Information
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Document No.
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Prepared by
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Conducted on
Safety Audit
INSTRUCTIONS: SAFETY MEETINGS ARE TO BE COMPLETED ONCE A WEEK AT A MINIMUM and THE NIGHT BEFORE CREWS DEMOBILISE. THIS FORM IS TO BE COMPLETED BY THE FIELD SUPERVISOR. ALL CREW MEMBERS MUST ATTEND AND COTRIBUTE! BE PREPARED TO DEVOTE TIME TO COMPLETE THIS PROPERLY!
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Is the Crew aware of their Duty of Care to maintain a safe work environment?
Topics / Outstanding Issues from Previous Meetings
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Subject 1
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Has corrective action been taken?
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Subject 2
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Has corrective action been taken?
CURRENT TOPICS / HAZARDS / INCIDENTS DISCUSSED: A MINIMUM OF 3 ISSUES / TOPICS MUST BE DISCUSSED AND RECORDED!
Topic 1 - Natural Hazards
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Choose a Subject for Discussion
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Summary of Discussion
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Is further action required?
Topic 2 - Basic Maintenance of Gear
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Choose a Subject for Discussion
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Summary of Discussion
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Is further action required?
Topic 3 - Personal Safety
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Choose a Subject for Discussion
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Safety Issue / Summary of Discussion
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Is further action required?
Topic 4
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Other Safety Issue / Summary of Discussion
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Is further action required?
Topic 5
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Other Safety Issue / Summary of Discussion
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Is further action required?
Topic 6
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Other Safety Issue / Summary of Discussion
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Is further action required?
REPORTABLE INCIDENT / ACCIDENTS
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Have there been any Incidents / Accidents since the last Safety Meeting?
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If YES was an Incident / Accident Report completed and filed?
REVIEW OF IN HOUSE OR PUBLISHED INCIDENT REPORTS / SAFETY ALERTS
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Enter the subject discussed (if any) and any comments or recommendations for improvement.
FIELD EQUIPMENT - MOTORIZED VEHICLES RECORD
Licensed Vehicles
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6x6 - (1EGA 711) 1994 6x6 Toyota
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CAN1 - (1DJR606) 2010 Canter Tray
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CAN2 - (1DKE874) 2010 Canter Tray
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CAN3 - (1DKJ546) 2010 Canter Tray
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F250 - (1EEO221) 2005 Ford F250
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H1 - (1CVC794) 2005 Hino Truck
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LV01 - (1CIX628) 2006 Toyota Tray Top
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LV03 - (1DBY078) 2008 Toyota Workmate
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LV04 - (1DJR178) 2010 Toyota Landcruiser
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LV05 - (1DSH699) 2007 Toyota Workmate
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LV06 - (1DTT903) 2011 Toyota Passenger
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LV07 - (1CIP623) 2006 Toyota Tray /Fire Unit
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LV08 - (1BIM796) Workshop Mitsubishi Ute
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LV09 - (1EAS252) 2010 Toyota Workmate
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LV10 - (1DYT286) 2008 Toyota Hilux Dual Cab
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OKA - (1ABF353) 1997 2T OKA
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V1 - (E27841) 1992 Volvo Tilt Tray
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G Kennedy Vehicle
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S Laine Vehicle
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Enter Rego if Other
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Enter Rego if Other
If any Field Servicing was completed, enter details in next section.
Unlicensed Vehicles
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JCB CX4 Loader
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AC1 4x4 Diesel
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AC2 4x4 Diesel
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AC3 4x4 Diesel
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AC4 4x4 Diesel
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AC5 4x4 Diesel
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AC6 4x4 Diesel
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AC7 4x4 Diesel
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B1 6x6 Polaris
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B2 6x6 Polaris
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B3 6x6 Polaris
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B4 6x6 Polaris
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B5 6x6 Polaris
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B6 6x6 Polaris
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Farm Bike - 6x6 Polaris
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G7 Sportsman x2 Polaris
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M1 Military Ranger Polaris
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R1 Raz Polaris
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Ranger 6x6 Polaris
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Enter Rego if Other
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Enter Rego if Other
If any Field Servicing was completed, enter details in next section.
FIELD EQUIPMENT - NON-MOTORIZED VEHICLE RECORD
Trailers / Caravans - Licenced
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BT1 (BE 3114) Box Top Trailer
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KT1 (1TFA 647) 2003 Kitchen Caravan
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OT2 (1TMW 817) 2012 Office Caravan
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OT3 (1TOC 033) 2005 Bush Tracker Caravan
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RT1 (1TBX 267) 2000 Box Top Trialer
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T01 (1TBD 707) 1998 Box Top Trailer
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T02 (1TAO 159) 1998 Box Top Trailer
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T03 (1TAW 560) 1998 Box Top Trailer
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T04 (1THJ 727) 2006 Box Top Trailer
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T05 (1TFC 355) 2004 Box Top Trailer
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T06 (1THB 258) 2006 Box Top Trailer
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T07 (1TKB 159) 2009 Box Top Trailer
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T08 (1TJA 302) 2008 Box Top Trailer
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T09 (1THI 038) 2006 Box Top
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T10 (1TMU 343) 2012 Open Top Trailer
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T11 (1TNZ 974) 2009 White Canvas
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T12 (1TNZ 976) 2009 White Canvas
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T13 (1TMZ 975) 2009 White Canvas
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Enter Rego if Other
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Enter Rego if Other
If any Field Servicing was completed, enter details in next section.
Trailers / Caravans - Not Licenced
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PONTON CAMP 1 -Sea Container
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PONTON CAMP 2 - Caravan
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SEA CONT-1 Office/Kitchen
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SEA CONT-3 Farm Storage
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SEA CONT-4 Farm Storage
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SEA CONT-5 Sleeper
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Enter Other (if appropriate)
If any Field Servicing was completed, enter details in next section.
FIELD EQUIPMENT - GENERAL
Tools and Equipment
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Auger-1 (red trailer)
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Auger-2 (green trailer)
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HAND AUGER-1
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HAND AUGER-2
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CHAINSAW-1
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CHAINSAW-2
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CHAINSAW-3
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CHAINSAW-4
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COLLAR CUTTER
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D-DRILL - portable diamond drill
If any Field Servicing was completed, enter details in next section.
Generators
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GEN-1 - Honda 2Kva
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GEN-2 - Honda 2Kva
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GEN-3 - Kubota 6KVA
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GEN-4 - Yamaha 2Kva
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GEN-5 - Yamaha 2Kva
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GEN-6 - Mosa 6Kva
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GEN-7 - Honda 3Kva
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GT1 - Custom Trailer 12Kva
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GT2 - Custom Trailer 12Kva
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Enter Rental Details (when needed)
If any Field Servicing was completed, enter details in next section.
GENERAL - CONSTANT IMPROVEMENT RECOMMENDATIONS Record Deficiencies or Items Requiring Corrective Action
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HOUSEKEEPING - Are there any issues, recommendations or is some corrective action required?
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VEHICLES - Are there any issues, recommendations or is some corrective action required?
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PLANT AND EQUIPMENT - Are there any issues, recommendations or is some corrective action required?
DAMAGES SUMMARY - Listing of All Damages incurred to equipment since last Safety Meeting
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Enter Brief Description of Damage and Recommendation
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Insert Picture of Damage if Useful
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Enter Brief Description of Damage and Recommendation
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Insert Picture of Damage if Useful
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Enter Brief Description of Damage and Recommendation
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Insert Picture of Damage if Useful
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Enter Brief Description of Damage and Recommendation
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Insert Picture of Damage if Useful
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Enter Brief Description of Damage and Recommendation
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Insert Picture of Damage if Useful
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Enter Brief Description of Damage and Recommendation
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Insert Picture of Damage if Useful
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Enter Brief Description of Damage and Recommendation
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Insert Picture of Damage if Useful
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Enter Brief Description of Damage and Recommendation
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Insert Picture of Damage if Useful
GENERAL PERSONAL WORK SAFE PRACTISES
AUTHORITY TO PROCEED
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Enter Name and Sign
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Is PPE in good condition and being used properly?
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Are Daily Field Equipment Checks being completed?
CREW ON SITE
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Have all of the Crew participated in the Safety Meeting?
REFER TO NEXT SECTION FOR SERVICING, SUPPLY AND SUPPORT RECORD.
Supply and Support
Record of Field Sevicing
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Enter details of Field Servicing completed (maximum 4 lines)
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Enter details of Field Servicing completed (maximum 4 lines)
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Enter details of Field Servicing completed (maximum 4 lines)
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Enter details of Field Servicing completed (maximum 4 lines)
All items and requests below constitute a formal SERVICE REQUEST. It must be signed by a Field Representative.
All Service (excluding field servicing), Supply and Repair is be coordinated through the Warehouse.
It is important that diligence is taken to ensure Field Crews are safely and properly equipped.
New Supply and Replacement (general supply - including replacement materials used for field servicing)
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Enter list of items required (maximum 4 lines)
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Enter date required and pick-up location.
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Enter list of items required (maximum 4 lines)
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Enter date required and pick-up location.
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Enter list of items required (maximum 4 lines)
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Enter date required and pick-up location.
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Enter list of items required (maximum 4 lines)
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Enter date required and pick-up location.
Items Requiring External Repair or Servicing
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Enter details of item requiring Service or Repair
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Enter description of Servicing or Repairs required
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Insert photo to aid description
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Has the item been Tagged?
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Enter date item will be delivered to town
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Enter date item required to be returned for use
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Enter details of item requiring Service or Repair
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Enter description of Servicing or Repairs required
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Insert photo to aid description
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Has the item been Tagged?
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Enter date item will be delivered to town
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Enter date item required to be returned for use
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Enter details of item requiring Service or Repair
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Enter description of Servicing or Repairs required
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Insert photo to aid description
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Has the item been Tagged?
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Enter date item will be delivered to town
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Enter date item required to be returned for use
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Enter details of item requiring Service or Repair
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Enter description of Servicing or Repairs required
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Insert photo to aid description
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Has the item been Tagged?
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Enter date item will be delivered to town
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Enter date item required to be returned for use
Authority to Proceed
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Enter Field Representative's name and signature
