Information
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Document No.
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Audit Title
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Client Details
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Conducted on
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Prepared by
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Location
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Personnel
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Signature
General ID Details | Cabin Interior
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Date and Time audit began
General Details ( Datos Generales)
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Initial Photos (Fotos Iniciales)
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Model (Modelo)
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Radial / Bias
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Serial Number (Número Serial)
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Serial Number Photo (Foto del Número Serial)
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Year Of Manufacture (Ano de manufacturarizacion)
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Tyre Identification Number (if used) (Número de Trabajo)
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Rim Included
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Tyre Repairable? ( Neumatico Reparable?)
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Photo of Damage (Foto de la Parte Danada)
Inspection Casing Condition
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Original / Retread / Casing
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Tread
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Sidewall
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Inside
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Beads
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Composition of Rubber
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Photos as Required
Work Performed
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Location of Damage
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Damage Dimensions
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Tyre Lifespan
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Type of Repair Required
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Injury Preparation / Hours Worked
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Photos of Preparation
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Patches Required / Hours Worked
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Photos of Patches
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Rubber Used / Hours Worked
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Photos of Rubber Application
Tyres / Wheels | Chassis
Vulcanisation
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Settings of Machine / Hours on Machine
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Photos of Vulcanisation
Final Inspection
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Process Succesful
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Photos of Completed Process
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Invoice Sent
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Invoice Number
Engine | Drive Train | Hydraulics
Hydraulics
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Rebuild History (Supporting Documentation Required)
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Hours Completed On Rebuild
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Date Completed
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Pumps OK
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Valves OK
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Hydraulic Tank OK
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Hoses OK
Exterior | Panels | Glass | Lighting | Safety
Exterior Panels / Glass
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Windshield Free of Cracks and Chips
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Left Mirrors Adjustable and Free of Damage
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Left Fender Free of Damage
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Left Door Free of Damage
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Left Side Free of Damage
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Left Side Windows Free of Cracks and Chips
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Rear WIndow Free of Cracks and Chips
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Right Side Free of Damage
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Paint Condition
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Additional Photos As Required
Exterior Lighting
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Rotating Amber Beacon Functional
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Working Lights Front Fitted
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Working Lights Rear Fitted
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Additional Lighting
Safety Equipment - external
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Audible Back-up Alarm Operational
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Exterior emergency stop fitted and operational
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Fire extinguisher fitted
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Fire suppression system fitted
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ROPS/FOPS Fitted and Intact
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Steps/Hand Rails etc
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Additional Photos As Applicable
Dimensions | Documentation
General Dimensions
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Overall Width (mm)
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Overall Length Inc Bucket (mm) (If Applicable)
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Overall Height To Top Of Cabin (mm)
Available Documentation
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Is Vehicle Serviced According to the Manufacturers Schedule?
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Date of Last Service And Type
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Are Adequate Preventative Maintenance and Service Repair Records Kept
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Sighted Documents
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Additional Comments
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View Our Website www.assetassured.com.au
http://www.assetassured.com.au