel q Yes q No q Yes q No
Anti-two Block q Yes q No q Yes q No
Engine and Hydraulic Fluids q Yes q No q Yes q No
Overall Appearance and Condition of Winchline q Yes q No q Yes q No
Wedge Sockets, Cable Clamps, or Cable Eye q Yes q No q Yes q No
Wedges Properly in Place in Winch Drums q Yes q No q Yes q No
Other q Yes q No q Yes q No

Man Baskets
Man Baskets q Yes q No q Yes q No
Rigging for Man Baskets q Yes q No q Yes q No

Gin Poles
Load Chart With Reference to Specific Pole q Yes q No q Yes q No
Visual Inspection for Cracked Welds or Bent Members q Yes q No q Yes q No
Jump Blocks q Yes q No q Yes q No
Bolts q Yes q No q Yes q No
Rooster Head and Sheave, and Grease Fitting q Yes q No q Yes q No
Thrust Bearing Adequately Clean and Greased q Yes q No q Yes q No
Basket and Bridle Chokers q Yes q No q Yes q No
Other q Yes q No q Yes q No

Miscellaneous
Rams q Yes q No q Yes q No
Pull Plates (guy pulling) q Yes q No q Yes q No
Push Plates (rams) q Yes q No q Yes q No
Spool Stands q Yes q No q Yes q No
Temporary Guys q Yes q No q Yes q No
Oxygen/Acetylene Gauges & Hoses, Caps on Bottles q Yes q No q Yes q No
RF Suits q Yes q No q Yes q No

Notice: This Checklist must be inspected by competent personnel. The intention of this form is to act as a resource for
your company to check the condition of basic field equipment before deployment. This checklist is a minimum guideline
and can be customized for personalized requirements.

Employee:_________________________________________________________________________________________

Title:______________________________________________________________________________________________

Signature:_________________________________________________________________________________________

Date:_____________________________________________________________________________________________

REV 12/12