Water Truck 6/16

• Document No.

• Equipment # and Group Abbreviation

• Customer

  Select Chevron Aera

  • Chevron
  • Aera

• Location

  Select Kern River (CVX) Belridge (Aera) North Midway (Aera) South Midway (Aera) Cymric (CVX) Midway (CVX) Coalinga

  • Kern River (CVX)
  • Belridge (Aera)
  • North Midway (Aera)
  • South Midway (Aera)
  • Cymric (CVX)
  • Midway (CVX)
  • Coalinga

• Work Group

  Select New Contruction Maintenance Lead Line F/I DTR Infrastructure Developement I and E Production

  • New Contruction
  • Maintenance
  • Lead Line
  • F/I
  • DTR
  • Infrastructure
  • Developement
  • I and E
  • Production

• EMC/IRT

  Select Belridge Coalinga/ Kettelman Cymric Kern River Midway Ventura

  • Belridge
  • Coalinga/ Kettelman
  • Cymric
  • Kern River
  • Midway
  • Ventura

• Foreman and or Superintendent

• Conducted on

  Date

• Auditor

  Select Brent Walker Orrin Bowen Jim Jensen Jerry Fannon Bill Craddick

  • Brent Walker
  • Orrin Bowen
  • Jim Jensen
  • Jerry Fannon
  • Bill Craddick
• Location
  Address

• 1. Appropriate Drivers License ?

  Yes

  No

  N/A

• 2. Medical Card with DMV Stamp ?

  Yes

  No

• 3. Current Registration and Insurance Card ?

  Yes

  No

  N/A

• 4. Complete Preshift ? (Signed by Foreman)

  Yes

  No

• 5. Proper Journey Management ?

  Yes

  No

• 6. Brakes Properly Adjusted ?

  Yes

  No

• 7. Any Air Leaks ?

  No

  Yes

• 8. Spring or Steering Damge ?

  No

  Yes

• 9. Frame Damage ?

  No

  Yes

• 10. Clutch Working Properly ?

  Yes

  No

  N/A

• 11. Tires and Wheels in Good Shape ?

  Yes

  No

• 12. Air Bags in Good Shape ?

  Yes

  No

• 13. Brake Cans Leaking ?

  No

  Yes

• 14. Baffles Loose or Broken ?

  No

  Yes

• 15. Fluid Leaks ? (Oil, Transmission, Steering, Hydraulic)

  No

  Yes

• 16. Water Leaks ?

  No

  Yes

• 17. All Sprayers Working Properly ?

  Yes

  No

• 18. All Controls Working Smoothly and Properly ?

  Yes

  No

• 19. PTO/ Pony Motor in Good Working Order ?

  Yes

  No

• 20. Are All Necessary Fittings and Hoses Present ?

  Yes

  No

• 21. Is This Equipment In Good Working Order ?

  Yes

  No

• 22. Does Equipment Look Clean and Cared For ?

  Yes

  No

• 23. Have You Turned in a Repair Request ?

  Yes

  No

  N/A

• Photo of preshift if there are any issues or if not filled out correctly

  Media

Employee Information

• Employee name

  Sign

• EE #