Information
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TITLE
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SITE LOCATION WHERE CHECK IS CONDUCTED
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CHECK CONDUCTED ON
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CHECK TEAM MEMBERS
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PLANT ID NUMBER
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Written confirmation on condition of hydraulic hoses?
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Action Required to correct issue:
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Action by Whom:
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Date for action to be completed by:
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Statutory inspection forms on site?
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Action Required to correct issue:
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Action by Whom:
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Date for action to be completed by:
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Service/Maintenance records available?
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Action Required to correct issue:
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Action by Whom:
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Date for action to be completed by:
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Visually check for leaks and spills in and around equipment
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Action Required to correct issue:
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Action by Whom:
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Date for action to be completed by:
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All hydraulic systems checked for operability?
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Action Required to correct issue:
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Action by Whom:
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Date for action to be completed by:
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Spill kit available and stocked if applicable?
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Action Required to correct issue:
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Action by Whom:
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Date for action to be completed by:
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General condition of equipment is clean and tidy?
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Action Required to correct issue:
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Action by Whom:
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Date for action to be completed by:
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Seatbelt's in place and in working order ?
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Action Required to correct issue:
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Action by Whom:
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Date for action to be completed by:
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Reversing audible alarm?
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Action Required to correct issue:
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Action by Whom:
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Date for action to be completed by:
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Flashing beacon?
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Action Required to correct issue:
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Action by Whom:
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Date for action to be completed by:
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General tyre condition?
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Action Required to correct issue:
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Action by Whom:
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Date for action to be completed by:
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Fire extinguisher available and serviced?
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Action Required to correct issue:
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Action by Whom:
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Date for action to be completed by:
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Lights, indicators and mirrors checked?
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Action Required to correct issue:
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Action by Whom:
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Date for action to be completed by:
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Remarks:
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Add media
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RESULT?
- COMPLIANT
- NON COMPLIANT
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INSPECTED BY
