Traylor Bros Transfer and Inspections

• Conducted on

  Date

• Prepared by

• Location
  Address

• Transfer # date & initials (010118ABC)

• Brief Description of Transfer (ie: list eq #'s, load contents keywords)

• INSTRUCTIONS: THIS FORM MUST HAVE ALL FIELDS COMPLETED AND SENT IN ELECTRONIC FORMAT TO THE EVANSVILLE EQUIPMENT DIVISION (equipdiv@traylor.com) WITHIN 5 DAYS OF THE TRANSACTION. EXTENDED CHARGES MAY APPLY IF NECESSARY. FORMS MAY BE RETURNED IF MORE INFORMATION IS REQUIRED OR THE FORM IS NOT COMPLETED CORRECTLY. PLEASE ADD NOTES IF FURTHER EXPLANATIONS ARE REQUIRED.

• FROM:

• Job# / Location

  Select

• Traylor Bros., inc site address

  Select
• Address
  Address

• TO:

• Job# / Location

  Select

• Traylor Bros., inc site address

  Select
• Address
  Address

• DATE:

  Date
Add equipment.

• Equipment # - Description - Serial #

  Select

• EQ. #

• DESCRIPTION:

• SERIAL NUMBER:

• STATUS CODE

  Select

• CONDITION CODE

  Select 91%-100% NEW MACHINE 81%-90% NORMAL WEAR, REBUILT 71%-80% AVERAGE WEAR 61%-70% AVERAGE WEAR 51%-60% AVERAGE WEAR 41%-50% REQUIRES REBUILDING 31%-40% IMMEDIATE REBUILDING 21%-30% SALVAGE-MARGINAL 11%-20% BEYOND REPAIR 1%-10% JUNK

  • 91%-100% NEW MACHINE
  • 81%-90% NORMAL WEAR, REBUILT
  • 71%-80% AVERAGE WEAR
  • 61%-70% AVERAGE WEAR
  • 51%-60% AVERAGE WEAR
  • 41%-50% REQUIRES REBUILDING
  • 31%-40% IMMEDIATE REBUILDING
  • 21%-30% SALVAGE-MARGINAL
  • 11%-20% BEYOND REPAIR
  • 1%-10% JUNK

• HOURS/MILEAGE READING:

• SHIPPING PARTY'S SIGNATURE:

  Sign

• SHIPPED VIA:

• DRIVER'S SIGNATURE:

  Sign

• SHIPPING DATE:

  Date

• IMPORTANT! OPERATORS, PARTS / SERVICE MANUALS, & EQUIPMENT FOLDERS SENT VIA:

• Comments

• Do you need to access this section?

  YES

• Additional Comments

• Add media

  Media

• Do you need to access this section?

  YES

• Equipment #

General Equipment Audit

• Service interval meets TBI requirements

  Yes

  No

  N/A

• Operator inspections performed

  Yes

  No

  N/A

• Catwalks, Ladders, Access, and Handrails

  Yes

  No

  N/A

• Historical data, Regulatory documents, Operators Manuals

  Yes

  No

  N/A

• Additional Comments

• Add media

  Media

• Do you need to access this section?

  YES

• Equipment #

General Equipment Audit

• Service interval meets TBI requirements

  Yes

  No

  N/A

• Tires

  Safe

  At Risk

  N/A

• Interior Condition

  Satisfactory

  UnSatisfactory

• Lights

  Safe

  At Risk

  N/A

• Current License, Registration, Insurance

  Satisfactory

  UnSatisfactory

  N/A

• Additional Comments

• Add media

  Media

• Do you need to access this section?

  YES

• Equipment #

General Equipment Audit

• Service interval meets TBI requirements

  Yes

  No

  N/A

• Operator inspections performed

  Yes

  No

  N/A

• Catwalks, Ladders, Access, and Handrails

  Yes

  No

  N/A

• Historical data, Regulatory documents, Operators Manuals

  Yes

  No

  N/A

• Hatch Covers

  Safe

  At Risk

  N/A

• Deck Hardware

  Safe

  At Risk

  N/A

• Fenders, Tires

  Satisfactory

  UnSatisfactory

  N/A

• Safety

  Safe

  At Risk

  N/A

• Additional Comments

• Add media

  Media

• Do you need to access this section?

  YES

• Equipment #

General Equipment Audit

• Regulatory documents

  Yes

  No

  N/A

• Ladders, Access, and Handrails

  Yes

  No

  N/A

• Fenders, Tires

  Satisfactory

  UnSatisfactory

  N/A

• Hatch Covers

  Safe

  At Risk

  N/A

• Deck Hardware

  Satisfactory

  UnSatisfactory

  N/A

• Additional Comments

• Add media

  Media

• Do you need to access this section?

  YES

• Equipment #

General Equipment Audit

• Service interval meets TBI requirements

  Yes

  No

  N/A

• Operator inspections performed

  Yes

  No

  N/A

• Catwalks, Ladders, Access, and Handrails

  Yes

  No

  N/A

• Historical data, Regulatory documents, Operators Manuals

  Yes

  No

  N/A

• Boom

  Good

  Repair

• Wire rope

  Good

  Fair

  Poor

• Additional Comments

• Add media

  Media

• Do you need to access this section?

  YES

• Equipment #

General Equipment Audit

• KVA

• Horsepower

• KW

• Voltage

• Amps

• Manufacture

• Historical data, Regulatory documents, Operators Manuals

  Yes

  No

  N/A

• Additional Comments

• Add media

  Media