Pickup/Van 7/29

• Document No.

• Equipment #

• Customer

  Chevron

  Aera

• Location

  Select Kern River (CVX) Belridge (Aera) North Midway (Aera) South Midway (Aera) Cymric (CVX) Midway (CVX) Coalinga

  • Kern River (CVX)
  • Belridge (Aera)
  • North Midway (Aera)
  • South Midway (Aera)
  • Cymric (CVX)
  • Midway (CVX)
  • Coalinga

• Work Group

  Select New Construction Maintenance Lead Line F/I DTR Infrastructure Developement I and E Production

  • New Construction
  • Maintenance
  • Lead Line
  • F/I
  • DTR
  • Infrastructure
  • Developement
  • I and E
  • Production

• EMC/IRT

  Select Belridge Coalinga/Kettleman Cymric Kern River Midway Ventura

  • Belridge
  • Coalinga/Kettleman
  • Cymric
  • Kern River
  • Midway
  • Ventura

• Foreman and or Superintendent

• Conducted on

  Date

• Auditor

  Brent Walker

  Orrin Bowen

  Jim Jensen

  Jerry Fannon

  William Craddock
• Location
  Address

• Does the pickup appear in good condition ? (Stickers, cleanliness)

  Yes

  No

• Add media

  Media

• Does the truck have current Registration and Insurance ?

  Yes

  No

• Add media

  Media

• Does the operator employee proper load securement ?

  Yes

  No

• Add media

  Media

• Is the truck clean and free of any damage ? (Dents, Handles, Windshield)

  Yes

  No

• Add media

  Media

• Has the operator noted any issues on the preshift or are there any not noted ?

  Yes

  No

• Add media

  Media

• Has the operator filled out and maintained a proper preshift ?

  Yes

  No

• Photo of preshift if there are repairs or if not filled out correctly

  Media

Employee Information

• EE Number

• Add signature

  Sign