Title Page
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Site conducted
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Date
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Name
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Position Number
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Serial Number(s)
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Left wing length
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Centre span length
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Right wing length
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Additional extras
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Number of ties
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Anchor Type
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Torque test result (20% of all anchors) Nm
Chassis, Platform and Mast & Tie Integrity
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Chassis
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Decks
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Bottom Mast
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Mast Guard
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Buffers
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Outriggers / Jacks
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Emergency Brakes
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Gearbox
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Drive Pinions
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Mast rollers
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Base Pads
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Handrails
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Mast Sections
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Mast Bolts
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Tie Assemblies
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Loads Chart and Operating Instructions
Control Panel
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Panel Casing
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Warning Alarm
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Levelling Buttons
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Emergency Stop
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Directional Buttons
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Power Socket
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Main Power switch
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Internal wires and fuses
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Link up Leads
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Trailing Cable
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240v Outlet socket
Test Functionality
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Panel / Contactor Operation
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Gate Interlock
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Top Limit Switch
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Bottom limit Switch
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Mast Proximity Switch
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Ultimate Limit Switch
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Levelling Limit Switch
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Manual Decent
