Information
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Document No.
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Equipment # and Group Abbreviation
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Location
- Cymric
- Kern River
- Belridge
- North Midway
- South Midway
- Midway
- Coalinga
- KSFM
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Work Group
- New Construction
- Maintenance
- Lead Line
- F/I
- DTR
- Infrastructure
- Developement
- I and E
- Production
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EMC/IRT
- Belridge
- Coalinga/Kettleman
- Cymric
- Kern River
- Midway
- Ventura
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Customer
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Conducted on
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Auditor
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Location
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Appropriate Drivers License
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Medical Card with Stamp
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Current Registration
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Complete Pre Trip signed by supervisor
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Proper Journey Management
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Brakes properly Adjusted
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Any Air leaks of concern
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Springs, Steering and Walking Beam in good working order
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Frame Damage
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Clutch working properly
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Tires and Wheels in good Shape
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Air Bags in Good Shape
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Brake Cans Leaking
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Cracks in Frame
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Fifth Wheel in good Shape
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Does your fifth wheel clunk while driving
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Any Major Oil Leaks
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All Controls working properly
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Glad Hands, Seals, and Hoses in good shape
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Has Trailer King Pin been inspected
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Landing Gear in proper working order
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Belly Gates in proper working order
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Side Boards Good
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Does Equipment look clean and Cared for
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Is a repair order necessary?
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Who was contacted and what steps were taken to mitigate repairs
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When was supervision notified
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Employee Information
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Employee Name
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Employee number
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Signature
