1. INSPECTION DETAILS
Section 1. Inspection Details
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Locomotive Number
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Workshop Name
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Inspection Start Date
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Inspection Completion Date
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Inspection Type
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Information
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Prepared by
2. INSPECTION INFORMATION
Section 2. Guidelines
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2.1 If any instructions are not clear, refer to Supervisor or CFCLA Manager
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2.2 Complete a separate form for each locomotive
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2.3 This form must be completed by a qualified person
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2.4 Ensure all fields are completed and are accurate
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2.5 When completed send to CFCLA Helpdesk or Maintenance Manager
3. RECORDING SHEET
Section 3. Defects Found & Remarks
4. INSPECTION
Section 4 - Inspection Check List
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4.1 Cab Heaters
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4.2 Air Conditioner
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4.3 Refrigerator
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4.4 Microwave
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4.5 Hot Plate
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4.6 Seats, Arm Rests, Blinds
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4.7 Glass, Windscreens, Mirrors
5. SIGNATURES
Inspection Sign Off - CFCLA Representative
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Print Name
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Date Signed
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Sign
Inspection Sign Off - Customer Representative
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Print Name
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Date Signed
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Signature
