Rock Drill data

• Conducted on

  Date

• Prepared by

• Manufacturer of drill

  Sandvik

  Epiroc

  Hydrastar

  Montabert

• New or used

  New

  Used

  Rebuilt

• Model number

• Serial number, take picture also

• Part number of drill

• Invertory number of unit removed from, picture of unit serial number tag

• Note any damage

  Good

  Fair

  Poor

  N/A

• Tag drill with all information

• Take pictures of drill

  Yes

  No

  N/A

Repair history

• work performed by

• Date work was done

  Date

• Work performed (take pictures of work performed)