Title Page
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Conducted on
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Prepared by
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Location
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Tool Type
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Serial Number
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Hose fitting in good condition?
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Hose gasket in good condition?
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Oiler has oil?
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Throttle valve and valve cap in good condition?
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Handle and trigger assembly in good condition?
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Exhaust deflector in good condition?
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Barrel in good condition?
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Lock spring in good condition?
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Retainer/bell in good condition?
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Sleeve (upper and lower) in good condition?
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Rubber bumper in good condition (no wear)?
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Piston in good condition?
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Bit (chisel/point-Moil) in good condition?
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Are fittings on the manifold in good condition?
Signatures
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Employee completing:
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Foreman verifying
