Title Page
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Site conducted
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Conducted on
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Prepared by
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Location
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Office Name
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Truck #
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1. Grease - Side Base Rails (Twice Weekly)
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Was vehicle was placed into service?
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Why was vehicle placed into service before maintenance or repair was completed?
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2. Grease - Guide Tubes, Feed Cylinder
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Was vehicle was placed into service?
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Why was vehicle placed into service before maintenance or repair was completed?
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3. Grease - Sideways Slide Base (Twice Weekly)
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Was vehicle was placed into service?
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Why was vehicle placed into service before maintenance or repair was completed?
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4. Hydraulic Filter Vacuum Gauge
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Was vehicle was placed into service?
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Why was vehicle placed into service before maintenance or repair was completed?
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5. Hydraulic Jacks (Refer to Operator Manual)
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Was vehicle was placed into service?
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Why was vehicle placed into service before maintenance or repair was completed?
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6. Cathead Sheaves
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Was vehicle was placed into service?
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Why was vehicle placed into service before maintenance or repair was completed?
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7. Inspect Cathead Chain & Sprockets, Adjust Open Gear Lube
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Was vehicle was placed into service?
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Why was vehicle placed into service before maintenance or repair was completed?
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8. Inspect Moyno/ Bean Pump Chain & Sprockets, Adjust Open Gear Lube
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Was vehicle was placed into service?
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Why was vehicle placed into service before maintenance or repair was completed?
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9. Slip Clutch Sprocket & Chain
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Was vehicle was placed into service?
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Why was vehicle placed into service before maintenance or repair was completed?
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10. Pullmaster/ Hydraulic Hoist Gear Oil in Planetary Drive
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Was vehicle was placed into service?
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Why was vehicle placed into service before maintenance or repair was completed?
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11. Clean Cab
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Was vehicle was placed into service?
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Why was vehicle placed into service before maintenance or repair was completed?
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12. Headlights, Tail Lights, Brake Lights, and Turn Signals
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13. Have all guards and/or safety devices been reinstalled after any maintenance activity?
Approvals
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Maintenance Performed by
