Information
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Site
- Stoke
- Telford
- Broxburn
- Edinburgh
- Rochdale
- Liverpool
- Port Sunlight
- Oldham
- Bradford
- Stockton
- Showroom
- Benton
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Select date
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Reference:
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Make / Model / Serial number:
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Odometer reading / Run Hours:
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Manager name:
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Driver / Operative Name:
VEHICLE = Type of Fault(s) Please note if the issue is equipment only mark this 'vehicle section' safe.
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Fuel / Oil leaks
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Battery or issues starting vehicle
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Tyres / wheel fixings
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Steering or alignment
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Load security
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Mirrors / Windscreen, wipers, washers
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Crane or outrigger issue
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Issue with safety warning devices, including horn and reversing alarm or aids.
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Issue with Emergency stop or crane in override.
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Brakes
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Security of the body and stanchions
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Other? (Please detail.)
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Other type of fault? Please detail:
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Cost of repair?
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IS THE VEHICLE / EQUIPMENT SAFE TO USE?
EQUIPMENT = Type of Fault(s) Please note if the issue is for a vehicle only mark this 'equipment section' safe.
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Faulty Guard Blade damaged / blunt
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Warning light
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Blocked / jammed
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Loose bolts
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Lighting inadequate
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Extraction system
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Table / workbench damaged
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Start / stop button issues
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Overridden safety controls
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Overheating
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Excessive vibration
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Other? (Please detail.)
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Other type of fault? Please detail:
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Cost of repair?
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IS THE VEHICLE / EQUIPMENT SAFE TO USE?
Complete if NOT SAFE to use:
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If the vehicle / equipment has been taken out of use has a mechanic or engineer signed off that it is repaired and fit for use?
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Have all users / operatives been advised?
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Operative sign:
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Operative sign:
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Operative sign:
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Operative sign:
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Operative sign:
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Operative sign:
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Operative sign:
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Operative sign:
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MANAGER SIGNATURE: Managers sign here to confirm the vehicle is UNSAFE and that you have shared this information with relevant staff.
Complete if SAFE to use:
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Managers please confirm the vehicle is safe to use.
