Unit information

  • Mfg. Date

  • Last Recertification Date

  • Part Number

  • Serial Number

Inspection items

  • Is the Head W/Jaw in acceptable condition?

  • What is wrong with the Head W/Jaw?

  • Explain Other response and what is the recommendations?

  • Add photo if Possible

  • Are the Handle Acceptable?

  • What is wrong with the Handle?

  • Explain Other response and what is the recommendations?

  • Add Photo if Possible

  • Is the Chain Acceptable?

  • What is wrong with the Chain?

  • Explain Other response and what is the recommendations?

  • Add Photo if Possible

  • Are the Bolts Acceptable?

  • What is wrong with the Bolts?

  • Explain Other response and what is the recommendations?

  • Add Photo if Possible

  • Are the Nuts Acceptable?

  • What is wrong with the Nuts?

  • Explain Other response and what is the recommendations?

  • Add Photo if Possible

  • Is the Locking Mech. Acceptable?

  • What is wrong with the Locking Mech.?

  • Explain Other response and what is the recommendations?

  • Add Photo if Possible

  • Are the Tags Acceptable?

  • What is wrong with the Tags?

  • Explain Other response and what is the recommendations?

  • Add Photo if Possible

Additional information

  • Notes and Recomendations

  • Add any Photos that would help explain issues

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