Information
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Machine / Boat:
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Location
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Date:
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Inspected by:
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Nearest First Aid Attendant:
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ETV Location
Onsite
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First Aid Kit Level:
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Hi-Vis / Hard Hat / Eye Protection
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Hearing Protection / Footwear Caulks
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Bucking Pants / Pressure Bandage
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Life Jacket / Life Ring / Whistle
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Safe work procedures followed
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Sort traffic controlled / Slip & trip hazards controlled
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Push Bar / Trailer Lift Hook / Tow Line / Tow Guard
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Stake Lines / Skid Ways / Pike Poles / Axe Handle
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Sharp Chain / Dogs / Rakers / Bar / Tip / Brake
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Throttle Safety / Idle Correct
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Windows / Guards / Wipers / Horn / Back Up Alarm
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Stairs / Ladders / Railings / Exhaust Leaks
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Seatbelt / Seat Condition
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Bilge Working / Engine Cover / Leaks Controlled
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Confined Space Stickers / EMS Stickers / Fuel Stickers
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In Case of Accident Sheet in FEL
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Crew Signatures
Crew Member
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Name / Signature
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Position