Information
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Document No.
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Audit Title
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Client / Site
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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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Type of Equipment
- Trencher
- Excavator
- Rubber Tire Backhoe
- Plow
- Dingo
- Bobcat
- Wire Tensioner
- Portable Lights
- Sullair
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Equipment Number
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Two wheel chocks are available
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Hearing protection sign is on unit
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Equipment has rollover protection and seat belt shows signs of use
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Equipment has fire extinguisher with current annual inspection
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Equipment is free of hydraulic leaks
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Tires/tracks are not visibly worn
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Operator's manual is with unit
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Ground has current annual test date
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Additional Comments
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Additional Pictues
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Inspector's Signature
