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
Untitled Page
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Operating Controls (Operational)
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Emergency Stop & Brakes
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Safe
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At Risk
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N/A
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Safe
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At Risk
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N/A
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Foot Controls
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Safe
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At Risk
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N/A
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Safety Signs & Load Charts
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Yes
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No
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N/A
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Boom & Forks
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Hydraulic Leaks
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Yes
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No
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If there is a hydraulic leak, place picture here.
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Extension Cylinders & Chains
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Safe
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At Risk
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N/A
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Pivot Pins
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Safe
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At Risk
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N/A
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Electrical Lines
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Safe
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At Risk
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N/A
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Vert. Mast Sliding & Rolling Prts.
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Safe
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At Risk
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N/A
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Broken, Cracked or Loose Parts
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Lights, Mirrors & Windows Clean
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Seat Belt & Its Mounts
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Tires & Outriggers
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Back Up Alarm, Horn & Manual
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Engine Compartment (Visual)
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Oil Level
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Fuel Level
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Belt, Hose & Motor Condition
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Safe
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At Risk
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N/A
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Battery & Electrical
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Safe
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At Risk
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N/A
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Add signature
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