Information
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Equipment Owner / Responsible Person:
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Equipment Type:
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Call Sign / Equipment ID:
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Registration Number (If Applicable):
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Company or Department:
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Inspected By (name):
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Inspection Company:
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Location
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Weed & Seed Declaration
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Towing Capacity:
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Hour Meter / Speedometer Reading:
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Inspection Type:
Light Vehicle Inspection
Inspection:
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Airconditioning
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Airbags
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Battery Box
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Battery Condition
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Body Condition
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Brakes - Foot & Park Brake
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Brakes - Statutory Dynamic Test
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Cabin Cleanliness
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Cargo Barrier / Load Restraint
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Compliance Plate
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Emergency Equipment (triangles, etc.)
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Engine Drive or Motor
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Exhaust System
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Fire Extinguisher / Suppression
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Fuel Cap
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Height Clearance Label
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High Visibilty Flag & Buggy Whip
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Horn
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Identification Signage
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Isolation - Engine for Light Vehicles
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Jump Start Receptacle
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Lights - Elevated Tail Lights
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Lights - Flashing / Rotating Amber
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Lights - Head, Tail & Indicators
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Load Restraint
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Maintenance & Inspection Record
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Modfications
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Pre-Start Safety Checks (Log Book)
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Radiator Cap
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Registration & Number Plates
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Reversing Alarm
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Roll Over Protection System (ROPS)
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Seatbelts & Seating
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Spare Wheels & Tools
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Speedometer & Instrumentation
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Tow Frame & Attachments
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Two-way Radio - Mine Compliant
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Tyres / Wheels / Tracks
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Wheel Chocks
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Wheel Nut Retainers
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Windscreen, Windows, Mirrors, Wipers
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First Aid Kit
Inspection Results:
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Two Way Radio
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Two Way Channels
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Grosvenor Site Compliant
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Sent to Grosvenor Mine Equipment Compliance Co-Ordinator?
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Select date
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Comments or Details of Repairs Needed:
Signatures:
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Authorised Inspector:
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Equipment Compliance Superintendent or Delegate:
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Mechanical Engineer Manager or Delegate:
