Title Page
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Conducted on
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Prepared by
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Location
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Are the components and structure secure and undamaged?
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Add photo of damage.
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Tire condition?
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Add photo of poor tires.
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Do all functions operate properly?
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What dosent work?
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Add photo.
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Are all safety devices intact and functional?
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What dosent work?
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Add photo.
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Are all operational and safety decals in place and legible?
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What is missing/or not correct?
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Add photo.
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Is the operators manual attached
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Is the battery fully charged/ fueled?
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Qty fueled in?
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Is the appearnce acceptable?
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What is not acceptable?
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Add photo.
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Does it have a grounding rod in place?
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License Plate # of towing vehicle:
Information
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Make:
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Model:
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Equip#:
Customer Acknowledgement
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The safety and performance of this equipment has been verified. I am responsible for routine service and cleaning as the user of this equipment. I understand the correct operation and function of the controls and confirm that I have received adequate instruction, and acknowledge the safety sheet to enable myself and/or my crew to use the equipment in a safe and proper manner without risk to injury.
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Inspected By:
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Received By:
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Returned By:
