Title Page
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Site conducted
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CC Number
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Conducted on
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Prepared by
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Location
Administration
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Start Hours
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Finish Hours
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Add location
CATEGORY " A " FAULTS
Equipment MUST NOT be operated Report Faults to Supervisor IMMEDIATELY
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Braking Systems
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Steering
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Fuel / Water /Air / Oil Leaks
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Warning Sytems
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Tyres , Wheel Nuts , Retorque Tag
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Engine Oil Level ( Dipstick )
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Transmission Oil Level
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Dropbox Oil Level
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Hydraulic Oil Level
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Coolant Level
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Brake Fluid Level
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Grease Sytems , Lines , fittings
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COMMENTS
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Levels are the Responsibility of the operator and must be checked and then reported to the supervisor before operating
CATEGORY "B" FAULTS
Notify Supervisor of Faults BEFORE Operating Equipment
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Fuel Level
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Horn / Reverse Alarm
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Seat / Seat Belts
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Two - Way Radio
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Controls and Gauges
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Ladders , Handrails , Steps
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Lights & Indicators
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Air Cleaner Covers
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Fire Extinguishers In Date
CATEGORY "C" FAULTS
Corrective Action Required - Record Faults
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Idelers , Cirle Drive , Paddles
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Diff Lock / Transmission Hold
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Pivot Pins and Retainers
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GET ( Cracks , Wear , Damage )
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Track Condition , Tension
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OUTSIDE House Keeping
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Interior Cab Free From Trash and Dirt
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Other Faults or damage ?
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Operators Comments
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Operator Signature