Information
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Audit Title
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Document No.
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Client / Site
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Conducted on
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Prepared by
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Location
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Personnel
Equipment Details
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Company Name / Equipment Owner
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Type of Equipment
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Make and Model of Equipment
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Equipment Number
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Serial Number
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Contractor Inspection Sticker Number
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Inspection Sticker Number (LSTK or PMC)
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Plate Number (if applicable)
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Vehicle Registration (if applicable)
Inspection Detail
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Equipment Inspected For (pick one choice)
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Select date
General Apperance
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Paint
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Panels, Hood, Fenders, etc.
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Tires / Wheel Front
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Tires / Wheel Rear
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Tracks and Pads
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Undercarriage
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Lights
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Mirrors
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Mud Flaps
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License Plate
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Empty Weight Stencil
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Reflectors
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Windshield
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Reflectors
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Comments Related to General Appearance Section
Engine Compartment
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Belts
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Hoses, Lines
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Fan and Shroud
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Leaks
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Oil Level / Condition
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Coolant Level / Protection
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Air Intake System
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Air Filter Element
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Exhaust System
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Electrical Components
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Battery Condition and Cables
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Cracks / Broken Components
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Loose Bolts, Mounts, Connections
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Hydraulic Oil Level and Condition
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Radiator, Lines and Cap
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Wiring
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Governor
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Comments Related to Engine Compartment Section
Underside
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Cracks, Bent Components
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Leaks
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Belly Pans
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Fluid Levels
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Drive Train
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Steering Linkage
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Axles and Springs
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Brake Pads and Systems
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Trunnions
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Exhaust System
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Transmission and Engine Mounts
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Comments Related to Underside Section
Operators Position
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Gauges and Alarms
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Switches
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All Operator Controls
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Decals and Labels
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Head Lights
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Tail Lights
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Turn Signals
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Rotating Warning Light
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Marker Lights
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Horn
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Parking Brake
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Engine Condition - Smoking or Blow By
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Engine Condition - Oil Pressure
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Engine Condition - Cooling Temperature
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Transmission Condition - Pressure
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Transmission Condition - Speeds
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Transmission Condition - Forward and Reverse
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Accessories - Radio
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Accessories - Air Conditioning
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Accessories - Other
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Clutch
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Doors and Latches
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Steering
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Windshield Wipers
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Windshield Washers
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Glass and RV Mirrors
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Backup Alarm
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Fire Extinguisher
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First Aid Kit
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Seat Belts
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Early Warning Triangles
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Roll Over Protection (ROPs)
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Comments Related to Operators Position Section
Boom Truck
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Boom Mounting
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Boom and Swivel
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Cracks and Warpage
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Hydraulic System
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Lines and Cylinders
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Fluids and Condition
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Filter
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Hook and Safety Latch
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Decals and Warnings
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Cable
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Controls and Labels
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Load Chart
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Comments Related to Boom Truck Section
Dump Truck / Semi-Trailers
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Dump Mechanism
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Tailgate Latches
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Tailgate
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Side Boards
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Cab Protector
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Controls
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Leaking Hoses and Seals
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Turn Table Mechanism and Lock
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Main Rear Hinge Bar and Pins
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Hinge Bar Locking Bolt / Weld
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Safety Stand
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Comments Related to Dump Truck Semi - Trailer Section
Pickup Truck and Light Vehicles
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Jack and Handle
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Beacon Light
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Lug Wrench
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Spare Tire and Rack
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First Aid Kit
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Emergency Kit
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Comments Related to Pickup and Light Vehicles Section
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Inspected By - Name and Company
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Inspection Reviewed By - Name and Company
