Title Page
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Asset 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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Prepared for.
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Audit objective: To assess hydraulic/pneumatic hose and fittings,accessories,to determine the need for immediate and/or long term repairs and modifications
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Picture of fault
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Replace hose
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OEM part no.
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PTS id no.
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Reason for change out
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Additional information
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Sign off on job
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Job complete
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Picture of fault
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Notification required
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Notification no.
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Reason for notification
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Additional information
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Recommendations
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Signed off
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Notification given to supervisor
