Prior to the start and upon completion of each rental, Customers are required to complete an On Rent Report and Off Rent Report in order to track machine condition and ensure machine quality.


  On Rent
  Off Rent
Company Name *

Technician's First Name *

Technician's Last Name *

Email Address *

Phone Number *

City / State *

Equipment Number *

Machine Hours *

Fuel Level *

Visual Inspection

Inspect overall appearance, condition, and check for damage *
  Okay, Adjusted, or Serviced
  Follow Up Needed
  N/A
Inspect fluid levels and inspect for external leaks *
  Okay, Adjusted, or Serviced
  Follow Up Needed
  N/A
Inspect for missing components and unauthorized modifications *
  Okay, Adjusted, or Serviced
  Follow Up Needed
  N/A
Engine

Inspect air filter restriction gauge *
  Okay, Adjusted, or Serviced
  Follow Up Needed
  N/A
Clean air filter dust valve *
  Okay, Adjusted, or Serviced
  Follow Up Needed
  N/A
Inspect hoses *
  Okay, Adjusted, or Serviced
  Follow Up Needed
  N/A
Transmission / Drive Train

Inspect operation and condition of parking brake *
  Okay, Adjusted, or Serviced
  Follow Up Needed
  N/A
Inspection operation of service brake *
  Okay, Adjusted, or Serviced
  Follow Up Needed
  N/A
Electrical Systems

Inspect all visible electrical cords, cables, wires and connections *
  Okay, Adjusted, or Serviced
  Follow Up Needed
  N/A
Boom Assembly

Inspect boom sections *
  Okay, Adjusted, or Serviced
  Follow Up Needed
  N/A
Lubricate boom chains *
  Okay, Adjusted, or Serviced
  Follow Up Needed
  N/A
Hydraulics

Inspect all areas around hydraulic components *
  Okay, Adjusted, or Serviced
  Follow Up Needed
  N/A
Tires and Wheels

Inspect tire condition and inflation *
  Okay, Adjusted, or Serviced
  Follow Up Needed
  N/A
Chassis

Inspect leveling jacks or stabilizers *
  Okay, Adjusted, or Serviced
  Follow Up Needed
  N/A
Functions and Controls

Inspect instruments, switches, accessories, gauges, horn, and lights *
  Okay, Adjusted, or Serviced
  Follow Up Needed
  N/A
Inspect Controls *
  Okay, Adjusted, or Serviced
  Follow Up Needed
  N/A
Inspect seat condition *
  Okay, Adjusted, or Serviced
  Follow Up Needed
  N/A
Inspect safety belt *
  Okay, Adjusted, or Serviced
  Follow Up Needed
  N/A
Inspect glass, windows and mirrors *
  Okay, Adjusted, or Serviced
  Follow Up Needed
  N/A
Inspect alarms and safety devices *
  Okay, Adjusted, or Serviced
  Follow Up Needed
  N/A
Perform operational checks *
  Okay, Adjusted, or Serviced
  Follow Up Needed
  N/A
Structural

Inspect forks *
  Okay, Adjusted, or Serviced
  Follow Up Needed
  N/A
Inspect carriage *
  Okay, Adjusted, or Serviced
  Follow Up Needed
  N/A
Inspect overhead guard and backrest *
  Okay, Adjusted, or Serviced
  Follow Up Needed
  N/A
Inspect rollover protection system (ROPS) *
  Okay, Adjusted, or Serviced
  Follow Up Needed
  N/A
Inspect all visible nuts, bolts, shafts, shields, bearings, pins, attaching hardware, and locking devices *
  Okay, Adjusted, or Serviced
  Follow Up Needed
  N/A
Inspect structural condition and all welds *
  Okay, Adjusted, or Serviced
  Follow Up Needed
  N/A
General

Inspect for open safety and service campaigns and bulletins *
  Okay, Adjusted, or Serviced
  Follow Up Needed
  N/A
Inspect condition and placement of all required decals *
  Okay, Adjusted, or Serviced
  Follow Up Needed
  N/A
Grease and lubricate all pivot pins, pivot points, hinges, and linkages *
  Okay, Adjusted, or Serviced
  Follow Up Needed
  N/A
Ensure fire extinguisher is present and charged *
  Okay, Adjusted, or Serviced
  Follow Up Needed
  N/A
Ensure operators manual is complete, legible and properly secured *
  Okay, Adjusted, or Serviced
  Follow Up Needed
  N/A
Additional Notes

If needed, please send corresponding photos to External link opens in new tab or windowrentals@nomadlifts.com.



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