Title Page
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Date / Time
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Conducted on
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Prepared by
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Airside Location
SHIFT DETAILS
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Shift Date
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WorkSite Location
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Downer Site Supervisor
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Shift Commencement Status
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Applicable Linemarking Rates
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Weather
- Fine / Clear
- Windy
- Raining
- Dew
- Hot
- Cold
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GPM Personal On-site
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Vehicle Pre-start Inspections - All defect or maintenance requirements to be noted in this question.
- Vehicle Pre-start Inspections Completed
- Machinery Pre-start Inspections Completed
- No defects or faults Observed
- Defects or faults discovered
- If faults or defects have been detected - does it impede immediate safe operation
Application Details Area 1
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1 - Paint Manufacturer
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1 - Location
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1 - Coats Applied
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1 - Line Type
- Yellow - Double Edge Lines 150mm x 150mm
- Yellow - Single Line - 150mm
- White Runway CL - 30.0 x .900
- White Runway Aiming Point Marker - 30.0 x 3.0
- White Runway Fixed Distance Marker 45.0 x 9.0
- White Runway Piano Key - 30.0 x 1.7
- White Runway Designator Number 26M^2
- Other - As noted here
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1 - Area Painted (M^2)
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1 - Colour Applied
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1 - Application Rate Achieved
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1 - Shift Targets Achieved
Application Details Area 2
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2 - Paint Manufacturer
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2 - Location
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2 - Coats Applied
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2 - Line Type
- Yellow - Double Edge Lines 150mm x 150mm
- Yellow - Single Line - 150mm
- White Runway CL - 30.0 x .900
- White Runway Aiming Point Marker - 30.0 x 3.0
- White Runway Fixed Distance Marker 45.0 x 9.0
- White Runway Piano Key - 30.0 x 1.7
- White Runway Designator Number 26M^2
- Other - As noted here
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2 - Area Painted (M^2)
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2 - Colour Applied
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2 - Application Rate Achieved
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2 - Shift Targets Achieved
Shift Summary
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Safety Concerns
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Safety Incidents or Accidents Detailed Report
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Stocks Required
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Other
Photos
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Add Shift Related Photos Here
Signatures
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Customer Representative
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GPM Site Representative