Title Page
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Customer
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Machine Make
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Machine Model
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Machine Serial Number
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Fleet Number
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Hours/Km’s reading
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Prepared By
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Certification I.D.
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Date
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Location
Job Card
6 Month Certification
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PAT Test Conducted
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Further Work Undertaken
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Brief Description
Detailed Description Of Work
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Labour / Travel
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Labour Hours
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Travel Hours
Expenses
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Spares Used
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Desciption of Spares Used
Media / Photos
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Add media
Working Limits
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Inside Major Inspection date
Maximum Safe working loads and capacities through its full working range at 0m/s
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Persons
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Weight Limit
Maximum Safe working loads and capacities through its full working range at 12.5m/s
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Persons
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Weight Limit
Machine Type
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Machine Type
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Electric Motor / Noise / Brushes / Mounts
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Mains Inlet / RCD Condition / PAT Test
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Engine Oil & Filters
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Fuel Filters / Water Separator
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Air Filter
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Coolant Condition & Level
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Belt Condition
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Ignition System
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Engine / Radiator Mount Condition
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Hose and Pipe Condition
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Fuel System
Main Inspection
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Wheel Nuts / Tyres / Bearings / Castors
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Chains / Forks / Couplings / Attachments / Cables
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Brake System
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Basket / Platform Condition
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Safety Decals / Operating Instructions / Manual
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Emergency Controls / Aux Power / Manual Lower
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Ground Controls
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Control Stops / Limit Switches / Cut Outs / Interlocks
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Charging System
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Wear Pads / Bearings / Bushes / Pins
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Steering Componentry
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Cylinders Valves / Operation / Condition
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Drive Motors Condition / Secure
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Welding / Structural Condition
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Emergency Stop Function
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Deadman / Enable System
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Keeper Pins / Fasteners Secure & Condition
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Oil leaks / Fluid Levels
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Harness Anchor Point
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Tilt System Operation
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Motion / Distress / Warning Alarm
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Overload System Operation
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Wiring Cable Condition
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Covers / Cabinets / Door Operation
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Key Switch
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Battery Terminals / Cables / Levels
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Linkage / Actuators / Springs
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Instruments / Gauges / Lights Operation
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Platform Levelling System
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Oscillating Axle Operation
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Slew System / Brake
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Outriggers / Stabilisers
