Information
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Document No.
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Equipment #
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Location
- Belridge
- Coalinga
- Cymric
- Kern River
- North Midway
- South Midway
- Midway
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Work Group
- New Construction
- Maintenance
- Lead Line
- F/I
- DTR
- Development
- I and E
- Production
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EMC/IRT
- Belridge
- Coalinga/Kettleman
- Cymric
- Kern River
- Midway
- Ventura
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Customer
- Chevron
- Aera
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Conducted on
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Auditor
- Brent Walker
- Orrin Bowen
- Jim Jensen
- Jerry Fannon
- Sir William Craddock III
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Location
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Appropriate Driver's License
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Comment
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Medical Card w/ D.M.V. Stamp
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Comment
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Current Registration & Insurance Card
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Comment
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Completed Pretrip
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Comment
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Proper Journey Management Plan
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Comment
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Brakes Properly Adjusted
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Comment
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Any Air Leaks of Concern
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Comment
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Springs, Steering, and Walking Beams in Good Shape
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Comment
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Frame Damage
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Comment
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Clutch Working Properly
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Comment
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Tires and Wheels in Good Shape
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Comment
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Air Bags in Good Shape
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Comment
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Brake Cans Leaking
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Comment
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Cracks in Frame
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Comment
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Fifth Wheel in Good Shape
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Comment
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Does Your Fifth Wheel Clunk While Driving
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Comment
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Any Major Oil Leaks (Motor,Trans,Diff,Steering)
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Comment
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All Controls Working Properly
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Comment
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Glad Hands, Seals, And Hoses in Good Shape
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Comment
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Has Trailer King Pin been Inspected
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Comment
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Landing Gear in Proper Working Order
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Comment
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Belly Gates in Proper Working Order
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Comment
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Side Boards Good
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Comment
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Does Equip. Look Clean & Cared For
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Comment
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Have you turned in a repair request or contacted supervision about issue ?
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Who was contacted and what steps were taken to mitigate repairs ?
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When was supervision contacted
Employee Information
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EE Name
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EE #
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EE Signature