Title Page
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Conducted on
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Prepared by
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Location
General
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Organization
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Model
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Registration/Serial
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TM Number
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TM Number
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TM Date
Equipment deficiencies and shortcomings
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Add equipment
Equipment
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Item No.
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Status
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Deficiencies and shortcomings (select all that apply)
- Engine oil low
- Fuel low
- Hairline crack
- Loose battery cables
- Other
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Enter description of deficiency
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Upload photos of equipment damage
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Corrective action
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Sign off when corrected
Sign off
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Manhours required
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Person performing inspection