Title Page
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Conducted on
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Prepared by
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Location
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Customer
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Job #
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Purchase Order Number
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Asset Number #
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LOCATION
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Equip. No
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Model no:
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Serial No:
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Hours:
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Inspection Type
SERVICE
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SERVICE TYPE
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ENGINE OIL
- LEAKES
- WORN
- OK
- DAMAGED
- REPAIRED
- LUBRICATED
- NEEDS REPLACING
- NOT APPLICABLE
- ADJUSTED
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ENGINE OIL FILTER
- LEAKES
- WORN
- OK
- DAMAGED
- REPAIRED
- LUBRICATED
- NEEDS REPLACING
- NOT APPLICABLE
- ADJUSTED
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AIR FILTER
- LEAKES
- WORN
- OK
- DAMAGED
- REPAIRED
- LUBRICATED
- NEEDS REPLACING
- NOT APPLICABLE
- ADJUSTED
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FUEL FILTER
- LEAKES
- WORN
- OK
- DAMAGED
- REPAIRED
- LUBRICATED
- NEEDS REPLACING
- NOT APPLICABLE
- ADJUSTED
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TUNE UP
- LEAKES
- WORN
- OK
- DAMAGED
- REPAIRED
- LUBRICATED
- NEEDS REPLACING
- NOT APPLICABLE
- ADJUSTED
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CHOKE
- LEAKES
- WORN
- OK
- DAMAGED
- REPAIRED
- LUBRICATED
- NEEDS REPLACING
- NOT APPLICABLE
- ADJUSTED
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ENGINE RPM
- LEAKES
- WORN
- OK
- DAMAGED
- REPAIRED
- LUBRICATED
- NEEDS REPLACING
- NOT APPLICABLE
- ADJUSTED
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CHARGING SYSTEM
- LEAKES
- WORN
- OK
- DAMAGED
- REPAIRED
- LUBRICATED
- NEEDS REPLACING
- NOT APPLICABLE
- ADJUSTED
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FUEL SYSTEM LPG
- LEAKES
- WORN
- OK
- DAMAGED
- REPAIRED
- LUBRICATED
- NEEDS REPLACING
- NOT APPLICABLE
- ADJUSTED
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BATTERIES
- LEAKES
- WORN
- OK
- DAMAGED
- REPAIRED
- LUBRICATED
- NEEDS REPLACING
- NOT APPLICABLE
- ADJUSTED
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BATTERY TERMINALS
- LEAKES
- WORN
- OK
- DAMAGED
- REPAIRED
- LUBRICATED
- NEEDS REPLACING
- NOT APPLICABLE
- ADJUSTED
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ELECTRIC MOTOR BRUSHES
- LEAKES
- WORN
- OK
- DAMAGED
- REPAIRED
- LUBRICATED
- NEEDS REPLACING
- NOT APPLICABLE
- ADJUSTED
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HYDRAULIC FLUID
- LEAKES
- WORN
- OK
- DAMAGED
- REPAIRED
- LUBRICATED
- NEEDS REPLACING
- NOT APPLICABLE
- ADJUSTED
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HYDRAULIC OIL FILTER
- LEAKES
- WORN
- OK
- DAMAGED
- REPAIRED
- LUBRICATED
- NEEDS REPLACING
- NOT APPLICABLE
- ADJUSTED
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HYDRAULIC INLINE FILTER
- LEAKES
- WORN
- OK
- DAMAGED
- REPAIRED
- LUBRICATED
- NEEDS REPLACING
- NOT APPLICABLE
- ADJUSTED
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HYDRAULIC SYSTEM
- LEAKES
- WORN
- OK
- DAMAGED
- REPAIRED
- LUBRICATED
- NEEDS REPLACING
- NOT APPLICABLE
- ADJUSTED
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HYDRAULIC PRESSURE
- LEAKES
- WORN
- OK
- DAMAGED
- REPAIRED
- LUBRICATED
- NEEDS REPLACING
- NOT APPLICABLE
- ADJUSTED
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HYDRAULIC HOSES
- LEAKES
- WORN
- OK
- DAMAGED
- REPAIRED
- LUBRICATED
- NEEDS REPLACING
- NOT APPLICABLE
- ADJUSTED
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CYLINDERS
- LEAKES
- WORN
- OK
- DAMAGED
- REPAIRED
- LUBRICATED
- NEEDS REPLACING
- NOT APPLICABLE
- ADJUSTED
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MOTOR DRIVE & BOLTS
- LEAKES
- WORN
- OK
- DAMAGED
- REPAIRED
- LUBRICATED
- NEEDS REPLACING
- NOT APPLICABLE
- ADJUSTED
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REDUCTION BOX OIL LEVEL
- LEAKES
- WORN
- OK
- DAMAGED
- REPAIRED
- LUBRICATED
- NEEDS REPLACING
- NOT APPLICABLE
- ADJUSTED
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DISCONNECT HUB
- LEAKES
- WORN
- OK
- DAMAGED
- REPAIRED
- LUBRICATED
- NEEDS REPLACING
- NOT APPLICABLE
- ADJUSTED
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BRAKES
- LEAKES
- WORN
- OK
- DAMAGED
- REPAIRED
- LUBRICATED
- NEEDS REPLACING
- NOT APPLICABLE
- ADJUSTED
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EMERGENCY LOWERING VALVES
- LEAKES
- WORN
- OK
- DAMAGED
- REPAIRED
- LUBRICATED
- NEEDS REPLACING
- NOT APPLICABLE
- ADJUSTED
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HAND CONTROL BOX
- LEAKES
- WORN
- OK
- DAMAGED
- REPAIRED
- LUBRICATED
- NEEDS REPLACING
- NOT APPLICABLE
- ADJUSTED
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LOWER CONTROLS
- LEAKES
- WORN
- OK
- DAMAGED
- REPAIRED
- LUBRICATED
- NEEDS REPLACING
- NOT APPLICABLE
- ADJUSTED
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RELAY
- LEAKES
- WORN
- OK
- DAMAGED
- REPAIRED
- LUBRICATED
- NEEDS REPLACING
- NOT APPLICABLE
- ADJUSTED
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GATE LOCK
- LEAKES
- WORN
- OK
- DAMAGED
- REPAIRED
- LUBRICATED
- NEEDS REPLACING
- NOT APPLICABLE
- ADJUSTED
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WIRE CONNECTIONS
- LEAKES
- WORN
- OK
- DAMAGED
- REPAIRED
- LUBRICATED
- NEEDS REPLACING
- NOT APPLICABLE
- ADJUSTED
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SAFETY CUT-OUTS
- LEAKES
- WORN
- OK
- DAMAGED
- REPAIRED
- LUBRICATED
- NEEDS REPLACING
- NOT APPLICABLE
- ADJUSTED
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BUSHINGS
- LEAKES
- WORN
- OK
- DAMAGED
- REPAIRED
- LUBRICATED
- NEEDS REPLACING
- NOT APPLICABLE
- ADJUSTED
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ROLLERS
- LEAKES
- WORN
- OK
- DAMAGED
- REPAIRED
- LUBRICATED
- NEEDS REPLACING
- NOT APPLICABLE
- ADJUSTED
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FRONT END ASSEMBLY
- LEAKES
- WORN
- OK
- DAMAGED
- REPAIRED
- LUBRICATED
- NEEDS REPLACING
- NOT APPLICABLE
- ADJUSTED
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TYRE PRESSURES
- LEAKES
- WORN
- OK
- DAMAGED
- REPAIRED
- LUBRICATED
- NEEDS REPLACING
- NOT APPLICABLE
- ADJUSTED
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TYRE CONDTION
- LEAKES
- WORN
- OK
- DAMAGED
- REPAIRED
- LUBRICATED
- NEEDS REPLACING
- NOT APPLICABLE
- ADJUSTED
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WHEEL NUTS
- LEAKES
- WORN
- OK
- DAMAGED
- REPAIRED
- LUBRICATED
- NEEDS REPLACING
- NOT APPLICABLE
- ADJUSTED
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WHEEL BEARINGS
- LEAKES
- WORN
- OK
- DAMAGED
- REPAIRED
- LUBRICATED
- NEEDS REPLACING
- NOT APPLICABLE
- ADJUSTED
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NUTS & BOLTS
- LEAKES
- WORN
- OK
- DAMAGED
- REPAIRED
- LUBRICATED
- NEEDS REPLACING
- NOT APPLICABLE
- ADJUSTED
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GUARD RAILS
- LEAKES
- WORN
- OK
- DAMAGED
- REPAIRED
- LUBRICATED
- NEEDS REPLACING
- NOT APPLICABLE
- ADJUSTED
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LUBRICATION
- LEAKES
- WORN
- OK
- DAMAGED
- REPAIRED
- LUBRICATED
- NEEDS REPLACING
- NOT APPLICABLE
- ADJUSTED
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WARING DECALS
- LEAKES
- WORN
- OK
- DAMAGED
- REPAIRED
- LUBRICATED
- NEEDS REPLACING
- NOT APPLICABLE
- ADJUSTED
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OPERATION SHEETS
- LEAKES
- WORN
- OK
- DAMAGED
- REPAIRED
- LUBRICATED
- NEEDS REPLACING
- NOT APPLICABLE
- ADJUSTED
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GENERAL DECALS
- LEAKES
- WORN
- OK
- DAMAGED
- REPAIRED
- LUBRICATED
- NEEDS REPLACING
- NOT APPLICABLE
- ADJUSTED
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PAINT
- LEAKES
- WORN
- OK
- DAMAGED
- REPAIRED
- LUBRICATED
- NEEDS REPLACING
- NOT APPLICABLE
- ADJUSTED
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ALL OPERATIONS
- LEAKES
- WORN
- OK
- DAMAGED
- REPAIRED
- LUBRICATED
- NEEDS REPLACING
- NOT APPLICABLE
- ADJUSTED
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LIFT
- LEAKES
- WORN
- OK
- DAMAGED
- REPAIRED
- LUBRICATED
- NEEDS REPLACING
- NOT APPLICABLE
- ADJUSTED
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STEERING
- LEAKES
- WORN
- OK
- DAMAGED
- REPAIRED
- LUBRICATED
- NEEDS REPLACING
- NOT APPLICABLE
- ADJUSTED
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CREEP DRIVE
- LEAKES
- WORN
- OK
- DAMAGED
- REPAIRED
- LUBRICATED
- NEEDS REPLACING
- NOT APPLICABLE
- ADJUSTED
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LOW DRIVE
- LEAKES
- WORN
- OK
- DAMAGED
- REPAIRED
- LUBRICATED
- NEEDS REPLACING
- NOT APPLICABLE
- ADJUSTED
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HIGH DRIVE
- LEAKES
- WORN
- OK
- DAMAGED
- REPAIRED
- LUBRICATED
- NEEDS REPLACING
- NOT APPLICABLE
- ADJUSTED
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TILT SWITCHES
- LEAKES
- WORN
- OK
- DAMAGED
- REPAIRED
- LUBRICATED
- NEEDS REPLACING
- NOT APPLICABLE
- ADJUSTED
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FUEL LEVEL
- LEAKES
- WORN
- OK
- DAMAGED
- REPAIRED
- LUBRICATED
- NEEDS REPLACING
- NOT APPLICABLE
- ADJUSTED
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PRESSURE WASH
- LEAKES
- WORN
- OK
- DAMAGED
- REPAIRED
- LUBRICATED
- NEEDS REPLACING
- NOT APPLICABLE
- ADJUSTED
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COMPANY ID STICKERS
- LEAKES
- WORN
- OK
- DAMAGED
- REPAIRED
- LUBRICATED
- NEEDS REPLACING
- NOT APPLICABLE
- ADJUSTED
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GOVT. APPROVAL PLATE
- LEAKES
- WORN
- OK
- DAMAGED
- REPAIRED
- LUBRICATED
- NEEDS REPLACING
- NOT APPLICABLE
- ADJUSTED
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SAFETY HARNESSES
- LEAKES
- WORN
- OK
- DAMAGED
- REPAIRED
- LUBRICATED
- NEEDS REPLACING
- NOT APPLICABLE
- ADJUSTED
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COMMENTS
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Signed off by Fitter
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Rio Representative Name:
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Rio Representative Sign
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Service completed
