Information
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Document No.
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Audit Title
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Client / Site
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Conducted on
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Prepared by
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Location
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Personnel
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Equipment Owner or Responsible Person
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Equipment type Make/ Model/Shape
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Vehicle ID
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Registration Number
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Inspected By
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Inspection Company
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Meter Reading
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Inspection
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Positive ID Signage
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Add media
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Repairs required
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Repairs due by
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Acknowledged
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Access and Egress
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Add media
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Repairs required
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Repairs due by
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Acknowledged
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Battery Isolator Lockable
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Add media
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Repairs required
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Repairs due by
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Acknowledged
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Starter Motor Isolator
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Add media
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Repairs required
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Repairs due by
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Acknowledged
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Fire Extinguisher
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Add media
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Repairs required
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Repairs due by
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Acknowledged
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Exhaust System
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Repairs required
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Repairs due by
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Acknowledged
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Tyres and Wheels
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Add media
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Repairs required
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Repairs due by
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Acknowledged
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Wheel Chocks
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Repairs required
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Repairs due by
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Acknowledged
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Labelling (First Aid,Fire Extinguisher)
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Repairs required
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Repairs due by
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Acknowledged
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Steering
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Repairs required
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Repairs due by
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Acknowledged
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Lighting,Lights and Indicators
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Repairs required
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Repairs due by
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Acknowledged
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Flashing / Rotating Beacon(s)
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Repairs required
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Repairs due by
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Acknowledged
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Windscreen , Windows , Mirrors , Wipers
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Repairs required
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Repairs due by
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Acknowledged
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Air Conditioning
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Repairs required
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Repairs due by
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Acknowledged
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Cabin Condition
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Repairs required
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Repairs due by
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Acknowledged
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Seat Belts and Seating
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Repairs required
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Repairs due by
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Acknowledged
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Horn
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Repairs required
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Repairs due by
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Acknowledged
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Speedometer and Instrumentation
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Repairs required
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Repairs due by
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Acknowledged
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First Aid Kit
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Repairs required
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Repairs due by
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Acknowledged
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Reversing Alarm
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Repairs required
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Repairs due by
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Acknowledged
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Lockdowns work and are Secure
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Repairs required
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Repairs due by
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Acknowledged
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Tow Hitch
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Repairs required
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Repairs due by
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Acknowledged
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Registration Label
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Repairs required
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Repairs due by
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Acknowledged
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Reflective Tape
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Repairs required
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Repairs due by
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Acknowledged
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Statuary Brake and Park Brake Tests
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Repairs required
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Repairs due by
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Acknowledged
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Undercarriage
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Repairs required
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Repairs due by
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Acknowledged
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MSDS Available and Accessible
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Repairs required
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Repairs due by
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Acknowledged
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Radiator ( Pressure Relief System )
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Repairs required
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Repairs due by
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Acknowledged
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ROPS
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Repairs required
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Repairs due by
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Acknowledged
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Pre-Start Book
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Repairs required
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Repairs due by
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Acknowledged
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Maintenance and Inspection log book
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Repairs required
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Repairs due by
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Acknowledged
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Traffic Control Equipment
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Repairs required
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Repairs due by
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Acknowledged
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Safety Guards
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Repairs required
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Repairs due by
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Acknowledged
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Modified
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Evidence
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Photograph
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Acknowledged
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General Conditions and Housekeeping
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Repairs required
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Repairs due by
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Acknowledged
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Emergency Stop
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Repairs required
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Repairs due by
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Acknowledged
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Wheel Nut Indicators ( where capable of being fitted )
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Repairs required
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Repairs due by
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Acknowledged
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Two Way Radio
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Repairs required
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Repairs due by
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Acknowledged
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Major Oil Leaks
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Repairs required
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Repairs due by
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Acknowledged
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Trailer(s) Attached
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Trailers
Trailer
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Registration Number
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ID Signage
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Repairs required
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Repairs due by
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Acknowledged
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Tyres and Wheels
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Repairs required
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Add media
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Repairs due by
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Acknowledged
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Tow Hitch
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Repairs required
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Repairs due by
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Acknowledged
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Draw Bar Colour Coded / Marked ATM
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Repairs required
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Repairs due by
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Acknowledged
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Lighting , Lights and Indicators
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Repairs required
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Repairs due by
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Acknowledged
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Lockdowns work and are secure
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Add media
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Repairs required
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Repairs due by
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Acknowledged
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Compliance Plate
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Repairs required
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Repairs due by
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Acknowledged
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Trailer Brakes
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Repairs required
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Repairs due by
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Acknowledged
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Hydraulics
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Repairs required
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Repairs due by
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Acknowledged
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Tie Downs
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Repairs required
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Repairs due by
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Acknowledged
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Pneumatics
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Repairs required
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Repairs due by
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Acknowledged
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Access and Egress
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Add media
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Repairs required
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Repairs due by
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Acknowledged
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Reflective Yellow Tape
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Repairs required
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Repairs due by
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Acknowledged
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General Conditions and Housekeeping
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Repairs required
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Repairs due by
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Per Operational Safety Check
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Repairs required
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Repairs due by
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Inspected By
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I agree to comply with all repairs required