Title Page
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Asset Number
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Rego/Asset ID
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Serial No/VIN
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Conducted on
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Prepared by
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Location
EQUIPMENT LIST
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Item
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Description
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Type
- Motor Powered Equipment
- Mobile Plant
- Electric Equipment
- Safety Equipment
- Lifting Equipment
- Calibration Equipment
- Other
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Specify Type
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Plant ID
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Serial/VIN Number
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Make/Manufacturer
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Model
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Photo of Equipment
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Equipment Status
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Current Hours/km on item
SIGNOFF
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Completed by (Name & Signature)