Welcome
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Customer
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Site Address
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Conducted on
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Prepared by
Q & A
Customer
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Customer Name
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Phone number
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Contact Name
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Email Address
Site Details
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Site Address
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Nearest Facilities
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Nearest Hospital
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Add location
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Height Restrictions
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Width Restrictions
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Working Area
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Working on a slope
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Working Height
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Outreach
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Add media
Machine
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Machine Required
- Hinowa 14.70
- CMC 15
- Hinowa 15.70
- Hinowa 17.75
- Hinowa 17.75 Lithium
- Hinowa 20.10
- Hinowa 20.10 Lithium
- Bluelift 22m
- Leo 23m
- Multitel SMX250
- CMC 25m
- Hinowa 26.14
- Bluelift 26m
- Leo 30m
- FS 330
- Leo 36m
- Other
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Alternative Machine
- Hinowa 14.70
- CMC 15
- Hinowa 15.70
- Hinowa 17.75
- Hinowa 17.75 Lithium
- Hinowa 20.10
- Hinowa 20.10 Lithium
- Bluelift 22m
- Leo 23m
- Multitel SMX250
- CMC 25m
- Hinowa 26.14
- Bluelift 26m
- Leo 30m
- FS 330
- Leo 36m
- Other
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Ground Conditions
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Start Date
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Hire Duration
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Extra's required
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Self Drive / Operated
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Notes
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Set the date and time.
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Sign off by tapping on sign.