Title Page
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Inspectors Name
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Date
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Location
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Owner
Metal Items
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Description
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Make
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Model
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Image of item
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Serial number
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Image of serial number
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Date of manufacturer
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Additional notes
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Pass/fail
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Detail failure
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Inspectors signature
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Any more items to inspect
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Confirmation any failed items have been taken out of service
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Inspectors signature
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Detail why and confirm you accept all responsibility as the inspector for any consequences from using the equipment
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Description
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Make
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Model
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Image of item
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Serial number
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Image of serial number
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Date of manufacturer
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Additional notes
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Pass/fail
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Detail failure
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Inspectors signature
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Any more items to inspect
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Confirmation any failed items have been taken out of service
-
Inspectors signature
-
Detail why and confirm you accept all responsibility as the inspector for any consequences from using the equipment
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Any more items to inspect
-
Confirmation any failed items have been taken out of service
-
Inspectors signature
-
Detail why and confirm you accept all responsibility as the inspector for any consequences from using the equipment
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Description
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Make
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Model
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Image of item
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Serial number
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Image of serial number
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Date of manufacturer
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Additional notes
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Pass/fail
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Detail failure
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Inspectors signature
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Any more items to inspect
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Confirmation any failed items have been taken out of service
-
Inspectors signature
-
Detail why and confirm you accept all responsibility as the inspector for any consequences from using the equipment
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Description
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Make
-
Model
-
Image of item
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Serial number
-
Image of serial number
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Date of manufacturer
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Additional notes
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Pass/fail
-
Detail failure
-
Inspectors signature
-
Any more items to inspect
-
Confirmation any failed items have been taken out of service
-
Inspectors signature
-
Detail why and confirm you accept all responsibility as the inspector for any consequences from using the equipment
-
Any more items to inspect
-
Confirmation any failed items have been taken out of service
-
Inspectors signature
-
Detail why and confirm you accept all responsibility as the inspector for any consequences from using the equipment
-
Description
-
Make
-
Model
-
Image of item
-
Serial number
-
Image of serial number
-
Date of manufacturer
-
Additional notes
-
Pass/fail
-
Detail failure
-
Inspectors signature
-
Any more items to inspect
-
Confirmation any failed items have been taken out of service
-
Inspectors signature
-
Detail why and confirm you accept all responsibility as the inspector for any consequences from using the equipment
-
Any more items to inspect
-
Confirmation any failed items have been taken out of service
-
Inspectors signature
-
Detail why and confirm you accept all responsibility as the inspector for any consequences from using the equipment
-
Any more items to inspect
-
Confirmation any failed items have been taken out of service
-
Inspectors signature
-
Detail why and confirm you accept all responsibility as the inspector for any consequences from using the equipment
-
Any more items to inspect
-
Confirmation any failed items have been taken out of service
-
Inspectors signature
-
Detail why and confirm you accept all responsibility as the inspector for any consequences from using the equipment
-
Any more items to inspect
-
Confirmation any failed items have been taken out of service
-
Inspectors signature
-
Detail why and confirm you accept all responsibility as the inspector for any consequences from using the equipment
-
Description
-
Make
-
Model
-
Image of item
-
Serial number
-
Image of serial number
-
Date of manufacturer
-
Additional notes
-
Pass/fail
-
Detail failure
-
Inspectors signature
-
Any more items to inspect
-
Confirmation any failed items have been taken out of service
-
Inspectors signature
-
Detail why and confirm you accept all responsibility as the inspector for any consequences from using the equipment
-
Any more items to inspect
-
Confirmation any failed items have been taken out of service
-
Inspectors signature
-
Detail why and confirm you accept all responsibility as the inspector for any consequences from using the equipment
-
Any more items to inspect
-
Confirmation any failed items have been taken out of service
-
Inspectors signature
-
Detail why and confirm you accept all responsibility as the inspector for any consequences from using the equipment
-
Any more items to inspect
-
Confirmation any failed items have been taken out of service
-
Inspectors signature
-
Detail why and confirm you accept all responsibility as the inspector for any consequences from using the equipment
-
Description
-
Make
-
Model
-
Image of item
-
Serial number
-
Image of serial number
-
Date of manufacturer
-
Additional notes
-
Pass/fail
-
Detail failure
-
Inspectors signature
-
Any more items to inspect
-
Confirmation any failed items have been taken out of service
-
Inspectors signature
-
Detail why and confirm you accept all responsibility as the inspector for any consequences from using the equipment
-
Description
-
Make
-
Model
-
Image of item
-
Serial number
-
Image of serial number
-
Date of manufacturer
-
Additional notes
-
Pass/fail
-
Detail failure
-
Inspectors signature
-
Any more items to inspect
-
Confirmation any failed items have been taken out of service
-
Inspectors signature
-
Detail why and confirm you accept all responsibility as the inspector for any consequences from using the equipment
-
Description
-
Make
-
Model
-
Image of item
-
Serial number
-
Image of serial number
-
Date of manufacturer
-
Additional notes
-
Pass/fail
-
Detail failure
-
Inspectors signature
-
Any more items to inspect
-
Confirmation any failed items have been taken out of service
-
Inspectors signature
-
Detail why and confirm you accept all responsibility as the inspector for any consequences from using the equipment
-
Any more items to inspect
-
Confirmation any failed items have been taken out of service
-
Inspectors signature
-
Detail why and confirm you accept all responsibility as the inspector for any consequences from using the equipment
-
Any more items to inspect
-
Confirmation any failed items have been taken out of service
-
Inspectors signature
-
Detail why and confirm you accept all responsibility as the inspector for any consequences from using the equipment
-
Description
-
Make
-
Model
-
Image of item
-
Serial number
-
Image of serial number
-
Date of manufacturer
-
Additional notes
-
Pass/fail
-
Detail failure
-
Inspectors signature
-
Any more items to inspect
-
Confirmation any failed items have been taken out of service
-
Inspectors signature
-
Detail why and confirm you accept all responsibility as the inspector for any consequences from using the equipment
-
Description
-
Make
-
Model
-
Image of item
-
Serial number
-
Image of serial number
-
Date of manufacturer
-
Additional notes
-
Pass/fail
-
Detail failure
-
Inspectors signature
-
Any more items to inspect
-
Confirmation any failed items have been taken out of service
-
Inspectors signature
-
Detail why and confirm you accept all responsibility as the inspector for any consequences from using the equipment
-
Any more items to inspect
-
Confirmation any failed items have been taken out of service
-
Inspectors signature
-
Detail why and confirm you accept all responsibility as the inspector for any consequences from using the equipment
-
Description
-
Make
-
Model
-
Image of item
-
Serial number
-
Image of serial number
-
Date of manufacturer
-
Additional notes
-
Pass/fail
-
Detail failure
-
Inspectors signature
-
Any more items to inspect
-
Confirmation any failed items have been taken out of service
-
Inspectors signature
-
Detail why and confirm you accept all responsibility as the inspector for any consequences from using the equipment
-
Any more items to inspect
-
Confirmation any failed items have been taken out of service
-
Inspectors signature
-
Detail why and confirm you accept all responsibility as the inspector for any consequences from using the equipment
-
Any more items to inspect
-
Confirmation any failed items have been taken out of service
-
Inspectors signature
-
Detail why and confirm you accept all responsibility as the inspector for any consequences from using the equipment
-
Any more items to inspect
-
Confirmation any failed items have been taken out of service
-
Inspectors signature
-
Detail why and confirm you accept all responsibility as the inspector for any consequences from using the equipment
-
Description
-
Make
-
Model
-
Image of item
-
Serial number
-
Image of serial number
-
Date of manufacturer
-
Additional notes
-
Pass/fail
-
Detail failure
-
Inspectors signature
-
Any more items to inspect
-
Confirmation any failed items have been taken out of service
-
Inspectors signature
-
Detail why and confirm you accept all responsibility as the inspector for any consequences from using the equipment
-
Any more items to inspect
-
Confirmation any failed items have been taken out of service
-
Inspectors signature
-
Detail why and confirm you accept all responsibility as the inspector for any consequences from using the equipment
-
Any more items to inspect
-
Confirmation any failed items have been taken out of service
-
Inspectors signature
-
Detail why and confirm you accept all responsibility as the inspector for any consequences from using the equipment
-
Description
-
Make
-
Model
-
Image of item
-
Serial number
-
Image of serial number
-
Date of manufacturer
-
Additional notes
-
Pass/fail
-
Detail failure
-
Inspectors signature
-
Any more items to inspect
-
Confirmation any failed items have been taken out of service
-
Inspectors signature
-
Detail why and confirm you accept all responsibility as the inspector for any consequences from using the equipment
-
Any more items to inspect
-
Confirmation any failed items have been taken out of service
-
Inspectors signature
-
Detail why and confirm you accept all responsibility as the inspector for any consequences from using the equipment
-
Any more items to inspect
-
Confirmation any failed items have been taken out of service
-
Inspectors signature
-
Detail why and confirm you accept all responsibility as the inspector for any consequences from using the equipment
-
Description
-
Make
-
Model
-
Image of item
-
Serial number
-
Image of serial number
-
Date of manufacturer
-
Additional notes
-
Pass/fail
-
Detail failure
-
Inspectors signature
-
Any more items to inspect
-
Confirmation any failed items have been taken out of service
-
Inspectors signature
-
Detail why and confirm you accept all responsibility as the inspector for any consequences from using the equipment
-
Any more items to inspect
-
Confirmation any failed items have been taken out of service
-
Inspectors signature
-
Detail why and confirm you accept all responsibility as the inspector for any consequences from using the equipment