Title Page
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Conducted on
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Prepared by
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Location
Information
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Make:
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Model:
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Serial#:
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Equip#:
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Is the structure and components secured and undamaged?
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Take a picture of the damage.
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Are the tires in good condition?
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Take a picture of the tires that are in bad condition.
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Do all functions operate properly?
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Take a picture of the controls not operating correctly.
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Are all safety devices intact and functional?
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Take a picture of the damaged safety devices.
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Are all operational and safety decals present and ledgible?
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Take picture missing or damaged decals.
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Is the operators manual attached?
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Take a picture of where the manual should be.
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Is the battery fully charged/fueled?
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Quantaty fueled?
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Is the appearance acceptable?
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Add a picture of why it is not acceptable.
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Cable tracking?
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Horse head bolts?
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Was there any other damage found?
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Add photos of the damages.
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is there any damage on the extended boom?
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Add photos of the damage.
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Comments?
Customer Acknowledgement
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The safety and performance of this equipment has been verified. I am responsible for routine service and cleaning of the equipment. I understand the correct operation and function of the controls and confirm thath i have recieved adequate instruction and scknowledge the safety sheet to enable myself and/or my crew to use the equipment in a safe and proper manner without risk to injury.
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Inspected By:
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Recived By:
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Returned By:
