Title Page
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Request for repair
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Foreman
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Conducted on
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Prepared by
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Location
Equipment or tool #
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Equipment or tool not listed. Add below.
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Severity of the issue
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Is anything leaking on the ground?
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Is a spill kit needed?
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Is a spill kit available?
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Is the equipment or tool still usable?
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Will this cause down time?
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Please add photos of the issue
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Please write a short description of the issue