Information
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Inspected by KSI EE#
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KSI Equipment #
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Date of Inspection
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Location
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Equipment Mileage (no 10ths)
Engine Compartment (Under the Hood)
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Engine Oil Level
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Action Taken / Comments
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Coolant Level
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Action Taken / Comments
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Brake Fluid Level
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Action Taken / Comments
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Power Steering Fluid Level
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Action Taken / Comments
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Transmission Fluid Level
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Action Taken / Comments
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Exterior Condition
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Tires / Wheels
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Action Taken / Comments
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Headlights
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Action Taken / Comments
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Signal Lights
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Action Taken / Comments
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Brake Lights
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Action Taken / Comments
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Interior Condition
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Horn Operation
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Action Taken / Comments
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Parking Brake
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Action Taken / Comments
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Trailer Items
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Tires / Wheels (Uneven Wear / Pressure / Lug Nuts)
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Action Taken / Comments
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Electrical Connection
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Action Taken / Comments
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Safety Chains (2 required per Bumper Pull)
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Action Taken / Comments
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Coupling Devices (Receiver, King Pin, Ball)
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Action Taken / Comments
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Landing Gear / Trailer Jacks
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Action Taken / Comments
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Lights (Brakes, Clearance, Turn)
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Action Taken / Comments
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Spring / Suspension
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Action Taken / Comments
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Equipment Safe to Operate
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EQUIPMENT SAFE TO OPERATE
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Contact your supervisor immediately and fill out a Repair Request Form
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Employee Signature
