Information
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Document No.
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Equipment # and Group Abbreviation
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Customer
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Location
- Belridge (Aera)
- North Midway (Aera)
- South Midway (Aera)
- Kern River (CVX)
- Cymric (CVX)
- Midway (CVX)
- Coalinga
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Work Group
- New Construction
- Maintenance
- Lead Line
- F/I
- DTR
- Infrastructure
- Developement
- I and E
- Production
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EMC/IRT
- Belridge
- Coalinga/Kettleman
- Cymric
- Kern River
- Midway
- Ventura
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Foreman and or Superintendent
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Conducted on
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Auditor
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Location
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Is Loader cutting edge long enough ?
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Enter issues and include photo in media
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Add media
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Is the bucket worn ?
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Enter issues and include photos in media
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Add media
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All Zerks present and holding grease ?
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Enter issues and include photos in media
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Add media
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Are tires in good condition ?
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Enter issues and include photos in media
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Add media
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Are the bucket wear bits present and good condition ?
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Enter issues and include photos in media
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Add media
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Are there any hydraulic leaks from the rams or hoses ?
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Enter issues and include photos in media
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Add media
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Any fluid leaks from the engine ?
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Enter issues and include photo in media
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Add media
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All glass in good condition ? (cracks or missing) including front and rear wipers
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Enter issues and include photos in media
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Add media
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All controls working properly ?
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Enter issues and include photos in media
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Add media
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Are seat belts in condition ?
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Enter issues and include photos in media
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Add media
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All safety decals present and good condition ?
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Enter issues and include photos in media
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Add media
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Are all the lights working ?
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Enter issues and include photos in media
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Add media
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Operators manual in equipment ?
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Enter issues and include photos in media
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Add media
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Are the brakes working properly ?
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Enter issues and include photos in media
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Add media
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Is the back up alarm working ?
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Enter issues and include photos in media
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Add media
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Photo of preshift if there are repairs or if not filled out correctly
Employee Information
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EE Number
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Add signature
