Title Page
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Customer
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Conducted on
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Prepared by
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Location
Additional Notes
- Cantilever Risk
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Bracing
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Type of Bracing
- 1st Hori
- 2nd Hori
- 3rd Hori
- 4th Hori
- Other Hori
- 1st Diag
- 2nd Diag
- 3rd Diag
- 4th Diag
- Other Diag
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Distance CC
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Level of Damage
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Action Required
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Location
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Arms
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Level
- Level 1
- Level 2
- Level 3
- Level 4
- Level 5
- Level 6
- Level 7
- Level 8
- Other
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Location
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Arm Details
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Level of Damage
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Action Required
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Column
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Column Size
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Column Height
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Location
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Level of Damage
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Action Required
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Base
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Single or Double
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Base Size
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Location
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Class of Damage
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Action Required
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Anchors
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Size
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Location
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Class of Damage
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Action Required
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Safety Pin
- Level 1
- Level 2
- Level 3
- Level 4
- Level 5
- Level 6
- Level 7
- Level 8
- Other
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Location
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Action Required
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Class of Damage
Accessories
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Accessories Details
Load Signs
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Are load signs visible
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Are they compliant
