Title Page
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Site conducted
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Conducted on
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Prepared by
Equipment
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Only move the equipment after proper documentation of the incident along with photos have been completed
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What type of equipment is being inspected?
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Was this piece of equipment involved in a collision with another piece of equipment?
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What is the equipment number for the other piece of equipment involved?
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Was it involved in property damage?
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Where is the damage location? (aisle, dock door #, etc..)
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Is there visible damage to the equipment?
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What part of the equipment is damaged? (boom, forks, etc.)
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Contact maintenance to secure the equipment until service can be provided
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Only move the equipment if it is safe to do so
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Is the equipment safe to move?
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Please contact the appropriate department to aid
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There must be a complete systems check completed before allowing the equipment to be entered back into service.
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Are there any fluids leaking from the equipment?
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Please contact the appropriate service for this equipment
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Is the equipment able to move forward and back without any discernable problems?
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Please contact the appropriate service for this equipment
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Does the steering operate without any noticeable issues?
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Please contact the appropriate service for this equipment
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Does the lifting mechanism function without noticeable problems?
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Please contact the appropriate service for this equipment
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Are there emergency systems on the equipment?
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Does it work as intended?
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