Information
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Document No.
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Audit Title
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Client / Site
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Conducted on
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Prepared by
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Location
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Personnel
General Identification | Cabin Interior
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Date and Time audit began
General Details
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Basic Photographic Identification (4 x Corner Shots)
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Serial Number/V.I.N
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ID Plate/s Photo
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Type
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Year
- 2000
- 2001
- 2002
- 2003
- 2004
- 2005
- 2006
- 2007
- 2008
- 2009
- 2010
- 2011
- 2012
- 2013
- 2014
- 2015
- 2016
- 2017
- 2018
- 2019
- 2020
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Make
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Model
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Registration State
- NSW
- Vic
- Qld
- Wa
- SA
- Tas
- NT
- ACT
- N/A
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Plant Identification Number (if used)
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SMU / Hour Meter Reading
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Hour Meter Working
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Hour Meter Photo
Control Station Functions | Cabin Interior
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Driver Seat in Good Repair
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Driver Seat Belt Operational with Shoulder Harness
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Windshield Wipers Functioning Appropriately
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Heater and Defroster Operational
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Air Conditioning Operational
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Dashboard Lights Operational
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All Gauges are Operating and Show within Appropriate Ranges
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Interior Compartment Lights Operational
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Entry Grab Bar/Rail Secure
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Interior is Clean and Free of Loose Objects
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Passenger Seat Belts Operational
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Passenger Seats in Good Repair
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Cabin Interior Photo's
Cabin Safety Equipment - internal
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Vehicle is Equipped with Two Way Radio System
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Securely mounted First Aid Kit
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Fire Extinguisher Fitted
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Emergency Stop Fitted & Operational
Undercarriage | Chassis
Undercarriage
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OEM Track Reports Available
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L/H Links
- 5% Life Remaining
- 10% Life Remaining
- 15% Life Remaining
- 20% Life Remaining
- 25% Life Remaining
- 30% Life Remaining
- 35% Life Remaining
- 40% Life Remaining
- 45% Life Remaining
- 50% Life Remaining
- 55% Life Remaining
- 60% Life Remaining
- 65% Life Remaining
- 70% Life Remaining
- 75% Life Remaining
- 80% Life Remaining
- 85% Life Remaining
- 90% Life Remaining
- 95% Life Remaining
- 100% Life Remaining
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R/H Links
- 5% Life Remaining
- 10% Life Remaining
- 15% Life Remaining
- 20% Life Remaining
- 25% Life Remaining
- 30% Life Remaining
- 35% Life Remaining
- 40% Life Remaining
- 45% Life Remaining
- 50% Life Remaining
- 55% Life Remaining
- 60% Life Remaining
- 65% Life Remaining
- 70% Life Remaining
- 75% Life Remaining
- 80% Life Remaining
- 85% Life Remaining
- 90% Life Remaining
- 95% Life Remaining
- 100% Life Remaining
-
L/H Bushings - Internal
- 5% Life Remaining
- 10% Life Remaining
- 15% Life Remaining
- 20% Life Remaining
- 25% Life Remaining
- 30% Life Remaining
- 35% Life Remaining
- 40% Life Remaining
- 45% Life Remaining
- 50% Life Remaining
- 55% Life Remaining
- 60% Life Remaining
- 65% Life Remaining
- 70% Life Remaining
- 75% Life Remaining
- 80% Life Remaining
- 85% Life Remaining
- 90% Life Remaining
- 95% Life Remaining
- 100% Life Remaining
-
R/H Bushings - Internal
- 5% Life Remaining
- 10% Life Remaining
- 15% Life Remaining
- 20% Life Remaining
- 25% Life Remaining
- 30% Life Remaining
- 35% Life Remaining
- 40% Life Remaining
- 45% Life Remaining
- 50% Life Remaining
- 55% Life Remaining
- 60% Life Remaining
- 65% Life Remaining
- 70% Life Remaining
- 75% Life Remaining
- 80% Life Remaining
- 85% Life Remaining
- 90% Life Remaining
- 95% Life Remaining
- 100% Life Remaining
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LH Shoes
- 5% Life Remaining
- 10% Life Remaining
- 15% Life Remaining
- 20% Life Remaining
- 25% Life Remaining
- 30% Life Remaining
- 35% Life Remaining
- 40% Life Remaining
- 45% Life Remaining
- 50% Life Remaining
- 55% Life Remaining
- 60% Life Remaining
- 65% Life Remaining
- 70% Life Remaining
- 75% Life Remaining
- 80% Life Remaining
- 85% Life Remaining
- 90% Life Remaining
- 95% Life Remaining
- 100% Life Remaining
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RH Shoes
- 5% Life Remaining
- 10% Life Remaining
- 15% Life Remaining
- 20% Life Remaining
- 25% Life Remaining
- 30% Life Remaining
- 35% Life Remaining
- 40% Life Remaining
- 45% Life Remaining
- 50% Life Remaining
- 55% Life Remaining
- 60% Life Remaining
- 65% Life Remaining
- 70% Life Remaining
- 75% Life Remaining
- 80% Life Remaining
- 85% Life Remaining
- 90% Life Remaining
- 95% Life Remaining
- 100% Life Remaining
-
L/H Idler
- 5% Life Remaining
- 10% Life Remaining
- 15% Life Remaining
- 20% Life Remaining
- 25% Life Remaining
- 30% Life Remaining
- 35% Life Remaining
- 40% Life Remaining
- 45% Life Remaining
- 50% Life Remaining
- 55% Life Remaining
- 60% Life Remaining
- 65% Life Remaining
- 70% Life Remaining
- 75% Life Remaining
- 80% Life Remaining
- 85% Life Remaining
- 90% Life Remaining
- 95% Life Remaining
- 100% Life Remaining
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R/H Idler
- 5% Life Remaining
- 10% Life Remaining
- 15% Life Remaining
- 20% Life Remaining
- 25% Life Remaining
- 30% Life Remaining
- 35% Life Remaining
- 40% Life Remaining
- 45% Life Remaining
- 50% Life Remaining
- 55% Life Remaining
- 60% Life Remaining
- 65% Life Remaining
- 70% Life Remaining
- 75% Life Remaining
- 80% Life Remaining
- 85% Life Remaining
- 90% Life Remaining
- 95% Life Remaining
- 100% Life Remaining
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L/H Carrier Rollers (Combined Ave)
- 5% Life Remaining
- 10% Life Remaining
- 15% Life Remaining
- 20% Life Remaining
- 25% Life Remaining
- 30% Life Remaining
- 35% Life Remaining
- 40% Life Remaining
- 45% Life Remaining
- 50% Life Remaining
- 55% Life Remaining
- 60% Life Remaining
- 65% Life Remaining
- 70% Life Remaining
- 75% Life Remaining
- 80% Life Remaining
- 85% Life Remaining
- 90% Life Remaining
- 95% Life Remaining
- 100% Life Remaining
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R/H Carrier Rollers (Combined Ave)
- 5% Life Remaining
- 10% Life Remaining
- 15% Life Remaining
- 20% Life Remaining
- 25% Life Remaining
- 30% Life Remaining
- 35% Life Remaining
- 40% Life Remaining
- 45% Life Remaining
- 50% Life Remaining
- 55% Life Remaining
- 60% Life Remaining
- 65% Life Remaining
- 70% Life Remaining
- 75% Life Remaining
- 80% Life Remaining
- 85% Life Remaining
- 90% Life Remaining
- 95% Life Remaining
- 100% Life Remaining
-
L/H Track Rollers (Combined Ave)
- 5% Life Remaining
- 10% Life Remaining
- 15% Life Remaining
- 20% Life Remaining
- 25% Life Remaining
- 30% Life Remaining
- 35% Life Remaining
- 40% Life Remaining
- 45% Life Remaining
- 50% Life Remaining
- 55% Life Remaining
- 60% Life Remaining
- 65% Life Remaining
- 70% Life Remaining
- 75% Life Remaining
- 80% Life Remaining
- 85% Life Remaining
- 90% Life Remaining
- 95% Life Remaining
- 100% Life Remaining
-
R/H Track Rollers (Combined Ave)
- 5% Life Remaining
- 10% Life Remaining
- 15% Life Remaining
- 20% Life Remaining
- 25% Life Remaining
- 30% Life Remaining
- 35% Life Remaining
- 40% Life Remaining
- 45% Life Remaining
- 50% Life Remaining
- 55% Life Remaining
- 60% Life Remaining
- 65% Life Remaining
- 70% Life Remaining
- 75% Life Remaining
- 80% Life Remaining
- 85% Life Remaining
- 90% Life Remaining
- 95% Life Remaining
- 100% Life Remaining
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L/H Sprocket
- 5% Life Remaining
- 10% Life Remaining
- 15% Life Remaining
- 20% Life Remaining
- 25% Life Remaining
- 30% Life Remaining
- 35% Life Remaining
- 40% Life Remaining
- 45% Life Remaining
- 50% Life Remaining
- 55% Life Remaining
- 60% Life Remaining
- 65% Life Remaining
- 70% Life Remaining
- 75% Life Remaining
- 80% Life Remaining
- 85% Life Remaining
- 90% Life Remaining
- 95% Life Remaining
- 100% Life Remaining
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R/H Sprocket
- 5% Life Remaining
- 10% Life Remaining
- 15% Life Remaining
- 20% Life Remaining
- 25% Life Remaining
- 30% Life Remaining
- 35% Life Remaining
- 40% Life Remaining
- 45% Life Remaining
- 50% Life Remaining
- 55% Life Remaining
- 60% Life Remaining
- 65% Life Remaining
- 70% Life Remaining
- 75% Life Remaining
- 80% Life Remaining
- 85% Life Remaining
- 90% Life Remaining
- 95% Life Remaining
- 100% Life Remaining
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Track Tensioners - condition
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Track Tensioners
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Shoe Width
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Trouser Height
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Photo With Tape Indicating Grouser Height
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Track Link Wear
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Pins and Bushing
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Track Rollers
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Idlers
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Sprockets
Chassis
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Is Any Major Damage Apparent ?
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On Which Date Did The Damage Occur?
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Is A Company Incident Report Available
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Detailed Description
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Please Photograph Damaged Area's
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Frame Condition
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Roller Frames
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Belly Pans
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Pivot Shafts
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Push Arms
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Push Arm Trunnions
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Tilt/Angle Linkage Pins & Bushings
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Blade Trunnions/Bushings
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Comments
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Add media
Engine | Drive Train | Hydraulics
Engine
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Engine Make And Model
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Rebuild History (Supporting Documentation Required)
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Hours Completed on Rebuild
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Date Completed
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Fuel Type
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Starter Operational
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Turbo Functional
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Injector Pump Functional
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Exhaust System Condition OK
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Radiator Condition OK
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Free of Oil Leaks
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Free of Fuel Leaks
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Free of Cooling System Leaks
Drive Train
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Rebuild History (Supporting Documentation Required)
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Hours Completed on Rebuild
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Date Completed
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Transmission OK
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Transmission Type
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Travel Speeds
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Service Brakes Functional
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Final Drives OK
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Comments
Hydraulics
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Rebuild History (Supporting Documentation Required)
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Hours Completed On Rebuild
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Date Completed
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Pumps OK
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Valves OK
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Hydraulic Tank OK
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Hoses OK
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Blade Lift Cylinders OK
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Tilt Lift Cylinders OK
Blade | Rippers
Blade
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Type
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Condition
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Cutting Edge
Rippers
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Type
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Condition
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Add media
Exterior Panels / Glass | Lighting / Safety
Exterior Panels / Glass
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Windshield Free of Cracks and Chips
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Front Hood, Grill and Bumper free of Damage
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Left Mirrors adjustable and Free of Damage
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Left Fender Free of Damage
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Left Door Free of Damage
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Left Side Free of Damage
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Left Side Windows Free of Cracks and Chips
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Rear WIndow Free of Cracks and Chips
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Right Side Free of Damage
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Paint Condition
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Exterior Photo's
Exterior Lighting
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Rotating amber beacon operational
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Working lights front
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Working lights rear
Safety Equipment - external
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Audible Back-up Alarm Operational
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Exterior emergency stop fitted & operational
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Fire extinguisher fitted
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Fire suppression system fitted
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ROPS/FOPS
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Add media
Dimensions | Documentation
Transport Dimensions
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Overall Width (Inc Blade)
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Overall Length (Inc Blade)
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Height to Top of Cabin
Available Documentation
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Is Vehicle Serviced According to the Manufacturers Schedule?
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Date of Last Service (List Details of Last Service, i.e. New Tires, Oil Change, ect...)
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Are Adequate Preventative Maintenance and Service Repair Records Kept
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Sighted Documents
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View Our Website www.assetassured.com.au
http://www.assetassured.com.au