Title Page

  • Site conducted

  • Conducted on

  • Prepared by

  • Signiture

  • Location
  • IF ANY ITEMS ARE MARKED "FAIL" PICTURE REQUIRED OF ITEMS IN QUESTION.

MI JACK

  • Tire Condition

  • Fuel Diesel

  • Hydraulic Controls (Leaks)

  • Engine Leaks

  • Hydraulic Oil Level

  • Engine Oil Level

  • Fire Extinguisher with valid inspection tag

  • Name Plates legiable

  • Lights in working order

  • No warning lights

  • Battery in good condition

  • Seatbelts opeational

  • Mirrors function as designed

  • Horn operational

  • Steering functions as designed

  • Parking Brake functions as designed

  • Forward movement

  • Reverse movement

Rigging Compoents

  • Slings free of tears/exposed fibers.

  • ID Tags present and legable

  • Shackles in good condition

  • Additional Pictures or comments

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