Title Page
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Conducted on
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Prepared by
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Employee ID
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Ramp
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Elevation
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Location
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Shift
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Equipment number
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Starting miles
Pre-Op Inspection
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Which of these sections do you need to complete?
- Mobile Equipment
- Loaders/Jammers
- Jumbos/Bolters
- Scissor Truck/Manlifts/Powder Truck
MOBILE EQUIPMENT
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Fire Extinguishers & Suppression
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Tires, Wheels, Studs
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Engine Oil
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Hydraulic Oil
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Transmission Oil
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Gauges, Warning Systems & Horn
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Housekeeping
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Radio
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Lights
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Seat Belt
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Test Service Brake
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Steering
LOADERS/JAMMERS
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Primary Steering Lock
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Secondary Steering Lock
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Dump Cylinder
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Grease Pin
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Ground Engaging Tools
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Remote Tools (if applicable)
JUMBOS/BOLTERS
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Grease Drill
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Fill Lubricators
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Left Boom
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Right Boom
SCISSOR TRUCK/MANLIFTS/POWDER TRUCK
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Railing/Toeboard
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Jacks
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Any other necessary fall protection
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Doors/Latches
Signature
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Signature
Post OP Inspection
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Ending Miles
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Any windshield cracks?
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Where are the new windshield cracks?
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Any leaks?
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Where are the new leaks?
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Any other issues?
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Please describe the issue
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Signature