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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Inspect date on test tag
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Attach photo of tag
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Date of last test
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Inspect condition of lead
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Inspect condition of body
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Check guard and shield are tight and secure
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Check stone wheels are tight and secure
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Inspect condition of stone wheels (Dress or replace as required)
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Check mounting are tight and secure
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Inspect operation of on/ off switch & E-Stop if fitted
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Signature of person conducting maintenance