Title Page
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Conducted on
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Prepared by
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Location
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Customer
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H&S shipping number (ex. 41111)
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Inspection type
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Model
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Serial Number Ex. G0011111
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Operational hours (if known)
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Last service (if known)
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Operators manual
HVR
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Cleanliness
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Function/ operation
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Mounting ears & bracket
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Frame
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Swivel
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Gear box limit stop
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Elastomer rubbers
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Hydraulic hoses
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Lube oil level & condition
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Lube oil temp sticker
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Proper greasing
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Transport stand
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Paint & finish
SKZ clamp
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Model
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Serial Number
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Cleanliness
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Hydraulic hoses & fittings
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Function
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Clamping cylinder
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Frame and casting
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Jaw pads
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Pitching chain (with cert tag)
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Chain holders & retainers
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Bolts & hardware
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Proper greasing
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Type plate
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Paint & finish
