Information
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Document No.
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Conducted on
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Prepared by
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Site
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Equipment
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Equipment Number (If Known)
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Hours
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Tracks, tires, wheels in good working order
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Brakes in good working order
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Horn in good working order
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Lights in good working order
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Clutch in good working order
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Windshield Wiper in good working order
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Glass cracked/chipped
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Rear View Mirror in good working order
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Body panels damaged
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Frame Damaged
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Dump Mechanism Operating
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Steering in good working order
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Fire Extinguisher in good working order
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Signal System in good working order
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Fuel and Gas Lines in good working order - Visual
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Fuel Tank in good working order
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Fuel Cap Missing
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Exhaust System in good working order
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Boom in good working order
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Boom Hoist in good working order
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Grab Bars, Steps in good working order
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Warning lights in good working order
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Back Up alarm in good working order
