Ventia Plant Incident Inspection

• Document No.

• Site / Job Number

• Unit Number (Registration)

• Conducted on

  Date

• Prepared by

• Location
  Address

Unit Information

• Make / Model

• Tare (kg)

• GVM / ATM (kg)

• VIN

• YOM

• SMU Meter 1

• PTO Meter 2

• Kilometres (km)

• Other Information

Failure Details

• Location of Failure on Unit

  Drawing

• What was operator doing when incident occurred?

• What was the result of the failure?

• Estimated repair costs?

• Suggested rectification actions?

• Rectification requirements?

  This unit only

  Units at location

  Units in BU

  All Thiess Services

• Comments

Servicing and Maintenance Compliance

• Servicing / Inspection Compliance

  Compliant

  Non-Compliant

• Last Completed Date

  Date

• Operator Prestart Inspection Compliance

  Full Compliance

  Partial Compliance

  Non-Compliance

• EFMR Defect Process Compliance

  Full Compliance

  Partial Compliance

  Non-Compliance

• Comments

Incident Photos

• Interior

  Media

• Exterior

  Media

• Underbody

  Media