Title Page
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Site conducted
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Serial Number
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Unit Number
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SMU
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Make/Model
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Fire Suppression Foam Type
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Conducted on
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Prepared by
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Fitter
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Location
Requirements for transfer / movement of Plant
DOCUMENTATION
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1 Photograph Pack – General Machine Machine photographed each side (4 locations)
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2 Photograph Pack – Bucket Bucket photographed
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3 Plant Files (Major Component History/Plant defect backlog)
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4 Plant Manuals (Parts book/Service & Maintenance. Manuals/logbook)
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5 SOS Report (Copy of last SOS Compartment history)
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6 Last track inspection report Track Inspection report
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7 Bucket inspection report Backhoe Bucket Condition Report
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8 Last NDT report – Pressure Vessels (Copy of last NDT certificates)
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9 Statutory brake test report Brake Testing Mobile Equipment
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10 Asset Transfer form PR-FRM-GRP-001-015 –Asset Transfer Form
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11 Fast fill service centre Fast Fill Requirements
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12 Fast fill diesel Non pressurised system Fast Fill Requirements
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13 Fire Suppression System Mobile Equipment Fire Suppression
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14 Completion of Safety Bulletins Check for model relevant Safety Bulletins and obtain evidence of completion
SIGN OFF ON PLANT CONDITION
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Plant fresh water washed, cleaned and free from mud and other debris build ups. Note: Any Plant being transported off site shall meet the required transport guidelines for cleanliness
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Plant free from oil, coolant, fuel and grease leaks, minor oil weeps are acceptable
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Paint work in good condition
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Cabin interior clean, cab linings in good condition and no glass damage
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All cab controls and gauges fully functional
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Seat functional, clean and free form tears and damage
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Components reflect forecast component life and no outstanding change outs required
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No accident or operational damage
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All scheduled service and inspections completed and updated in AMT
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All defects rectified and updated in AMT
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All structures (chassis & axle box assembly) free from cracking
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Buckets to have Minimum 50% wear life remaining:
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List Percentage Bucket Life
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NOTE: If any conditions are not met, details shall be attached to the Plant Condition Report and the Fleet
Manager notified. -
CUSTOMER/ SITE SUPERINTENDENT SIGN OFF
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FLEET MANAGER SIGN OFF
CHECK FOR WEAR AND CONDITION
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LEGEND FOR COLUMNS:
1 – Defect found and repaired
2 – Defect found and recorded, machine safe to operate
3 – OK (All systems are working)
4 – Not Applicable (N/A)
COOLING SYSTEM POS
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Coolant level, conditioner and leaks
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Hoses and clamps
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Fan and shrouds
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Radiator core, tanks and cap (pressure relief)
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Fan bearings, pulleys, belts and guards
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Water pump and coolers
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Monitoring system condition and type
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Sensors and wiring
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Air con compressor, pulley, belt and guard
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Air con evaporator, condenser, hoses and valves
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Heater hoses and taps
ENGINE POS
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Oil level and leaks
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Noise
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Air cleaner, pre cleaner
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Blow by, exhaust smoke
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High idle and low idle
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Exhaust and inlet leaks
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Throttle linkage
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Muffler and extension
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Guards, shields, covers including turbo covers and
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turbo oil feed line fire sleeves - condition/placement
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Sensors and wiring
PUMP DRIVE POS
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Oil level and leaks
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Noise
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Mountings and hoses
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Driveline and universal joints
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Sensors and wiring
FINAL DRIVES
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Oil level and leaks
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Noise
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Breathers for blockage
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Mounting and bolts
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Sensors and wiring
MAGNETIC PLUGS
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LH Final Drive
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RATING:
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RH Final Drive :
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RATING
CAB AND OPERATORS STATION
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Cab general condition
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Floor, walls and roof
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Cab mountings and bolts
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All cab wiring
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Operation of controls
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Operation of travel controls
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Seat belt – retainer and operation
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Seats and arm rests – suspension and adjustment
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Windows and rubber
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Wipers and washers
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Mirrors and mounting
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Doors, handles, seals and locks
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Access ladders and walkways / egress
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Air con controls and operation
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Heater core, controls, hoses and operation
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Horns, gauges and interior light
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Audible alarm and warning lights
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Travel alarm
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Operation of all external lights
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Two-way radio and aerial (list model)
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AM, FM radio and aerial
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Operation of all emergency stops – cab and ground level
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Cab has had full detail
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Pre-start checklist booklet
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Access ladder & Service tail interlock
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Access ladder in fill panels installed
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Equipment height label installed showing normal and extended equipment heights
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Breathsafe system installed and operating correctly
HYDRAULICS
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Oil level and leaks
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Noise
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Pipes or hoses for damage or leaks
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Drift rate, cycle times (check specs)
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Main valve body adjustment and leaks
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Rotary connection
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Hand controls and linkages
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Sensors and wiring
BOOM
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Lift cylinders, pins and bushes
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Boom to body, stick to boom pins and bushes
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Check boom for dents, repairs or cracks
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Hoses and pipes hydraulic and grease
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All boom arch hoses genuine OEM – (If non-genuine OEM hoses are fitted, a workorder shall be raised to order OEM hoses and schedule the change outs.)
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Ladders and walkway
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Lights and wiring
STICK
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Stick cylinder(s), pins and bushes
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Stick pins, bushes and shims (need shims)
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Hoses and pipes
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Check stick for dents, repairs or cracks
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Lights and wiring
BUCKET
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Bucket cylinder(s), pins and bushes
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Bucket linkage pins and bushes
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All GET mounting and condition
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Base edge condition
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Side wear plate condition
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Side walls for wear and straightness
FRAME
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Chassis rust or cracks
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Hose, pipes and clamps
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Hydraulic tank, hoses and fittings
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Fuel tank, pipes and fittings
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Fuel tank vent breather fitted with overflow hose and directing fluid overflow away from potential hot<br>surfaces
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Belly guards and mounting
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Car body and guards
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Wiring harness
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Slew box
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Slew ring movement and teeth condition
TRACK FRAME POS
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Idlers
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Sprockets
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Carrier rollers
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Track rollers
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Tracks
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Track adjuster - elastomer
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Track frame mounting bolts
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Hoses and pipes
GENERAL
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Fire suppression
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- Inspection current and charged
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Hand held extinguishers
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Inspection current and charged
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Sizes =
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Number =
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Fire suppression strikers – cab and ground level
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ISOLATION:<br>Starter motor isolation ground level – (YELLOW)<br>Battery isolation ground level – (RED)<br>Capable of being locked out
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Battery and terminal condition
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Paint condition
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Pin retainers
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Accident damage
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ROPS or FOPS fitted and condition
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Fenders
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Handrails
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Safety guards
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Jump start receptacle
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Collision avoidance
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Asset ID visible
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Call sign identification visible on 4 sides
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Clearance labels – maximum and travelling
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Accumulation of fuel, oil, grease, etc. that
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may cause a fire hazard
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Quick fill (service center) fitted, list type
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Pressure vessel compliance
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Fuel level
LIST ALL MODIFICATIONS
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Details
EQUIPMENT
- Equipment with Track Pads
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Pad Grip Lug Height (mm)
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RH Track
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LH Track
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Pitch Extension (mm)
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RH Track
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LH Track
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Tread Surface Height (mm)
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RH Track
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LH Track
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Tumble Lug Height / Pitch (mm)
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RH Track
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LH Track
Equipment with Chains and Grousers
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Grouser Height (mm)
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RH Track
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LH Track
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Pitch Extension (mm)
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RH Track
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LH Track
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Sprocket wear (mm)
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RH Track
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LH Track
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Track Bushes (mm)
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RH Track
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LH Track
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*Note: Attach Track Inspection Report for inspection details if required
COMMENTS and SIGN OFF
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Details
Fitter
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Name and Signature