Information
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Client
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Site
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Conducted on
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Prepared by
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Location
MACHINE INFORMATION
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Audit Title
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Date
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Date of last inspection
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Make
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Model
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Machine Number
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Machine Hours
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Add media
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MACHINE MUST BE INSPECTED EVERY 250 HOURS
ENGINE
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Check all fan belts for wear and adjust
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Are they in good condition
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Faults/Comments
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Repairs Required
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Photo
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Is it safe to operate
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Corrective Action
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Person Responsible?
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Check for oil, fuel and water leaks
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Is the machine free from leaks?
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Faults/Comments
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Repairs Required
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Photo
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Is it safe to operate
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Corrective Action
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Person Responsible?
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Check for unusual noise
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Is the machine operating without any unusual noises?
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Faults/Comments
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Repairs Required
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Photo
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Is it safe to operate
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Corrective Action
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Person Responsible?
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Check and service breathers
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Are breathers in good condition
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Faults/Comments
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Repairs Required
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Photo
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Is it safe to operate
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Corrective Action
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Person Responsible?
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Check muffler and joints
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Are they in good condition
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Faults/Comments
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Repairs Required
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Photo
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Is it safe to operate
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Corrective Action
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Person Responsible?
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Check condition of guards and covers
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Are they in good condition
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Faults/Comments
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Repairs Required
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Photo
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Is it safe to operate
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Corrective Action
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Person Responsible?
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Any further issues?
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Photo
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Is corrective action required immediately?
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Person Responsible?
DRIVES
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Inspect belt tension and condition
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Are the belts in good condition
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Faults/Comments
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Repairs Required
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Photo
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Is it safe to operate
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Corrective Action
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Person Responsible?
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Inspect drive bearings for wear and lubrication on all belts
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Are they in good condition
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Faults/Comments
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Repairs Required
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Photo
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Is it safe to operate
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Corrective Action
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Person Responsible?
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Check condition of guards and covers
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Are they in good condition
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Faults/Comments
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Repairs Required
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Photo
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Is it safe to operate
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Corrective Action
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Person Responsible?
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Any further issues?
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Photo
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Is corrective action required immediately?
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Person Responsible?
AIR CLEANERS
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Check Air Intake System for cracks and leaks
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Is the air intake system in good condition
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Faults/Comments
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Repairs Required
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Photo
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Is it safe to operate
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Corrective Action
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Person Responsible?
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Check Air Filter element
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Is this in good condition
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Faults/Comments
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Repairs Required
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Photo
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Is it safe to operate
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Corrective Action
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Person Responsible?
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Any further issues?
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Photo
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Is corrective action required immediately?
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Person Responsible?
COOLING SYSTEM
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Check water and conditioner
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Are they in good condition and correct level ?
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Faults/Comments
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Repairs Required
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Photo
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Is it safe to operate
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Corrective Action
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Person Responsible?
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Check all hoses, components for leaks and condition
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Are they in good condition
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Faults/Comments
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Repairs Required
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Photo
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Is it safe to operate
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Corrective Action
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Person Responsible?
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Check fluid level
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Is the fluid level within safe levels
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Faults/Comments
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Repairs Required
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Photo
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Is it safe to operate
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Corrective Action
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Person Responsible?
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Check condition of guards and covers
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Are they in good condition
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Faults/Comments
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Repairs Required
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Photo
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Is it safe to operate
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Corrective Action
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Person Responsible?
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Any further issues?
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Photo
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Is corrective action required immediately?
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Person Responsible?
SLEW MOTORS
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Check oil level
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Are they in good condition
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Faults/Comments
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Repairs Required
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Photo
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Is it safe to operate
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Corrective Action
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Person Responsible?
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Any further issues?
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Photo
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Is corrective action required immediately?
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Person Responsible?
HYDRAULICS
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Check oil level
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Are they in good condition
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Faults/Comments
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Repairs Required
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Photo
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Is it safe to operate
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Corrective Action
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Person Responsible?
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Check all hydraulic hoses
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Are they in good condition
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Faults/Comments
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Repairs Required
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Photo
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Is it safe to operate
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Corrective Action
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Person Responsible?
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Check system for leaks and damage
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Are they in good condition
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Faults/Comments
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Repairs Required
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Photo
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Is it safe to operate
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Corrective Action
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Person Responsible?
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Check all support brackets
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Are they in good condition
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Faults/Comments
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Repairs Required
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Photo
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Is it safe to operate
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Corrective Action
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Person Responsible?
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Check all linkages for wear
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Are they in good condition
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Faults/Comments
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Repairs Required
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Photo
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Is it safe to operate
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Corrective Action
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Person Responsible?
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Check condition of guards and covers
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Are they in good condition
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Faults/Comments
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Repairs Required
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Photo
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Is it safe to operate
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Corrective Action
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Person Responsible?
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Are they in good condition
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Faults/Comments
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Repairs Required
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Photo
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Is it safe to operate
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Corrective Action
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Person Responsible?
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Any further issues?
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Photo
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Is corrective action required immediately?
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Person Responsible?
BOOM, STICK, BUCKET - ATTACHMENTS
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Check for damage or wear to pins
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Are they in good condition
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Faults/Comments
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Repairs Required
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Photo
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Is it safe to operate
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Corrective Action
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Person Responsible?
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Inspect Boom, Stick, Bucket or Attachments for cracks, wear or damage.
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Are they in good condition
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Faults/Comments
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Repairs Required
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Photo
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Is it safe to operate
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Corrective Action
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Person Responsible?
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Any further issues?
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Photo
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Is corrective action required immediately?
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Person Responsible?
Counterweight and Belly Guards
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Check for damage, wear or missing parts
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Are they in good condition
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Faults/Comments
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Repairs Required
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Photo
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Is it safe to operate
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Corrective Action
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Person Responsible?
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Any further issues?
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Photo
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Is corrective action required immediately?
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Person Responsible?
PLANETARY AND TRACKS
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Check for leaks
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Are they in good condition
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Faults/Comments
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Repairs Required
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Photo
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Is it safe to operate
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Corrective Action
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Person Responsible?
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Inspect track adjustment, rollers for wear and leaks, track plates
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Are they in good condition
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Faults/Comments
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Repairs Required
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Photo
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Is it safe to operate
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Corrective Action
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Person Responsible?
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Any further issues?
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Photo
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Is corrective action required immediately?
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Person Responsible?
ELECTRICAL SYSTEM
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Check battery terminals and check cables
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Are they in good condition
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Faults/Comments
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Repairs Required
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Photo
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Is it safe to operate
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Corrective Action
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Person Responsible?
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Check for damage or loose cables/ plugs
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Check all gauges are operating
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Are they in good condition
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Faults/Comments
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Repairs Required
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Photo
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Is it safe to operate
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Corrective Action
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Person Responsible?
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Check condition of guards and covers
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Are they in good condition
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Faults/Comments
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Repairs Required
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Photo
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Is it safe to operate
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Corrective Action
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Person Responsible?
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Any further issues?
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Photo
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Is corrective action required immediately?
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Person Responsible?
CONTROLS
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Check all controls for return to neutral and leaks
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Are they in good condition
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Faults/Comments
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Repairs Required
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Photo
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Is it safe to operate
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Corrective Action
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Person Responsible?
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Check all gauges and lights operational
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Are they in good condition
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Faults/Comments
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Repairs Required
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Photo
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Is it safe to operate
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Corrective Action
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Person Responsible?
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Condition of remote controls and batteries
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Are they in good condition
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Faults/Comments
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Repairs Required
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Photo
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Is it safe to operate
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Corrective Action
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Person Responsible?
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Any further issues?
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Photo
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Is corrective action required immediately?
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Person Responsible?
Cabin Condition
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Check cab condition
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Is the cab in good condition
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Faults/Comments
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Repairs Required
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Photo
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Is it safe to operate
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Corrective Action
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Person Responsible?
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Check condition of gauges and warning lights
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Are they in good condition and showing any faults?
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Faults/Comments
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Repairs Required
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Photo
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Is it safe to operate
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Corrective Action
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Person Responsible?
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Check condition of control levers and pedals
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Are they in good condition
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Faults/Comments
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Repairs Required
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Photo
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Is it safe to operate
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Corrective Action
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Person Responsible?
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Check condition of seat
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Are they in good condition
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Faults/Comments
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Repairs Required
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Photo
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Is it safe to operate
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Corrective Action
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Person Responsible?
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Inspect aircon system is working
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Are they in good condition
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Faults/Comments
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Repairs Required
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Photo
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Is it safe to operate
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Corrective Action
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Person Responsible?
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Check condition of UHF Radio
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Are they in good condition
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Faults/Comments
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Repairs Required
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Photo
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Is it safe to operate
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Corrective Action
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Person Responsible?
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Any further issues?
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Photo
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Is corrective action required immediately?
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Person Responsible?
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Check condition of Rotating light and Walking Alarm
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Are they in good condition
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Faults/Comments
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Repairs Required
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Photo
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Is it safe to operate
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Corrective Action
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Person Responsible?
SAFETY
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Check operation of emergency stops
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Are they in good condition
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Faults/Comments
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Repairs Required
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Photo
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Is it safe to operate
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Corrective Action
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Person Responsible?
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Check operation of isolation switches
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Are they in good condition
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Faults/Comments
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Repairs Required
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Photo
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Is it safe to operate
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Corrective Action
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Person Responsible?
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Check condition of guards and covers
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Are they in good condition
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Faults/Comments
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Repairs Required
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Photo
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Is it safe to operate
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Corrective Action
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Person Responsible?
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Check condition of safety warning decals
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Are they in good condition
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Faults/Comments
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Repairs Required
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Photo
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Is it safe to operate
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Corrective Action
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Person Responsible?
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Any further issues?
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Photo
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Is corrective action required immediately?
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Person Responsible?
RECOMMENDATIONS ON RECTIFICATIONS
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Recommendations on Rectifications
Recommendations
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Recommendation
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Is this a safety issue
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Photo
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MACHINE IS TO BE TAGGED OUT AND NOT USED UNTIL ISSUE HAS BEEN RECTIFIED
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Person responsible
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Due date
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Issuance of sticker renewal date
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This machine has been inspected as per site inspection criteria and all faults and corrective actions noted