Title Page
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Prepared by
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Conducted on
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Client / Site
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Location
Equipment
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Equipment Inspected
- BL-1
- BL-2
- BL-3
- BL-4
- BL-5
- BL-6
- GBL-2
- GBL-3
- FL-1
- FL-2
- FL-3
- FL-4
- FL-6
- SL-2
- SL-3
- SL-4
- SL-5
- SL-6
- SL-7
- SL-10
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Fluid Levels
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Hoses/Belts
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Operator's Manual
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Pot Hole Protection
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Batteries
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Outriggers/Stabilizers
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Wheels/Tires/Tracks
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Pins and Bushings
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ROPS
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Seat-belt and Safety Devices
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Horn and Alarms
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Gauges and Controls
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Boom/Scissor
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Hook/Block/Ball
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Boom and Cylinders
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Deck/Basket/Carriage
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Guardrails
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Bucket/Blade
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Hoist Cable
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Forks/Attachments
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Other
Site Inspection
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Slippery Surfaces
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Material Obstructions
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Pedestrians
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Water/Spills
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Overhead Obstructions
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Ruts/Holes
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Trucks/Equipment
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"Do Not Enter" Zones
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Rain
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Strong Wind
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Lightning
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Narrow Passageways
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Powerlines
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Confined Spaces
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Hazardous Atmoshphere
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Slopes/Ramps/Hills
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Obstructed Vision
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Hazardous Material
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Public Roads/Traffic
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Trenches
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Other
Sign Off
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Select date
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Completed By
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Signature