Information
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Site
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LV Fleet Number
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LV Rego
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KM's/Hours
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Prepared by
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Conducted on
P - Pass M - Maintenance Required X - Do Not Operate NA - Not Applicable
CATEGORY A - The machine is not to be operated. Notify Supervisor immediately
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Seat
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Seat Belts
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Horn
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Park Brake
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Brake Lights
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Service Brake
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Fuel/Oil/Water Levels
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Steering
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Indicators/Hazards
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Brake Lights
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Warning System
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Tyre Stud Indicators
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Lights
CATEGORY B - This machine must not be operated unless fault is rectified or approved by workshop (fitter, tyre fitter)
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Fuel/Oil/Water Leaks
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Hoses and Belts
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ROPS/ FOPS
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Gauges
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Wipers/Washers
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Mirrors
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Windscreen
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Reverse Alarm
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Fire Extinguisher/AFFF
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Lights
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Tyres
CATEGORY C - The machine may be operated. Corrective action is required. Report to Supervisor.
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Aerials
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Cab Clean
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Damage
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Air Conditioning
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ID (Clean and Good Order)
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Jack and Tools
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Triangles
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Cargo Barrier
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Tow Hitch
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First Aid Kit
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Operator Signature
