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DATE 1 2 3 4 5 6 7

2010/01/29

COMMENT 1/29, crack-like defect was detected in area

marked X.









KRXUV
KRXUWR 




KRXUWRKRXUV




SATISFACTORY EX1200-7
UNSATISFACTORY
CORRECTED Inspected by:
Make a visual check, replacement, etc. for each blank
space under the hours meter reading of the check sheet.
Front
3

1
Left
2

Right

DATE 1 2 3 4 5 6

1
Front
Left
2

Right
4

DATE 1 2 3 4 5 6

COMMENT




'DLO\&KHFN3RLQWV
%DFNKRH%RRP



(;

Front

Left
1

UV
Right
RX
 <
K
WR ,/

3

XU '$

Front
Left
KR

6


Right

4


'DLO\&KHFN6KHHWV
%DFNKRH%RRP








SATISFACTORY (;
UNSATISFACTORY
CORRECTED
,QVSHFWHGE\

0DNHDYLVXDOFKHFNUHSODFHPHQWHWFIRUHDFKEODQN 
VSDFHXQGHUWKHKRXUVPHWHUUHDGLQJRIWKHFKHFNVKHHW



DATE WEEKLY 1 2 3 4 5 6 SIGN APPROVAL NOTE
/ 1
/ 2
/ 3
/ 4
/ 5
/ 6
/ 7
/ 8

UV
/ 9

RX
/ 10
/ 11
 <
/ 12
K
WR ,/

/ 13
/ 14

XU '$

/ 15
/ 16
/ 17
/ 18
/ 19
/ 20
/ 21
/ 22
KR

/ 23
/ 24


/ 25
/ 26
/ 27
/ 28
/ 29
/ 30
/ 31

COMMENT



KRXUWRKRXUVFKHFNVKHHW
0DLQ)UDPH


SATISFACTORY (;
UNSATISFACTORY
CORRECTED
,QVSHFWHGE\

0DNHDYLVXDOFKHFNUHSODFHPHQWHWFIRUHDFKEODQN 
VSDFHXQGHUWKHKRXUVPHWHUUHDGLQJRIWKHFKHFNVKHHW

Rear

4 (Out side)
3 Left
(In side) 2
1

8
(Out side)
7

6 (In side)
5

Right
Front

DATE 1 2 3 4 5 6 7 8

COMMENT




KRXUWRKRXUVFKHFNVKHHWV
%DFNKRH%RRP


SATISFACTORY (;
UNSATISFACTORY
CORRECTED
,QVSHFWHGE\

0DNHDYLVXDOFKHFNUHSODFHPHQWHWFIRUHDFKEODQN 
VSDFHXQGHUWKHKRXUVPHWHUUHDGLQJRIWKHFKHFNVKHHW
Front 3

1
2 Left

Right

DATE 1 2 3 4 5 6

Left Front
2

Right
4

DATE 1 2 3 4

COMMENT



KRXUWRKRXUVFKHFNVKHHWV
%DFNKRH$UP


SATISFACTORY (;
UNSATISFACTORY
CORRECTED
,QVSHFWHGE\

0DNHDYLVXDOFKHFNUHSODFHPHQWHWFIRUHDFKEODQN 
VSDFHXQGHUWKHKRXUVPHWHUUHDGLQJRIWKHFKHFNVKHHW
Front

Right

2
Left

DATE 1 2 3

Front
4

5
Left

Right
6

DATE 4 5 6

COMMENT












KRXUVWRKRXUV



KRXUVWR 
KRXUV

SATISFACTORY EX1200-7
UNSATISFACTORY
CORRECTED Inspected by:
Make a visual check, replacement, etc. for each blank
space under the hours meter reading of the check sheet.
Front
3

1
Left
2

Right

DATE 1 2 3 4 5 6

1
Front
Left
2

Right
4

DATE 1 2 3 4 5 6

COMMENT




'DLO\&KHFN3RLQWV
%DFNKRH%RRP



(;

Front

Left
1

UV
RXRight
K
WR <

V ,/

3
XU $

'

Front
Left
KR

6



Right

4


'DLO\&KHFN6KHHWV
%DFNKRH%RRP








SATISFACTORY (;
UNSATISFACTORY
CORRECTED
,QVSHFWHGE\

0DNHDYLVXDOFKHFNUHSODFHPHQWHWFIRUHDFKEODQN 
VSDFHXQGHUWKHKRXUVPHWHUUHDGLQJRIWKHFKHFNVKHHW



DATE WEEKLY 1 2 3 4 5 6 SIGN APPROVAL NOTE
/ 1
/ 2
/ 3
/ 4
/ 5
/ 6

UV
/ 7
/ 8

RX
/ 9
/ 10
/ 11
K
WR <

/ 12

V ,/

/ 13
/ 14
XU $


/ 15
'

/ 16
/ 17
/ 18
/ 19
/ 20
/ 21
KR

/ 22
/ 23
/ 24


/ 25


/ 26
/ 27
/ 28
/ 29
/ 30
/ 31

COMMENT



KRXUVWRKRXUVFKHFNVKHHW
0DLQ)UDPH


SATISFACTORY (;
UNSATISFACTORY
CORRECTED
,QVSHFWHGE\

0DNHDYLVXDOFKHFNUHSODFHPHQWHWFIRUHDFKEODQN 
VSDFHXQGHUWKHKRXUVPHWHUUHDGLQJRIWKHFKHFNVKHHW

Rear

4 (Out side)
3 Left
(In side) 2
1

UV
RX
 <
K
WR /
V 7+


8
(Out side)
XU 1

7
KR 02

6 (In side)
5

Right
Front

DATE 1 2 3 4 5 6 7 8



COMMENT




KRXUVWRKRXUVFKHFNVKHHWV
%DFNKRH%RRP


SATISFACTORY (;
UNSATISFACTORY
CORRECTED
,QVSHFWHGE\

0DNHDYLVXDOFKHFNUHSODFHPHQWHWFIRUHDFKEODQN 
VSDFHXQGHUWKHKRXUVPHWHUUHDGLQJRIWKHFKHFNVKHHW
Front 3

1
2 Left

Right

UV
RX
 <
6

K
WR /
V 7+

DATE 1 2 3 4 5 6
XU 1
KR 02

Left Front
2

3


Right


DATE 1 2 3 4

COMMENT



KRXUVWRKRXUVFKHFNVKHHWV
%DFNKRH$UP


SATISFACTORY (;
UNSATISFACTORY
CORRECTED
,QVSHFWHGE\

0DNHDYLVXDOFKHFNUHSODFHPHQWHWFIRUHDFKEODQN 
VSDFHXQGHUWKHKRXUVPHWHUUHDGLQJRIWKHFKHFNVKHHW
Front

Right

2
Left

UV
3

RX
 <
K
WR /
V 7+


DATE 1 2 3
XU 1
KR 02

Front
4

5
Left

Right


6


DATE 4 5 6

COMMENT












KRXUVWRKRXUV




SATISFACTORY EX1200-7
UNSATISFACTORY
CORRECTED Inspected by:
Make a visual check, replacement, etc. for each blank
space under the hours meter reading of the check sheet.
Front
3

1
Left
2

KRXUVWR 
KRXUV
5

Right

DATE 1 2 3 4 5 6

1
Front
Left
2

Right
4

DATE 1 2 3 4 5 6

COMMENT




'DLO\&KHFN3RLQWV
%DFNKRH%RRP



(;

Front

Left
1

V
XU
Right
R
K
WR <

V ,/

3
XU $

'

Front
Left
KR

6



Right

4


'DLO\&KHFN6KHHWV
%DFNKRH%RRP








SATISFACTORY (;
UNSATISFACTORY
CORRECTED
,QVSHFWHGE\

0DNHDYLVXDOFKHFNUHSODFHPHQWHWFIRUHDFKEODQN 
VSDFHXQGHUWKHKRXUVPHWHUUHDGLQJRIWKHFKHFNVKHHW



DATE WEEKLY 1 2 3 4 5 6 SIGN APPROVAL NOTE
/ 1
/ 2
/ 3
/ 4
/ 5
/ 6

V
/ 7

XU
/ 8
/ 9

R
/ 10
/ 11
K
WR <

/ 12

V ,/

/ 13
/ 14
XU $


/ 15
'

/ 16
/ 17
/ 18
/ 19
/ 20
/ 21
KR

/ 22
/ 23
/ 24


/ 25


/ 26
/ 27
/ 28
/ 29
/ 30
/ 31

COMMENT



KRXUVWRKRXUVFKHFNVKHHW
0DLQ)UDPH


SATISFACTORY (;
UNSATISFACTORY
CORRECTED
,QVSHFWHGE\

0DNHDYLVXDOFKHFNUHSODFHPHQWHWFIRUHDFKEODQN 
VSDFHXQGHUWKHKRXUVPHWHUUHDGLQJRIWKHFKHFNVKHHW

Rear

4 (Out side)
3 Left
(In side) 2
1

UV
RX
 <
K
WR /
V 7+


8
(Out side)
XU 1

7
KR 02

6 (In side)
5

Right
Front

DATE 1 2 3 4 5 6 7 8



COMMENT




KRXUVWRKRXUVFKHFNVKHHWV
%DFNKRH%RRP


SATISFACTORY (;
UNSATISFACTORY
CORRECTED
,QVSHFWHGE\

0DNHDYLVXDOFKHFNUHSODFHPHQWHWFIRUHDFKEODQN 
VSDFHXQGHUWKHKRXUVPHWHUUHDGLQJRIWKHFKHFNVKHHW
Front 3

1
2 Left

Right

UV
RX
 <
6

K
WR /
V 7+

DATE 1 2 3 4 5 6
XU 1
KR 02

Left Front
2

3


Right


DATE 1 2 3 4

COMMENT



KRXUVWRKRXUVFKHFNVKHHWV
%DFNKRH$UP


SATISFACTORY (;
UNSATISFACTORY
CORRECTED
,QVSHFWHGE\

0DNHDYLVXDOFKHFNUHSODFHPHQWHWFIRUHDFKEODQN 
VSDFHXQGHUWKHKRXUVPHWHUUHDGLQJRIWKHFKHFNVKHHW
Front

Right

2
Left

UV
3

RX
 <
K
WR /
V 7+


DATE 1 2 3
XU 1
KR 02

Front
4

5
Left

Right


6


DATE 4 5 6

COMMENT












KRXUVWRKRXUV




SATISFACTORY EX1200-7
UNSATISFACTORY
CORRECTED Inspected by:
Make a visual check, replacement, etc. for each blank
space under the hours meter reading of the check sheet.
Front
3

1
Left
2

Right

DATE 1 2 3 4 5 6

KRXUVWR 
KRXUV
Front
Left
2

Right
4

DATE 1 2 3 4 5 6

COMMENT




'DLO\&KHFN3RLQWV
%DFNKRH%RRP



(;

Front

Left
1

V
XU
Right KR

WR /<


3
,
XU ' $


2
V

Front
Left
KR

6



Right

4


'DLO\&KHFN6KHHWV
%DFNKRH%RRP








SATISFACTORY (;
UNSATISFACTORY
CORRECTED
,QVSHFWHGE\

0DNHDYLVXDOFKHFNUHSODFHPHQWHWFIRUHDFKEODQN 
VSDFHXQGHUWKHKRXUVPHWHUUHDGLQJRIWKHFKHFNVKHHW



DATE WEEKLY 1 2 3 4 5 6 SIGN APPROVAL NOTE
/ 1
/ 2
/ 3
/ 4
/ 5

V
/ 6

XU
/ 7
/ 8

KR
/ 9
/ 10
/ 11 
WR /<

/ 12

/ 13
,

/ 14
XU ' $

/ 15


/ 16
/ 17
/ 18
/ 19
V

/ 20
/ 21
/ 22
KR

/ 23
/ 24
/ 25


/ 26


/ 27
/ 28
/ 29
/ 30
/ 31

COMMENT



KRXUVWRKRXUVFKHFNVKHHW
0DLQ)UDPH


SATISFACTORY (;
UNSATISFACTORY
CORRECTED
,QVSHFWHGE\

0DNHDYLVXDOFKHFNUHSODFHPHQWHWFIRUHDFKEODQN 
VSDFHXQGHUWKHKRXUVPHWHUUHDGLQJRIWKHFKHFNVKHHW

Rear

4 (Out side)
3 Left
(In side) 2

V
1

XU
KR
 /<

7+


8
(Out side)
XU 21

6 (In side)
WR

5
0

Right
Front
V
KR

DATE 1 2 3 4 5 6 7 8



COMMENT




KRXUVWRKRXUVFKHFNVKHHWV
%DFNKRH%RRP


SATISFACTORY (;
UNSATISFACTORY
CORRECTED
,QVSHFWHGE\

0DNHDYLVXDOFKHFNUHSODFHPHQWHWFIRUHDFKEODQN 
VSDFHXQGHUWKHKRXUVPHWHUUHDGLQJRIWKHFKHFNVKHHW
Front 3

1
2 Left

V
Right

XU
KR
 /<
6


7+

DATE 1 2 3 4 5 6
1
2
WR

1
0

Left Front
V

2
XU
KR

3


Right
4


DATE 1 2 3 4

COMMENT



KRXUVWRKRXUVFKHFNVKHHWV
%DFNKRH$UP


SATISFACTORY (;
UNSATISFACTORY
CORRECTED
,QVSHFWHGE\

0DNHDYLVXDOFKHFNUHSODFHPHQWHWFIRUHDFKEODQN 
VSDFHXQGHUWKHKRXUVPHWHUUHDGLQJRIWKHFKHFNVKHHW
Front

Right

2
Left

V
XU
3

KR
 /<

7+


DATE 1 2 3
XU 21
WR

Front
0

4
V

5
Left
KR

Right
6



DATE 4 5 6

COMMENT












KRXUVWRKRXUV




SATISFACTORY EX1200-7
UNSATISFACTORY
CORRECTED Inspected by:
Make a visual check, replacement, etc. for each blank
space under the hours meter reading of the check sheet.
Front
3

1
Left
2

Right

DATE 1 2 3 4 5 6

1
Front
Left
2

Right
4
KRXUVWR 
KRXUV

DATE 1 2 3 4 5 6

COMMENT




'DLO\&KHFN3RLQWV
%DFNKRH%RRP



(;

Front

Left
1

V
XU
Right
KR

WR <

UV $,/

3

'

Front
X

Left
KR

6



Right

4


'DLO\&KHFN6KHHWV
%DFNKRH%RRP








SATISFACTORY (;
UNSATISFACTORY
CORRECTED
,QVSHFWHGE\

0DNHDYLVXDOFKHFNUHSODFHPHQWHWFIRUHDFKEODQN 
VSDFHXQGHUWKHKRXUVPHWHUUHDGLQJRIWKHFKHFNVKHHW



DATE WEEKLY 1 2 3 4 5 6 SIGN APPROVAL NOTE
/ 1
/ 2
/ 3
/ 4
/ 5

V
/ 6

XU
/ 7
/ 8

KR
/ 9
/ 10
/ 11

WR <

/ 12

UV , /

/ 13
/ 14
$


/ 15
'

/ 16
/ 17
/ 18
/ 19
/ 20
X

/ 21
KR

/ 22
/ 23
/ 24


/ 25
/ 26


/ 27
/ 28
/ 29
/ 30
/ 31

COMMENT



KRXUVWRKRXUVFKHFNVKHHW
0DLQ)UDPH


SATISFACTORY (;
UNSATISFACTORY
CORRECTED
,QVSHFWHGE\

0DNHDYLVXDOFKHFNUHSODFHPHQWHWFIRUHDFKEODQN 
VSDFHXQGHUWKHKRXUVPHWHUUHDGLQJRIWKHFKHFNVKHHW

Rear

4 (Out side)
3 Left
(In side) 2

UV
1

X
KR
 <

/
V 7+


8
(Out side)
XU 1

7
KR 02

WR

6 (In side)
5

Right
Front

DATE 1 2 3 4 5 6 7 8



COMMENT




KRXUVWRKRXUVFKHFNVKHHWV
%DFNKRH%RRP


SATISFACTORY (;
UNSATISFACTORY
CORRECTED
,QVSHFWHGE\

0DNHDYLVXDOFKHFNUHSODFHPHQWHWFIRUHDFKEODQN 
VSDFHXQGHUWKHKRXUVPHWHUUHDGLQJRIWKHFKHFNVKHHW
Front 3

1
2 Left

UV
Right

X
KR
 <
6


/
V 7+

DATE 1 2 3 4 5 6
XU 1
KR 02

WR

Left Front
2

3


Right
4


DATE 1 2 3 4

COMMENT



KRXUVWRKRXUVFKHFNVKHHWV
%DFNKRH$UP


SATISFACTORY (;
UNSATISFACTORY
CORRECTED
,QVSHFWHGE\

0DNHDYLVXDOFKHFNUHSODFHPHQWHWFIRUHDFKEODQN 
VSDFHXQGHUWKHKRXUVPHWHUUHDGLQJRIWKHFKHFNVKHHW
Front

Right

2
Left

UV
3

X
KR
 <

/
V 7+


DATE 1 2 3
XU 1
KR 02

WR

Front
4

5
Left

Right


6


DATE 4 5 6

COMMENT








KRXUVWR 


KRXUV




KRXUVWRKRXUV




SATISFACTORY EX1200-7
UNSATISFACTORY
CORRECTED Inspected by:
Make a visual check, replacement, etc. for each blank
space under the hours meter reading of the check sheet.
Front
3

1
Left
2

Right

DATE 1 2 3 4 5 6

1
Front
Left
2

Right
4

DATE 1 2 3 4 5 6

COMMENT




'DLO\&KHFN3RLQWV
%DFNKRH%RRP



(;

Front

Left
1

V
XU
KR Right

WR <

V ,/

3
XU $

'

Front
Left
KR

6



Right

4


'DLO\&KHFN6KHHWV
%DFNKRH%RRP








SATISFACTORY (;
UNSATISFACTORY
CORRECTED
,QVSHFWHGE\

0DNHDYLVXDOFKHFNUHSODFHPHQWHWFIRUHDFKEODQN 
VSDFHXQGHUWKHKRXUVPHWHUUHDGLQJRIWKHFKHFNVKHHW



DATE WEEKLY 1 2 3 4 5 6 SIGN APPROVAL NOTE
/ 1
/ 2
/ 3
/ 4
/ 5

V
/ 6

XU
/ 7
/ 8

KR
/ 9
/ 10
/ 11

WR <

/ 12

V ,/

/ 13
/ 14
XU $


/ 15
'

/ 16
/ 17
/ 18
/ 19
/ 20
/ 21
KR

/ 22
/ 23
/ 24


/ 25
/ 26
/ 27


/ 28
/ 29
/ 30
/ 31

COMMENT



KRXUVWRKRXUVFKHFNVKHHW
0DLQ)UDPH


SATISFACTORY (;
UNSATISFACTORY
CORRECTED
,QVSHFWHGE\

0DNHDYLVXDOFKHFNUHSODFHPHQWHWFIRUHDFKEODQN 
VSDFHXQGHUWKHKRXUVPHWHUUHDGLQJRIWKHFKHFNVKHHW

Rear

4 (Out side)
3 Left
(In side) 2

V
1

XU
KR
 <

/
V 7+


8
(Out side)
XU 1

7
K R 02

WR

6 (In side)
5

Right
Front

DATE 1 2 3 4 5 6 7 8



COMMENT




KRXUVWRKRXUVFKHFNVKHHWV
%DFNKRH%RRP


SATISFACTORY (;
UNSATISFACTORY
CORRECTED
,QVSHFWHGE\

0DNHDYLVXDOFKHFNUHSODFHPHQWHWFIRUHDFKEODQN 
VSDFHXQGHUWKHKRXUVPHWHUUHDGLQJRIWKHFKHFNVKHHW
Front 3

1
2 Left

V
Right

XU
KR
 <
6


/
V 7+

DATE 1 2 3 4 5 6
XU 1
K R 02

WR

Left Front
2

3


Right
4


DATE 1 2 3 4

COMMENT



KRXUVWRKRXUVFKHFNVKHHWV
%DFNKRH$UP


SATISFACTORY (;
UNSATISFACTORY
CORRECTED
,QVSHFWHGE\

0DNHDYLVXDOFKHFNUHSODFHPHQWHWFIRUHDFKEODQN 
VSDFHXQGHUWKHKRXUVPHWHUUHDGLQJRIWKHFKHFNVKHHW
Front

Right

2
Left

V
XU
3

KR
 <

/
V 7+


DATE 1 2 3
XU 1
K R 02

WR

Front
4

5
Left

Right


6


DATE 4 5 6

COMMENT












KRXUVWRKRXUV



KRXUVWR 
KRXUV

SATISFACTORY EX1200-7
UNSATISFACTORY
CORRECTED Inspected by:
Make a visual check, replacement, etc. for each blank
space under the hours meter reading of the check sheet.
Front
3

1
Left
2

Right

DATE 1 2 3 4 5 6

1
Front
Left
2

Right
4

DATE 1 2 3 4 5 6

COMMENT




'DLO\&KHFN3RLQWV
%DFNKRH%RRP



(;

Front

Left
1

V
XU
Right
KR

WR <

V ,/

3
XU $

'

Front
Left
KR

6



Right

4


'DLO\&KHFN6KHHWV
%DFNKRH%RRP








SATISFACTORY (;
UNSATISFACTORY
CORRECTED
,QVSHFWHGE\

0DNHDYLVXDOFKHFNUHSODFHPHQWHWFIRUHDFKEODQN 
VSDFHXQGHUWKHKRXUVPHWHUUHDGLQJRIWKHFKHFNVKHHW



DATE WEEKLY 1 2 3 4 5 6 SIGN APPROVAL NOTE
/ 1
/ 2
/ 3
/ 4
/ 5

V
/ 6

XU
/ 7
/ 8

KR
/ 9
/ 10
/ 11

WR <

/ 12

V ,/

/ 13
/ 14
XU $


/ 15
'

/ 16
/ 17
/ 18
/ 19
/ 20
/ 21
KR

/ 22
/ 23
/ 24


/ 25
/ 26
/ 27


/ 28
/ 29
/ 30
/ 31

COMMENT



KRXUVWRKRXUVFKHFNVKHHW
0DLQ)UDPH


SATISFACTORY (;
UNSATISFACTORY
CORRECTED
,QVSHFWHGE\

0DNHDYLVXDOFKHFNUHSODFHPHQWHWFIRUHDFKEODQN 
VSDFHXQGHUWKHKRXUVPHWHUUHDGLQJRIWKHFKHFNVKHHW

Rear

4 (Out side)
3 Left
(In side) 2

V
1

XU
KR
 <

/
V 7+


8
(Out side)
XU 1

7
K R 02

WR

6 (In side)
5

Right
Front

DATE 1 2 3 4 5 6 7 8



COMMENT




KRXUVWRKRXUVFKHFNVKHHWV
%DFNKRH%RRP


SATISFACTORY (;
UNSATISFACTORY
CORRECTED
,QVSHFWHGE\

0DNHDYLVXDOFKHFNUHSODFHPHQWHWFIRUHDFKEODQN 
VSDFHXQGHUWKHKRXUVPHWHUUHDGLQJRIWKHFKHFNVKHHW
Front 3

1
2 Left

V
Right

XU
KR
 <
6


/
V 7+

DATE 1 2 3 4 5 6
XU 1
K R 02

WR

Left Front
2

3


Right
4


DATE 1 2 3 4

COMMENT



KRXUVWRKRXUVFKHFNVKHHWV
%DFNKRH$UP


SATISFACTORY (;
UNSATISFACTORY
CORRECTED
,QVSHFWHGE\

0DNHDYLVXDOFKHFNUHSODFHPHQWHWFIRUHDFKEODQN 
VSDFHXQGHUWKHKRXUVPHWHUUHDGLQJRIWKHFKHFNVKHHW
Front

Right

2
Left

V
XU
3

KR
 <

/
V 7+


DATE 1 2 3
XU 1
K R 02

WR

Front
4

5
Left

Right


6


DATE 4 5 6

COMMENT












KRXUVWRKRXUV




SATISFACTORY EX1200-7
UNSATISFACTORY
CORRECTED Inspected by:
Make a visual check, replacement, etc. for each blank
space under the hours meter reading of the check sheet.
Front
3

1
Left

KRXUVWR 
2

KRXUV
5

Right

DATE 1 2 3 4 5 6

1
Front
Left
2

Right
4

DATE 1 2 3 4 5 6

COMMENT




'DLO\&KHFN3RLQWV
%DFNKRH%RRP



(;

Front

Left
1

V
XU
KR Right

WR <

V ,/

3
XU $

'

Front
Left
KR

6



Right

4


'DLO\&KHFN6KHHWV
%DFNKRH%RRP








SATISFACTORY (;
UNSATISFACTORY
CORRECTED
,QVSHFWHGE\

0DNHDYLVXDOFKHFNUHSODFHPHQWHWFIRUHDFKEODQN 
VSDFHXQGHUWKHKRXUVPHWHUUHDGLQJRIWKHFKHFNVKHHW



DATE WEEKLY 1 2 3 4 5 6 SIGN APPROVAL NOTE
/ 1
/ 2
/ 3
/ 4
/ 5

V
/ 6

XU
/ 7
/ 8

KR
/ 9
/ 10
/ 11

WR <

/ 12

V ,/

/ 13
/ 14
XU $


/ 15
'

/ 16
/ 17
/ 18
/ 19
/ 20
/ 21
KR

/ 22
/ 23
/ 24


/ 25
/ 26
/ 27


/ 28
/ 29
/ 30
/ 31

COMMENT



KRXUVWRKRXUVFKHFNVKHHW
0DLQ)UDPH


SATISFACTORY (;
UNSATISFACTORY
CORRECTED
,QVSHFWHGE\

0DNHDYLVXDOFKHFNUHSODFHPHQWHWFIRUHDFKEODQN 
VSDFHXQGHUWKHKRXUVPHWHUUHDGLQJRIWKHFKHFNVKHHW

Rear

4 (Out side)
3 Left
(In side) 2

V
1

XU
KR
 <

/
V 7+


8
(Out side)
XU 1

7
K R 02

WR

6 (In side)
5

Right
Front

DATE 1 2 3 4 5 6 7 8



COMMENT




KRXUVWRKRXUVFKHFNVKHHWV
%DFNKRH%RRP


SATISFACTORY (;
UNSATISFACTORY
CORRECTED
,QVSHFWHGE\

0DNHDYLVXDOFKHFNUHSODFHPHQWHWFIRUHDFKEODQN 
VSDFHXQGHUWKHKRXUVPHWHUUHDGLQJRIWKHFKHFNVKHHW
Front 3

1
2 Left

V
Right

XU
KR
 <
6


/
V 7+

DATE 1 2 3 4 5 6
XU 1
K R 02

WR

Left Front
2

3


Right
4


DATE 1 2 3 4

COMMENT



KRXUVWRKRXUVFKHFNVKHHWV
%DFNKRH$UP


SATISFACTORY (;
UNSATISFACTORY
CORRECTED
,QVSHFWHGE\

0DNHDYLVXDOFKHFNUHSODFHPHQWHWFIRUHDFKEODQN 
VSDFHXQGHUWKHKRXUVPHWHUUHDGLQJRIWKHFKHFNVKHHW
Front

Right

2
Left

V
XU
3

KR
 <

/
V 7+


DATE 1 2 3
XU 1
K R 02

WR

Front
4

5
Left

Right


6


DATE 4 5 6

COMMENT












KRXUVWRKRXUV




SATISFACTORY EX1200-7
UNSATISFACTORY
CORRECTED Inspected by:
Make a visual check, replacement, etc. for each blank
space under the hours meter reading of the check sheet.
Front
3

1
Left
2

Right

DATE 1 2 3 4 5 6

KRXUVWR 
1

KRXUV
Front
Left
2

Right
4

DATE 1 2 3 4 5 6

COMMENT




'DLO\&KHFN3RLQWV
%DFNKRH%RRP



(;

Front

Left
1

V
XU
Right
KR

WR <

UV $,/

3

'

Front
X

Left
KR

6



Right

4


'DLO\&KHFN6KHHWV
%DFNKRH%RRP








SATISFACTORY (;
UNSATISFACTORY
CORRECTED
,QVSHFWHGE\

0DNHDYLVXDOFKHFNUHSODFHPHQWHWFIRUHDFKEODQN 
VSDFHXQGHUWKHKRXUVPHWHUUHDGLQJRIWKHFKHFNVKHHW



DATE WEEKLY 1 2 3 4 5 6 SIGN APPROVAL NOTE
/ 1
/ 2
/ 3
/ 4
/ 5

V
/ 6

XU
/ 7
/ 8

KR
/ 9
/ 10
/ 11

WR <

/ 12

UV ,/

/ 13
/ 14
$


/ 15
'

/ 16
/ 17
/ 18
/ 19
/ 20
X

/ 21
KR

/ 22
/ 23
/ 24


/ 25
/ 26


/ 27
/ 28
/ 29
/ 30
/ 31

COMMENT



KRXUVWRKRXUVFKHFNVKHHW
0DLQ)UDPH


SATISFACTORY (;
UNSATISFACTORY
CORRECTED
,QVSHFWHGE\

0DNHDYLVXDOFKHFNUHSODFHPHQWHWFIRUHDFKEODQN 
VSDFHXQGHUWKHKRXUVPHWHUUHDGLQJRIWKHFKHFNVKHHW

Rear

4 (Out side)
3 Left
(In side) 2

UV
1

X
KR
 <

/
V 7+


8
(Out side)
XU 1

7
KR 02

WR

6 (In side)
5

Right
Front

DATE 1 2 3 4 5 6 7 8



COMMENT




KRXUVWRKRXUVFKHFNVKHHWV
%DFNKRH%RRP


SATISFACTORY (;
UNSATISFACTORY
CORRECTED
,QVSHFWHGE\

0DNHDYLVXDOFKHFNUHSODFHPHQWHWFIRUHDFKEODQN 
VSDFHXQGHUWKHKRXUVPHWHUUHDGLQJRIWKHFKHFNVKHHW
Front 3

1
2 Left

UV
Right

X
KR
 <
6


/
V 7+

DATE 1 2 3 4 5 6
XU 1
KR 02

WR

Left Front
2

3


Right
4


DATE 1 2 3 4

COMMENT



KRXUVWRKRXUVFKHFNVKHHWV
%DFNKRH$UP


SATISFACTORY (;
UNSATISFACTORY
CORRECTED
,QVSHFWHGE\

0DNHDYLVXDOFKHFNUHSODFHPHQWHWFIRUHDFKEODQN 
VSDFHXQGHUWKHKRXUVPHWHUUHDGLQJRIWKHFKHFNVKHHW
Front

Right

2
Left

UV
3

X
KR
 <

/
V 7+


DATE 1 2 3
XU 1
KR 02

WR

Front
4

5
Left

Right


6


DATE 4 5 6

COMMENT












KRXUVWRKRXUV




SATISFACTORY EX1200-7
UNSATISFACTORY
CORRECTED Inspected by:
Make a visual check, replacement, etc. for each blank
space under the hours meter reading of the check sheet.
Front
3

1
Left
2

Right

DATE 1 2 3 4 5 6

1
Front
Left
2

Right
4
KRXUVWR 
KRXUV

DATE 1 2 3 4 5 6

COMMENT




'DLO\&KHFN3RLQWV
%DFNKRH%RRP



(;

Front

Left
1

V
XU
KR Right

WR <

V ,/

3
XU $

'

Front
Left
KR

6



Right

4


'DLO\&KHFN6KHHWV
%DFNKRH%RRP








SATISFACTORY (;
UNSATISFACTORY
CORRECTED
,QVSHFWHGE\

0DNHDYLVXDOFKHFNUHSODFHPHQWHWFIRUHDFKEODQN 
VSDFHXQGHUWKHKRXUVPHWHUUHDGLQJRIWKHFKHFNVKHHW



DATE WEEKLY 1 2 3 4 5 6 SIGN APPROVAL NOTE
/ 1
/ 2
/ 3
/ 4
/ 5

V
/ 6

XU
/ 7
/ 8

KR
/ 9
/ 10
/ 11

WR <

/ 12

V ,/

/ 13
/ 14
XU $


/ 15
'

/ 16
/ 17
/ 18
/ 19
/ 20
/ 21
KR

/ 22
/ 23
/ 24


/ 25
/ 26
/ 27


/ 28
/ 29
/ 30
/ 31

COMMENT



KRXUVWRKRXUVFKHFNVKHHW
0DLQ)UDPH


SATISFACTORY (;
UNSATISFACTORY
CORRECTED
,QVSHFWHGE\

0DNHDYLVXDOFKHFNUHSODFHPHQWHWFIRUHDFKEODQN 
VSDFHXQGHUWKHKRXUVPHWHUUHDGLQJRIWKHFKHFNVKHHW

Rear

4 (Out side)
3 Left
(In side) 2

V
1

XU
KR
 <

/
V 7+


8
(Out side)
XU 1

7
K R 02

WR

6 (In side)
5

Right
Front

DATE 1 2 3 4 5 6 7 8



COMMENT




KRXUVWRKRXUVFKHFNVKHHWV
%DFNKRH%RRP


SATISFACTORY (;
UNSATISFACTORY
CORRECTED
,QVSHFWHGE\

0DNHDYLVXDOFKHFNUHSODFHPHQWHWFIRUHDFKEODQN 
VSDFHXQGHUWKHKRXUVPHWHUUHDGLQJRIWKHFKHFNVKHHW
Front 3

1
2 Left

V
Right

XU
KR
 <
6


/
V 7+

DATE 1 2 3 4 5 6
XU 1
K R 02

WR

Left Front
2

3


Right
4


DATE 1 2 3 4

COMMENT



KRXUVWRKRXUVFKHFNVKHHWV
%DFNKRH$UP


SATISFACTORY (;
UNSATISFACTORY
CORRECTED
,QVSHFWHGE\

0DNHDYLVXDOFKHFNUHSODFHPHQWHWFIRUHDFKEODQN 
VSDFHXQGHUWKHKRXUVPHWHUUHDGLQJRIWKHFKHFNVKHHW
Front

Right

2
Left

V
XU
3

KR
 <

/
V 7+


DATE 1 2 3
XU 1
K R 02

WR

Front
4

5
Left

Right


6


DATE 4 5 6

COMMENT








KRXUVWR 


KRXUV




KRXUVWRKRXUV




SATISFACTORY EX1200-7
UNSATISFACTORY
CORRECTED Inspected by:
Make a visual check, replacement, etc. for each blank
space under the hours meter reading of the check sheet.
Front
3

1
Left
2

Right

DATE 1 2 3 4 5 6

1
Front
Left
2

Right
4

DATE 1 2 3 4 5 6

COMMENT




'DLO\&KHFN3RLQWV
%DFNKRH%RRP



(;

Front

Left
1

V
XU
Right
KR

WR <

V ,/

3
XU $

'

Front
Left
KR

6



Right

4


'DLO\&KHFN6KHHWV
%DFNKRH%RRP








SATISFACTORY (;
UNSATISFACTORY
CORRECTED
,QVSHFWHGE\

0DNHDYLVXDOFKHFNUHSODFHPHQWHWFIRUHDFKEODQN 
VSDFHXQGHUWKHKRXUVPHWHUUHDGLQJRIWKHFKHFNVKHHW



DATE WEEKLY 1 2 3 4 5 6 SIGN APPROVAL NOTE
/ 1
/ 2
/ 3
/ 4
/ 5

V
/ 6

XU
/ 7
/ 8

KR
/ 9
/ 10
/ 11

WR <

/ 12

V ,/

/ 13
/ 14
XU $


/ 15
'

/ 16
/ 17
/ 18
/ 19
/ 20
/ 21
KR

/ 22
/ 23
/ 24


/ 25
/ 26
/ 27


/ 28
/ 29
/ 30
/ 31

COMMENT



KRXUVWRKRXUVFKHFNVKHHW
0DLQ)UDPH


SATISFACTORY (;
UNSATISFACTORY
CORRECTED
,QVSHFWHGE\

0DNHDYLVXDOFKHFNUHSODFHPHQWHWFIRUHDFKEODQN 
VSDFHXQGHUWKHKRXUVPHWHUUHDGLQJRIWKHFKHFNVKHHW

Rear

4 (Out side)
3 Left
(In side) 2

V
1

XU
KR
 <

/
V 7+


8
(Out side)
XU 1

7
K R 02

WR

6 (In side)
5

Right
Front

DATE 1 2 3 4 5 6 7 8



COMMENT




KRXUVWRKRXUVFKHFNVKHHWV
%DFNKRH%RRP


SATISFACTORY (;
UNSATISFACTORY
CORRECTED
,QVSHFWHGE\

0DNHDYLVXDOFKHFNUHSODFHPHQWHWFIRUHDFKEODQN 
VSDFHXQGHUWKHKRXUVPHWHUUHDGLQJRIWKHFKHFNVKHHW
Front 3

1
2 Left

V
Right

XU
KR
 <
6


/
V 7+

DATE 1 2 3 4 5 6
XU 1
K R 02

WR

Left Front
2

3


Right
4


DATE 1 2 3 4

COMMENT



KRXUVWRKRXUVFKHFNVKHHWV
%DFNKRH$UP


SATISFACTORY (;
UNSATISFACTORY
CORRECTED
,QVSHFWHGE\

0DNHDYLVXDOFKHFNUHSODFHPHQWHWFIRUHDFKEODQN 
VSDFHXQGHUWKHKRXUVPHWHUUHDGLQJRIWKHFKHFNVKHHW
Front

Right

2
Left

V
XU
3

KR
 <

/
V 7+


DATE 1 2 3
XU 1
K R 02

WR

Front
4

5
Left

Right


6


DATE 4 5 6

COMMENT












KRXUVWRKRXUV



KRXUVWR 
KRXUV

SATISFACTORY EX1200-7
UNSATISFACTORY
CORRECTED Inspected by:
Make a visual check, replacement, etc. for each blank
space under the hours meter reading of the check sheet.
Front
3

1
Left
2

Right

DATE 1 2 3 4 5 6

1
Front
Left
2

Right
4

DATE 1 2 3 4 5 6

COMMENT




'DLO\&KHFN3RLQWV
%DFNKRH%RRP



(;

Front

Left
1

V
XU
KR Right

WR <

V ,/

3
XU $

'

Front
Left
KR

6



Right

4


'DLO\&KHFN6KHHWV
%DFNKRH%RRP








SATISFACTORY (;
UNSATISFACTORY
CORRECTED
,QVSHFWHGE\

0DNHDYLVXDOFKHFNUHSODFHPHQWHWFIRUHDFKEODQN 
VSDFHXQGHUWKHKRXUVPHWHUUHDGLQJRIWKHFKHFNVKHHW



DATE WEEKLY 1 2 3 4 5 6 SIGN APPROVAL NOTE
/ 1
/ 2
/ 3
/ 4
/ 5

V
/ 6

XU
/ 7
/ 8

KR
/ 9
/ 10
/ 11

WR <

/ 12

V ,/

/ 13
/ 14
XU $


/ 15
'

/ 16
/ 17
/ 18
/ 19
/ 20
/ 21
KR

/ 22
/ 23
/ 24


/ 25
/ 26
/ 27


/ 28
/ 29
/ 30
/ 31

COMMENT



KRXUVWRKRXUVFKHFNVKHHW
0DLQ)UDPH


SATISFACTORY (;
UNSATISFACTORY
CORRECTED
,QVSHFWHGE\

0DNHDYLVXDOFKHFNUHSODFHPHQWHWFIRUHDFKEODQN 
VSDFHXQGHUWKHKRXUVPHWHUUHDGLQJRIWKHFKHFNVKHHW

Rear

4 (Out side)
3 Left
(In side) 2

V
1

XU
KR
 <

/
V 7+


8
(Out side)
XU 1

7
K R 02

WR

6 (In side)
5

Right
Front

DATE 1 2 3 4 5 6 7 8



COMMENT




KRXUVWRKRXUVFKHFNVKHHWV
%DFNKRH%RRP


SATISFACTORY (;
UNSATISFACTORY
CORRECTED
,QVSHFWHGE\

0DNHDYLVXDOFKHFNUHSODFHPHQWHWFIRUHDFKEODQN 
VSDFHXQGHUWKHKRXUVPHWHUUHDGLQJRIWKHFKHFNVKHHW
Front 3

1
2 Left

V
Right

XU
KR
 <
6


/
V 7+

DATE 1 2 3 4 5 6
XU 1
K R 02

WR

Left Front
2

3


Right
4


DATE 1 2 3 4

COMMENT



KRXUVWRKRXUVFKHFNVKHHWV
%DFNKRH$UP


SATISFACTORY (;
UNSATISFACTORY
CORRECTED
,QVSHFWHGE\

0DNHDYLVXDOFKHFNUHSODFHPHQWHWFIRUHDFKEODQN 
VSDFHXQGHUWKHKRXUVPHWHUUHDGLQJRIWKHFKHFNVKHHW
Front

Right

2
Left

V
XU
3

KR
 <

/
V 7+


DATE 1 2 3
XU 1
K R 02

WR

Front
4

5
Left

Right


6


DATE 4 5 6

COMMENT












KRXUVWRKRXUV




SATISFACTORY EX1200-7
UNSATISFACTORY
CORRECTED Inspected by:
Make a visual check, replacement, etc. for each blank
space under the hours meter reading of the check sheet.
Front
3

1
Left

KRXUVWR 
2

KRXUV
5

Right

DATE 1 2 3 4 5 6

1
Front
Left
2

Right
4

DATE 1 2 3 4 5 6

COMMENT




'DLO\&KHFN3RLQWV
%DFNKRH%RRP



(;

Front

Left
1

V
XU
Right
KR

WR <

UV $,/

3

'

Front
X

Left
KR

6



Right

4


'DLO\&KHFN6KHHWV
%DFNKRH%RRP








SATISFACTORY (;
UNSATISFACTORY
CORRECTED
,QVSHFWHGE\

0DNHDYLVXDOFKHFNUHSODFHPHQWHWFIRUHDFKEODQN 
VSDFHXQGHUWKHKRXUVPHWHUUHDGLQJRIWKHFKHFNVKHHW



DATE WEEKLY 1 2 3 4 5 6 SIGN APPROVAL NOTE
/ 1
/ 2
/ 3
/ 4
/ 5

V
/ 6

XU
/ 7
/ 8

KR
/ 9
/ 10
/ 11

WR <

/ 12

UV ,/

/ 13
/ 14
$


/ 15
'

/ 16
/ 17
/ 18
/ 19
/ 20
X

/ 21
KR

/ 22
/ 23
/ 24


/ 25
/ 26


/ 27
/ 28
/ 29
/ 30
/ 31

COMMENT



KRXUVWRKRXUVFKHFNVKHHW
0DLQ)UDPH


SATISFACTORY (;
UNSATISFACTORY
CORRECTED
,QVSHFWHGE\

0DNHDYLVXDOFKHFNUHSODFHPHQWHWFIRUHDFKEODQN 
VSDFHXQGHUWKHKRXUVPHWHUUHDGLQJRIWKHFKHFNVKHHW

Rear

4 (Out side)
3 Left
(In side) 2

UV
1

X
KR
 <

/
V 7+


8
(Out side)
XU 1

7
KR 02

WR

6 (In side)
5

Right
Front

DATE 1 2 3 4 5 6 7 8



COMMENT




KRXUVWRKRXUVFKHFNVKHHWV
%DFNKRH%RRP


SATISFACTORY (;
UNSATISFACTORY
CORRECTED
,QVSHFWHGE\

0DNHDYLVXDOFKHFNUHSODFHPHQWHWFIRUHDFKEODQN 
VSDFHXQGHUWKHKRXUVPHWHUUHDGLQJRIWKHFKHFNVKHHW
Front 3

1
2 Left

UV
Right

X
KR
 <
6


/
V 7+

DATE 1 2 3 4 5 6
XU 1
KR 02

WR

Left Front
2

3


Right
4


DATE 1 2 3 4

COMMENT



KRXUVWRKRXUVFKHFNVKHHWV
%DFNKRH$UP


SATISFACTORY (;
UNSATISFACTORY
CORRECTED
,QVSHFWHGE\

0DNHDYLVXDOFKHFNUHSODFHPHQWHWFIRUHDFKEODQN 
VSDFHXQGHUWKHKRXUVPHWHUUHDGLQJRIWKHFKHFNVKHHW
Front

Right

2
Left

UV
3

X
KR
 <

/
V 7+


DATE 1 2 3
XU 1
KR 02

WR

Front
4

5
Left

Right


6


DATE 4 5 6

COMMENT












KRXUVWRKRXUV




SATISFACTORY EX1200-7
UNSATISFACTORY
CORRECTED Inspected by:
Make a visual check, replacement, etc. for each blank
space under the hours meter reading of the check sheet.
Front
3

1
Left
2

Right

DATE 1 2 3 4 5 6

KRXUVWR 
1

KRXUV
Front
Left
2

Right
4

DATE 1 2 3 4 5 6

COMMENT




'DLO\&KHFN3RLQWV
%DFNKRH%RRP



(;

Front

Left
1

V
XU
KR Right

WR <

V ,/

3
XU $

'

Front
Left
KR

6



Right

4


'DLO\&KHFN6KHHWV
%DFNKRH%RRP








SATISFACTORY (;
UNSATISFACTORY
CORRECTED
,QVSHFWHGE\

0DNHDYLVXDOFKHFNUHSODFHPHQWHWFIRUHDFKEODQN 
VSDFHXQGHUWKHKRXUVPHWHUUHDGLQJRIWKHFKHFNVKHHW



DATE WEEKLY 1 2 3 4 5 6 SIGN APPROVAL NOTE
/ 1
/ 2
/ 3
/ 4
/ 5

V
/ 6

XU
/ 7
/ 8

KR
/ 9
/ 10
/ 11

WR <

/ 12

V ,/

/ 13
/ 14
XU $


/ 15
'

/ 16
/ 17
/ 18
/ 19
/ 20
/ 21
KR

/ 22
/ 23
/ 24


/ 25
/ 26
/ 27


/ 28
/ 29
/ 30
/ 31

COMMENT



KRXUVWRKRXUVFKHFNVKHHW
0DLQ)UDPH


SATISFACTORY (;
UNSATISFACTORY
CORRECTED
,QVSHFWHGE\

0DNHDYLVXDOFKHFNUHSODFHPHQWHWFIRUHDFKEODQN 
VSDFHXQGHUWKHKRXUVPHWHUUHDGLQJRIWKHFKHFNVKHHW

Rear

4 (Out side)
3 Left
(In side) 2

V
1

XU
KR
 <

/
V 7+


8
(Out side)
XU 1

7
K R 02

WR

6 (In side)
5

Right
Front

DATE 1 2 3 4 5 6 7 8



COMMENT




KRXUVWRKRXUVFKHFNVKHHWV
%DFNKRH%RRP


SATISFACTORY (;
UNSATISFACTORY
CORRECTED
,QVSHFWHGE\

0DNHDYLVXDOFKHFNUHSODFHPHQWHWFIRUHDFKEODQN 
VSDFHXQGHUWKHKRXUVPHWHUUHDGLQJRIWKHFKHFNVKHHW
Front 3

1
2 Left

V
Right

XU
KR
 <
6


/
V 7+

DATE 1 2 3 4 5 6
XU 1
K R 02

WR

Left Front
2

3


Right
4


DATE 1 2 3 4

COMMENT



KRXUVWRKRXUVFKHFNVKHHWV
%DFNKRH$UP


SATISFACTORY (;
UNSATISFACTORY
CORRECTED
,QVSHFWHGE\

0DNHDYLVXDOFKHFNUHSODFHPHQWHWFIRUHDFKEODQN 
VSDFHXQGHUWKHKRXUVPHWHUUHDGLQJRIWKHFKHFNVKHHW
Front

Right

2
Left

V
XU
3

KR
 <

/
V 7+


DATE 1 2 3
XU 1
K R 02

WR

Front
4

5
Left

Right


6


DATE 4 5 6

COMMENT












KRXUVWRKRXUV




SATISFACTORY EX1200-7
UNSATISFACTORY
CORRECTED Inspected by:
Make a visual check, replacement, etc. for each blank
space under the hours meter reading of the check sheet.
Front
3

1
Left
2

Right

DATE 1 2 3 4 5 6

1
Front
Left
2

Right
4
KRXUVWR 
KRXUV

DATE 1 2 3 4 5 6

COMMENT




'DLO\&KHFN3RLQWV
%DFNKRH%RRP



(;

Front

Left
1

V
XU
Right
KR

WR <

V ,/

3
XU $

'

Front
Left
KR

6



Right

4


'DLO\&KHFN6KHHWV
%DFNKRH%RRP








SATISFACTORY (;
UNSATISFACTORY
CORRECTED
,QVSHFWHGE\

0DNHDYLVXDOFKHFNUHSODFHPHQWHWFIRUHDFKEODQN 
VSDFHXQGHUWKHKRXUVPHWHUUHDGLQJRIWKHFKHFNVKHHW



DATE WEEKLY 1 2 3 4 5 6 SIGN APPROVAL NOTE
/ 1
/ 2
/ 3
/ 4
/ 5

V
/ 6

XU
/ 7
/ 8

KR
/ 9
/ 10
/ 11

WR <

/ 12

V ,/

/ 13
/ 14
XU $


/ 15
'

/ 16
/ 17
/ 18
/ 19
/ 20
/ 21
KR

/ 22
/ 23
/ 24


/ 25
/ 26
/ 27


/ 28
/ 29
/ 30
/ 31

COMMENT



KRXUVWRKRXUVFKHFNVKHHW
0DLQ)UDPH


SATISFACTORY (;
UNSATISFACTORY
CORRECTED
,QVSHFWHGE\

0DNHDYLVXDOFKHFNUHSODFHPHQWHWFIRUHDFKEODQN 
VSDFHXQGHUWKHKRXUVPHWHUUHDGLQJRIWKHFKHFNVKHHW

Rear

4 (Out side)
3 Left
(In side) 2

V
1

XU
KR
 <

/
V 7+


8
(Out side)
XU 1

7
K R 02

WR

6 (In side)
5

Right
Front

DATE 1 2 3 4 5 6 7 8



COMMENT




KRXUVWRKRXUVFKHFNVKHHWV
%DFNKRH%RRP


SATISFACTORY (;
UNSATISFACTORY
CORRECTED
,QVSHFWHGE\

0DNHDYLVXDOFKHFNUHSODFHPHQWHWFIRUHDFKEODQN 
VSDFHXQGHUWKHKRXUVPHWHUUHDGLQJRIWKHFKHFNVKHHW
Front 3

1
2 Left

V
Right

XU
KR
 <
6


/
V 7+

DATE 1 2 3 4 5 6
XU 1
K R 02

WR

Left Front
2

3


Right
4


DATE 1 2 3 4

COMMENT



KRXUVWRKRXUVFKHFNVKHHWV
%DFNKRH$UP


SATISFACTORY (;
UNSATISFACTORY
CORRECTED
,QVSHFWHGE\

0DNHDYLVXDOFKHFNUHSODFHPHQWHWFIRUHDFKEODQN 
VSDFHXQGHUWKHKRXUVPHWHUUHDGLQJRIWKHFKHFNVKHHW
Front

Right

2
Left

V
XU
3

KR
 <

/
V 7+


DATE 1 2 3
XU 1
K R 02

WR

Front
4

5
Left

Right


6


DATE 4 5 6

COMMENT








KRXUVWR 


KRXUV




KRXUVWRKRXUV




SATISFACTORY EX1200-7
UNSATISFACTORY
CORRECTED Inspected by:
Make a visual check, replacement, etc. for each blank
space under the hours meter reading of the check sheet.
Front
3

1
Left
2

Right

DATE 1 2 3 4 5 6

1
Front
Left
2

Right
4

DATE 1 2 3 4 5 6

COMMENT




'DLO\&KHFN3RLQWV
%DFNKRH%RRP



(;

Front

Left
1

V
XU
KR Right

WR <

V ,/

3
XU $

'

Front
Left
KR

6



Right

4


'DLO\&KHFN6KHHWV
%DFNKRH%RRP








SATISFACTORY (;
UNSATISFACTORY
CORRECTED
,QVSHFWHGE\

0DNHDYLVXDOFKHFNUHSODFHPHQWHWFIRUHDFKEODQN 
VSDFHXQGHUWKHKRXUVPHWHUUHDGLQJRIWKHFKHFNVKHHW



DATE WEEKLY 1 2 3 4 5 6 SIGN APPROVAL NOTE
/ 1
/ 2
/ 3
/ 4
/ 5

V
/ 6

XU
/ 7
/ 8

KR
/ 9
/ 10
/ 11

WR <

/ 12

V ,/

/ 13
/ 14
XU $


/ 15
'

/ 16
/ 17
/ 18
/ 19
/ 20
/ 21
KR

/ 22
/ 23
/ 24


/ 25
/ 26
/ 27


/ 28
/ 29
/ 30
/ 31

COMMENT



KRXUVWRKRXUVFKHFNVKHHW
0DLQ)UDPH


SATISFACTORY (;
UNSATISFACTORY
CORRECTED
,QVSHFWHGE\

0DNHDYLVXDOFKHFNUHSODFHPHQWHWFIRUHDFKEODQN 
VSDFHXQGHUWKHKRXUVPHWHUUHDGLQJRIWKHFKHFNVKHHW

Rear

4 (Out side)
3 Left
(In side) 2

V
1

XU
KR
 <

/
V 7+


8
(Out side)
XU 1

7
K R 02

WR

6 (In side)
5

Right
Front

DATE 1 2 3 4 5 6 7 8



COMMENT




KRXUVWRKRXUVFKHFNVKHHWV
%DFNKRH%RRP


SATISFACTORY (;
UNSATISFACTORY
CORRECTED
,QVSHFWHGE\

0DNHDYLVXDOFKHFNUHSODFHPHQWHWFIRUHDFKEODQN 
VSDFHXQGHUWKHKRXUVPHWHUUHDGLQJRIWKHFKHFNVKHHW
Front 3

1
2 Left

V
Right

XU
KR
 <
6


/
V 7+

DATE 1 2 3 4 5 6
XU 1
K R 02

WR

Left Front
2

3


Right
4


DATE 1 2 3 4

COMMENT



KRXUVWRKRXUVFKHFNVKHHWV
%DFNKRH$UP


SATISFACTORY (;
UNSATISFACTORY
CORRECTED
,QVSHFWHGE\

0DNHDYLVXDOFKHFNUHSODFHPHQWHWFIRUHDFKEODQN 
VSDFHXQGHUWKHKRXUVPHWHUUHDGLQJRIWKHFKHFNVKHHW
Front

Right

2
Left

V
XU
3

KR
 <

/
V 7+


DATE 1 2 3
XU 1
K R 02

WR

Front
4

5
Left

Right


6


DATE 4 5 6

COMMENT












KRXUVWRKRXUV



KRXUVWR 
KRXUV

SATISFACTORY EX1200-7
UNSATISFACTORY
CORRECTED Inspected by:
Make a visual check, replacement, etc. for each blank
space under the hours meter reading of the check sheet.
Front
3

1
Left
2

Right

DATE 1 2 3 4 5 6

1
Front
Left
2

Right
4

DATE 1 2 3 4 5 6

COMMENT




'DLO\&KHFN3RLQWV
%DFNKRH%RRP



(;

Front

Left
1

V
XU
Right
KR

WR <

UV $,/

3

'

Front
X

Left
KR

6



Right

4


'DLO\&KHFN6KHHWV
%DFNKRH%RRP








SATISFACTORY (;
UNSATISFACTORY
CORRECTED
,QVSHFWHGE\

0DNHDYLVXDOFKHFNUHSODFHPHQWHWFIRUHDFKEODQN 
VSDFHXQGHUWKHKRXUVPHWHUUHDGLQJRIWKHFKHFNVKHHW



DATE WEEKLY 1 2 3 4 5 6 SIGN APPROVAL NOTE
/ 1
/ 2
/ 3
/ 4
/ 5

V
/ 6

XU
/ 7
/ 8

KR
/ 9
/ 10
/ 11

WR <

/ 12

UV ,/

/ 13
/ 14
$


/ 15
'

/ 16
/ 17
/ 18
/ 19
/ 20
X

/ 21
KR

/ 22
/ 23
/ 24


/ 25
/ 26


/ 27
/ 28
/ 29
/ 30
/ 31

COMMENT



KRXUVWRKRXUVFKHFNVKHHW
0DLQ)UDPH


SATISFACTORY (;
UNSATISFACTORY
CORRECTED
,QVSHFWHGE\

0DNHDYLVXDOFKHFNUHSODFHPHQWHWFIRUHDFKEODQN 
VSDFHXQGHUWKHKRXUVPHWHUUHDGLQJRIWKHFKHFNVKHHW

Rear

4 (Out side)
3 Left
(In side) 2

UV
1

X
KR
 <

/
V 7+


8
(Out side)
XU 1

7
KR 02

WR

6 (In side)
5

Right
Front

DATE 1 2 3 4 5 6 7 8



COMMENT




KRXUVWRKRXUVFKHFNVKHHWV
%DFNKRH%RRP


SATISFACTORY (;
UNSATISFACTORY
CORRECTED
,QVSHFWHGE\

0DNHDYLVXDOFKHFNUHSODFHPHQWHWFIRUHDFKEODQN 
VSDFHXQGHUWKHKRXUVPHWHUUHDGLQJRIWKHFKHFNVKHHW
Front 3

1
2 Left

UV
Right

X
KR
 <
6


/
V 7+

DATE 1 2 3 4 5 6
XU 1
KR 02

WR

Left Front
2

3


Right
4


DATE 1 2 3 4

COMMENT



KRXUVWRKRXUVFKHFNVKHHWV
%DFNKRH$UP


SATISFACTORY (;
UNSATISFACTORY
CORRECTED
,QVSHFWHGE\

0DNHDYLVXDOFKHFNUHSODFHPHQWHWFIRUHDFKEODQN 
VSDFHXQGHUWKHKRXUVPHWHUUHDGLQJRIWKHFKHFNVKHHW
Front

Right

2
Left

UV
3

X
KR
 <

/
V 7+


DATE 1 2 3
XU 1
KR 02

WR

Front
4

5
Left

Right


6


DATE 4 5 6

COMMENT












KRXUVWRKRXUV




SATISFACTORY EX1200-7
UNSATISFACTORY
CORRECTED Inspected by:
Make a visual check, replacement, etc. for each blank
space under the hours meter reading of the check sheet.
Front
3

1
Left

KRXUVWR 
2

KRXUV
5

Right

DATE 1 2 3 4 5 6

1
Front
Left
2

Right
4

DATE 1 2 3 4 5 6

COMMENT




'DLO\&KHFN3RLQWV
%DFNKRH%RRP



(;

Front

Left
1

V
XU
KR Right

WR <

V ,/

3
XU $

'

Front
Left
KR

6



Right

4


'DLO\&KHFN6KHHWV
%DFNKRH%RRP








SATISFACTORY (;
UNSATISFACTORY
CORRECTED
,QVSHFWHGE\

0DNHDYLVXDOFKHFNUHSODFHPHQWHWFIRUHDFKEODQN 
VSDFHXQGHUWKHKRXUVPHWHUUHDGLQJRIWKHFKHFNVKHHW



DATE WEEKLY 1 2 3 4 5 6 SIGN APPROVAL NOTE
/ 1
/ 2
/ 3
/ 4
/ 5

V
/ 6

XU
/ 7
/ 8

KR
/ 9
/ 10
/ 11

WR <

/ 12

V ,/

/ 13
/ 14
XU $


/ 15
'

/ 16
/ 17
/ 18
/ 19
/ 20
/ 21
KR

/ 22
/ 23
/ 24


/ 25
/ 26
/ 27


/ 28
/ 29
/ 30
/ 31

COMMENT



KRXUVWRKRXUVFKHFNVKHHW
0DLQ)UDPH


SATISFACTORY (;
UNSATISFACTORY
CORRECTED
,QVSHFWHGE\

0DNHDYLVXDOFKHFNUHSODFHPHQWHWFIRUHDFKEODQN 
VSDFHXQGHUWKHKRXUVPHWHUUHDGLQJRIWKHFKHFNVKHHW

Rear

4 (Out side)
3 Left
(In side) 2

V
1

XU
KR
 <

/
V 7+


8
(Out side)
XU 1

7
K R 02

WR

6 (In side)
5

Right
Front

DATE 1 2 3 4 5 6 7 8



COMMENT




KRXUVWRKRXUVFKHFNVKHHWV
%DFNKRH%RRP


SATISFACTORY (;
UNSATISFACTORY
CORRECTED
,QVSHFWHGE\

0DNHDYLVXDOFKHFNUHSODFHPHQWHWFIRUHDFKEODQN 
VSDFHXQGHUWKHKRXUVPHWHUUHDGLQJRIWKHFKHFNVKHHW
Front 3

1
2 Left

V
Right

XU
KR
 <
6


/
V 7+

DATE 1 2 3 4 5 6
XU 1
K R 02

WR

Left Front
2

3


Right
4


DATE 1 2 3 4

COMMENT



KRXUVWRKRXUVFKHFNVKHHWV
%DFNKRH$UP


SATISFACTORY (;
UNSATISFACTORY
CORRECTED
,QVSHFWHGE\

0DNHDYLVXDOFKHFNUHSODFHPHQWHWFIRUHDFKEODQN 
VSDFHXQGHUWKHKRXUVPHWHUUHDGLQJRIWKHFKHFNVKHHW
Front

Right

2
Left

V
XU
3

KR
 <

/
V 7+


DATE 1 2 3
XU 1
K R 02

WR

Front
4

5
Left

Right


6


DATE 4 5 6

COMMENT












KRXUVWRKRXUV




SATISFACTORY EX1200-7
UNSATISFACTORY
CORRECTED Inspected by:
Make a visual check, replacement, etc. for each blank
space under the hours meter reading of the check sheet.
Front
3

1
Left
2

Right

DATE 1 2 3 4 5 6

KRXUVWR 
KRXUV
Front
Left
2

Right
4

DATE 1 2 3 4 5 6

COMMENT




'DLO\&KHFN3RLQWV
%DFNKRH%RRP



(;

Front

Left
1

V
XU
Right
KR

WR <

V ,/

3
XU $

'

Front
Left
KR

6



Right

4


'DLO\&KHFN6KHHWV
%DFNKRH%RRP








SATISFACTORY (;
UNSATISFACTORY
CORRECTED
,QVSHFWHGE\

0DNHDYLVXDOFKHFNUHSODFHPHQWHWFIRUHDFKEODQN 
VSDFHXQGHUWKHKRXUVPHWHUUHDGLQJRIWKHFKHFNVKHHW



DATE WEEKLY 1 2 3 4 5 6 SIGN APPROVAL NOTE
/ 1
/ 2
/ 3
/ 4
/ 5

V
/ 6

XU
/ 7
/ 8

KR
/ 9
/ 10
/ 11

WR <

/ 12

V ,/

/ 13
/ 14
XU $


/ 15
'

/ 16
/ 17
/ 18
/ 19
/ 20
/ 21
KR

/ 22
/ 23
/ 24


/ 25
/ 26
/ 27


/ 28
/ 29
/ 30
/ 31

COMMENT



KRXUVWRKRXUVFKHFNVKHHW
0DLQ)UDPH


SATISFACTORY (;
UNSATISFACTORY
CORRECTED
,QVSHFWHGE\

0DNHDYLVXDOFKHFNUHSODFHPHQWHWFIRUHDFKEODQN 
VSDFHXQGHUWKHKRXUVPHWHUUHDGLQJRIWKHFKHFNVKHHW

Rear

4 (Out side)
3 Left
(In side) 2

V
1

XU
KR
 <

/
V 7+


8
(Out side)
XU 1

7
K R 02

WR

6 (In side)
5

Right
Front

DATE 1 2 3 4 5 6 7 8



COMMENT




KRXUVWRKRXUVFKHFNVKHHWV
%DFNKRH%RRP


SATISFACTORY (;
UNSATISFACTORY
CORRECTED
,QVSHFWHGE\

0DNHDYLVXDOFKHFNUHSODFHPHQWHWFIRUHDFKEODQN 
VSDFHXQGHUWKHKRXUVPHWHUUHDGLQJRIWKHFKHFNVKHHW
Front 3

1
2 Left

V
Right

XU
KR
 <
6


/
V 7+

DATE 1 2 3 4 5 6
XU 1
K R 02

WR

Left Front
2

3


Right
4


DATE 1 2 3 4

COMMENT



KRXUVWRKRXUVFKHFNVKHHWV
%DFNKRH$UP


SATISFACTORY (;
UNSATISFACTORY
CORRECTED
,QVSHFWHGE\

0DNHDYLVXDOFKHFNUHSODFHPHQWHWFIRUHDFKEODQN 
VSDFHXQGHUWKHKRXUVPHWHUUHDGLQJRIWKHFKHFNVKHHW
Front

Right

2
Left

V
XU
3

KR
 <

/
V 7+


DATE 1 2 3
XU 1
K R 02

WR

Front
4

5
Left

Right


6


DATE 4 5 6

COMMENT












KRXUVWRKRXUV




SATISFACTORY EX1200-7
UNSATISFACTORY
CORRECTED Inspected by:
Make a visual check, replacement, etc. for each blank
space under the hours meter reading of the check sheet.
Front
3

1
Left
2

Right

DATE 1 2 3 4 5 6

1
Front
Left
2

Right
4
KRXUVWR 
KRXUV

DATE 1 2 3 4 5 6

COMMENT




'DLO\&KHFN3RLQWV
%DFNKRH%RRP



(;

Front

Left
1

V
XU
KR Right

WR <

V ,/

3
XU $

'

Front
Left
KR

6



Right

4


'DLO\&KHFN6KHHWV
%DFNKRH%RRP








SATISFACTORY (;
UNSATISFACTORY
CORRECTED
,QVSHFWHGE\

0DNHDYLVXDOFKHFNUHSODFHPHQWHWFIRUHDFKEODQN 
VSDFHXQGHUWKHKRXUVPHWHUUHDGLQJRIWKHFKHFNVKHHW



DATE WEEKLY 1 2 3 4 5 6 SIGN APPROVAL NOTE
/ 1
/ 2
/ 3
/ 4
/ 5

V
/ 6

XU
/ 7
/ 8

KR
/ 9
/ 10
/ 11

WR <

/ 12

V ,/

/ 13
/ 14
XU $


/ 15
'

/ 16
/ 17
/ 18
/ 19
/ 20
/ 21
KR

/ 22
/ 23
/ 24


/ 25
/ 26
/ 27


/ 28
/ 29
/ 30
/ 31

COMMENT



KRXUVWRKRXUVFKHFNVKHHW
0DLQ)UDPH


SATISFACTORY (;
UNSATISFACTORY
CORRECTED
,QVSHFWHGE\

0DNHDYLVXDOFKHFNUHSODFHPHQWHWFIRUHDFKEODQN 
VSDFHXQGHUWKHKRXUVPHWHUUHDGLQJRIWKHFKHFNVKHHW

Rear

4 (Out side)
3 Left
(In side) 2

V
1

XU
KR
 <

/
V 7+


8
(Out side)
XU 1

7
K R 02

WR

6 (In side)
5

Right
Front

DATE 1 2 3 4 5 6 7 8



COMMENT




KRXUVWRKRXUVFKHFNVKHHWV
%DFNKRH%RRP


SATISFACTORY (;
UNSATISFACTORY
CORRECTED
,QVSHFWHGE\

0DNHDYLVXDOFKHFNUHSODFHPHQWHWFIRUHDFKEODQN 
VSDFHXQGHUWKHKRXUVPHWHUUHDGLQJRIWKHFKHFNVKHHW
Front 3

1
2 Left

V
Right

XU
KR
 <
6


/
V 7+

DATE 1 2 3 4 5 6
XU 1
K R 02

WR

Left Front
2

3


Right
4


DATE 1 2 3 4

COMMENT



KRXUVWRKRXUVFKHFNVKHHWV
%DFNKRH$UP


SATISFACTORY (;
UNSATISFACTORY
CORRECTED
,QVSHFWHGE\

0DNHDYLVXDOFKHFNUHSODFHPHQWHWFIRUHDFKEODQN 
VSDFHXQGHUWKHKRXUVPHWHUUHDGLQJRIWKHFKHFNVKHHW
Front

Right

2
Left

V
XU
3

KR
 <

/
V 7+


DATE 1 2 3
XU 1
K R 02

WR

Front
4

5
Left

Right


6


DATE 4 5 6

COMMENT








KRXUVWR 


KRXUV




KRXUVWRKRXUV




SATISFACTORY EX1200-7
UNSATISFACTORY
CORRECTED Inspected by:
Make a visual check, replacement, etc. for each blank
space under the hours meter reading of the check sheet.
Front
3

1
Left
2

Right

DATE 1 2 3 4 5 6

1
Front
Left
2

Right
4

DATE 1 2 3 4 5 6

COMMENT




'DLO\&KHFN3RLQWV
%DFNKRH%RRP



(;

Front

Left
1

V
XU
Right
KR

WR <

UV $,/

3

'

Front
X

Left
KR

6



Right

4


'DLO\&KHFN6KHHWV
%DFNKRH%RRP








SATISFACTORY (;
UNSATISFACTORY
CORRECTED
,QVSHFWHGE\

0DNHDYLVXDOFKHFNUHSODFHPHQWHWFIRUHDFKEODQN 
VSDFHXQGHUWKHKRXUVPHWHUUHDGLQJRIWKHFKHFNVKHHW



DATE WEEKLY 1 2 3 4 5 6 SIGN APPROVAL NOTE
/ 1
/ 2
/ 3
/ 4
/ 5

V
/ 6

XU
/ 7
/ 8

KR
/ 9
/ 10
/ 11

WR <

/ 12

UV ,/

/ 13
/ 14
$


/ 15
'

/ 16
/ 17
/ 18
/ 19
/ 20
X

/ 21
KR

/ 22
/ 23
/ 24


/ 25
/ 26


/ 27
/ 28
/ 29
/ 30
/ 31

COMMENT



KRXUVWRKRXUVFKHFNVKHHW
0DLQ)UDPH


SATISFACTORY (;
UNSATISFACTORY
CORRECTED
,QVSHFWHGE\

0DNHDYLVXDOFKHFNUHSODFHPHQWHWFIRUHDFKEODQN 
VSDFHXQGHUWKHKRXUVPHWHUUHDGLQJRIWKHFKHFNVKHHW

Rear

4 (Out side)
3 Left
(In side) 2

UV
1

X
KR
 <

/
V 7+


8
(Out side)
XU 1

7
KR 02

WR

6 (In side)
5

Right
Front

DATE 1 2 3 4 5 6 7 8



COMMENT




KRXUVWRKRXUVFKHFNVKHHWV
%DFNKRH%RRP


SATISFACTORY (;
UNSATISFACTORY
CORRECTED
,QVSHFWHGE\

0DNHDYLVXDOFKHFNUHSODFHPHQWHWFIRUHDFKEODQN 
VSDFHXQGHUWKHKRXUVPHWHUUHDGLQJRIWKHFKHFNVKHHW
Front 3

1
2 Left

UV
Right

X
KR
 <
6


/
V 7+

DATE 1 2 3 4 5 6
XU 1
KR 02

WR

Left Front
2

3


Right
4


DATE 1 2 3 4

COMMENT



KRXUVWRKRXUVFKHFNVKHHWV
%DFNKRH$UP


SATISFACTORY (;
UNSATISFACTORY
CORRECTED
,QVSHFWHGE\

0DNHDYLVXDOFKHFNUHSODFHPHQWHWFIRUHDFKEODQN 
VSDFHXQGHUWKHKRXUVPHWHUUHDGLQJRIWKHFKHFNVKHHW
Front

Right

2
Left

UV
3

X
KR
 <

/
V 7+


DATE 1 2 3
XU 1
KR 02

WR

Front
4

5
Left

Right


6


DATE 4 5 6

COMMENT












KRXUVWRKRXUV



KRXUVWR 
KRXUV

SATISFACTORY EX1200-7
UNSATISFACTORY
CORRECTED Inspected by:
Make a visual check, replacement, etc. for each blank
space under the hours meter reading of the check sheet.
Front
3

1
Left
2

Right

DATE 1 2 3 4 5 6

1
Front
Left
2

Right
4

DATE 1 2 3 4 5 6

COMMENT




'DLO\&KHFN3RLQWV
%DFNKRH%RRP



(;

Front

Left
1

V
XU
KR Right

WR <

V ,/

3
XU $

'

Front
Left
KR

6



Right

4


'DLO\&KHFN6KHHWV
%DFNKRH%RRP








SATISFACTORY (;
UNSATISFACTORY
CORRECTED
,QVSHFWHGE\

0DNHDYLVXDOFKHFNUHSODFHPHQWHWFIRUHDFKEODQN 
VSDFHXQGHUWKHKRXUVPHWHUUHDGLQJRIWKHFKHFNVKHHW



DATE WEEKLY 1 2 3 4 5 6 SIGN APPROVAL NOTE
/ 1
/ 2
/ 3
/ 4
/ 5

V
/ 6

XU
/ 7
/ 8

KR
/ 9
/ 10
/ 11

WR <

/ 12

V ,/

/ 13
/ 14
XU $


/ 15
'

/ 16
/ 17
/ 18
/ 19
/ 20
/ 21
KR

/ 22
/ 23
/ 24


/ 25
/ 26
/ 27


/ 28
/ 29
/ 30
/ 31

COMMENT



KRXUVWRKRXUVFKHFNVKHHW
0DLQ)UDPH


SATISFACTORY (;
UNSATISFACTORY
CORRECTED
,QVSHFWHGE\

0DNHDYLVXDOFKHFNUHSODFHPHQWHWFIRUHDFKEODQN 
VSDFHXQGHUWKHKRXUVPHWHUUHDGLQJRIWKHFKHFNVKHHW

Rear

4 (Out side)
3 Left
(In side) 2

V
1

XU
KR
 <

/
V 7+


8
(Out side)
XU 1

7
K R 02

WR

6 (In side)
5

Right
Front

DATE 1 2 3 4 5 6 7 8



COMMENT




KRXUVWRKRXUVFKHFNVKHHWV
%DFNKRH%RRP


SATISFACTORY (;
UNSATISFACTORY
CORRECTED
,QVSHFWHGE\

0DNHDYLVXDOFKHFNUHSODFHPHQWHWFIRUHDFKEODQN 
VSDFHXQGHUWKHKRXUVPHWHUUHDGLQJRIWKHFKHFNVKHHW
Front 3

1
2 Left

V
Right

XU
KR
 <
6


/
V 7+

DATE 1 2 3 4 5 6
XU 1
K R 02

WR

Left Front
2

3


Right
4


DATE 1 2 3 4

COMMENT



KRXUVWRKRXUVFKHFNVKHHWV
%DFNKRH$UP


SATISFACTORY (;
UNSATISFACTORY
CORRECTED
,QVSHFWHGE\

0DNHDYLVXDOFKHFNUHSODFHPHQWHWFIRUHDFKEODQN 
VSDFHXQGHUWKHKRXUVPHWHUUHDGLQJRIWKHFKHFNVKHHW
Front

Right

2
Left

V
XU
3

KR
 <

/
V 7+


DATE 1 2 3
XU 1
K R 02

WR

Front
4

5
Left

Right


6


DATE 4 5 6

COMMENT












KRXUVWRKRXUV




SATISFACTORY EX1200-7
UNSATISFACTORY
CORRECTED Inspected by:
Make a visual check, replacement, etc. for each blank
space under the hours meter reading of the check sheet.
Front
3

1
Left

KRXUVWR 
2

KRXUV
5

Right

DATE 1 2 3 4 5 6

1
Front
Left
2

Right
4

DATE 1 2 3 4 5 6

COMMENT




'DLO\&KHFN3RLQWV
%DFNKRH%RRP



(;

Front

Left
1

V
XU
Right
KR

WR <

V ,/

3
XU $

'

Front
Left
KR

6



Right

4


'DLO\&KHFN6KHHWV
%DFNKRH%RRP








SATISFACTORY (;
UNSATISFACTORY
CORRECTED
,QVSHFWHGE\

0DNHDYLVXDOFKHFNUHSODFHPHQWHWFIRUHDFKEODQN 
VSDFHXQGHUWKHKRXUVPHWHUUHDGLQJRIWKHFKHFNVKHHW



DATE WEEKLY 1 2 3 4 5 6 SIGN APPROVAL NOTE
/ 1
/ 2
/ 3
/ 4
/ 5

V
/ 6

XU
/ 7
/ 8

KR
/ 9
/ 10
/ 11

WR <

/ 12

V ,/

/ 13
/ 14
XU $


/ 15
'

/ 16
/ 17
/ 18
/ 19
/ 20
/ 21
KR

/ 22
/ 23
/ 24


/ 25
/ 26
/ 27


/ 28
/ 29
/ 30
/ 31

COMMENT



KRXUVWRKRXUVFKHFNVKHHW
0DLQ)UDPH


SATISFACTORY (;
UNSATISFACTORY
CORRECTED
,QVSHFWHGE\

0DNHDYLVXDOFKHFNUHSODFHPHQWHWFIRUHDFKEODQN 
VSDFHXQGHUWKHKRXUVPHWHUUHDGLQJRIWKHFKHFNVKHHW

Rear

4 (Out side)
3 Left
(In side) 2

V
1

XU
KR
 <

/
V 7+


8
(Out side)
XU 1

7
K R 02

WR

6 (In side)
5

Right
Front

DATE 1 2 3 4 5 6 7 8



COMMENT




KRXUVWRKRXUVFKHFNVKHHWV
%DFNKRH%RRP


SATISFACTORY (;
UNSATISFACTORY
CORRECTED
,QVSHFWHGE\

0DNHDYLVXDOFKHFNUHSODFHPHQWHWFIRUHDFKEODQN 
VSDFHXQGHUWKHKRXUVPHWHUUHDGLQJRIWKHFKHFNVKHHW
Front 3

1
2 Left

V
Right

XU
KR
 <
6


/
V 7+

DATE 1 2 3 4 5 6
XU 1
K R 02

WR

Left Front
2

3


Right
4


DATE 1 2 3 4

COMMENT



KRXUVWRKRXUVFKHFNVKHHWV
%DFNKRH$UP


SATISFACTORY (;
UNSATISFACTORY
CORRECTED
,QVSHFWHGE\

0DNHDYLVXDOFKHFNUHSODFHPHQWHWFIRUHDFKEODQN 
VSDFHXQGHUWKHKRXUVPHWHUUHDGLQJRIWKHFKHFNVKHHW
Front

Right

2
Left

V
XU
3

KR
 <

/
V 7+


DATE 1 2 3
XU 1
K R 02

WR

Front
4

5
Left

Right


6


DATE 4 5 6

COMMENT












KRXUVWRKRXUV




SATISFACTORY EX1200-7
UNSATISFACTORY
CORRECTED Inspected by:
Make a visual check, replacement, etc. for each blank
space under the hours meter reading of the check sheet.
Front
3

1
Left
2

Right

DATE 1 2 3 4 5 6

KRXUVWR 
KRXUV
Front
Left
2

Right
4

DATE 1 2 3 4 5 6

COMMENT




'DLO\&KHFN3RLQWV
%DFNKRH%RRP



(;

Front

Left
1

V
XU
KR Right

WR <

V ,/

3
XU $

'

Front
Left
KR

6



Right

4


'DLO\&KHFN6KHHWV
%DFNKRH%RRP








SATISFACTORY (;
UNSATISFACTORY
CORRECTED
,QVSHFWHGE\

0DNHDYLVXDOFKHFNUHSODFHPHQWHWFIRUHDFKEODQN 
VSDFHXQGHUWKHKRXUVPHWHUUHDGLQJRIWKHFKHFNVKHHW



DATE WEEKLY 1 2 3 4 5 6 SIGN APPROVAL NOTE
/ 1
/ 2
/ 3
/ 4
/ 5

V
/ 6

XU
/ 7
/ 8

KR
/ 9
/ 10
/ 11

WR <

/ 12

V ,/

/ 13
/ 14
XU $


/ 15
'

/ 16
/ 17
/ 18
/ 19
/ 20
/ 21
KR

/ 22
/ 23
/ 24


/ 25
/ 26
/ 27


/ 28
/ 29
/ 30
/ 31

COMMENT



KRXUVWRKRXUVFKHFNVKHHW
0DLQ)UDPH


SATISFACTORY (;
UNSATISFACTORY
CORRECTED
,QVSHFWHGE\

0DNHDYLVXDOFKHFNUHSODFHPHQWHWFIRUHDFKEODQN 
VSDFHXQGHUWKHKRXUVPHWHUUHDGLQJRIWKHFKHFNVKHHW

Rear

4 (Out side)
3 Left
(In side) 2

V
1

XU
KR
 <

/
V 7+


8
(Out side)
XU 1

7
K R 02

WR

6 (In side)
5

Right
Front

DATE 1 2 3 4 5 6 7 8



COMMENT




KRXUVWRKRXUVFKHFNVKHHWV
%DFNKRH%RRP


SATISFACTORY (;
UNSATISFACTORY
CORRECTED
,QVSHFWHGE\

0DNHDYLVXDOFKHFNUHSODFHPHQWHWFIRUHDFKEODQN 
VSDFHXQGHUWKHKRXUVPHWHUUHDGLQJRIWKHFKHFNVKHHW
Front 3

1
2 Left

V
Right

XU
KR
 <
6


/
V 7+

DATE 1 2 3 4 5 6
XU 1
K R 02

WR

Left Front
2

3


Right
4


DATE 1 2 3 4

COMMENT



KRXUVWRKRXUVFKHFNVKHHWV
%DFNKRH$UP


SATISFACTORY (;
UNSATISFACTORY
CORRECTED
,QVSHFWHGE\

0DNHDYLVXDOFKHFNUHSODFHPHQWHWFIRUHDFKEODQN 
VSDFHXQGHUWKHKRXUVPHWHUUHDGLQJRIWKHFKHFNVKHHW
Front

Right

2
Left

V
XU
3

KR
 <

/
V 7+


DATE 1 2 3
XU 1
K R 02

WR

Front
4

5
Left

Right


6


DATE 4 5 6

COMMENT












KRXUVWRKRXUV




SATISFACTORY EX1200-7
UNSATISFACTORY
CORRECTED Inspected by:
Make a visual check, replacement, etc. for each blank
space under the hours meter reading of the check sheet.
Front
3

1
Left
2

Right

DATE 1 2 3 4 5 6

1
Front
Left
2

Right
4
KRXUVWR 
KRXUV

DATE 1 2 3 4 5 6

COMMENT




'DLO\&KHFN3RLQWV
%DFNKRH%RRP



(;

Front

Left
1

V
XU
Right
KR

WR <

UV $,/

3

'

Front
X

Left
KR

6



Right

4


'DLO\&KHFN6KHHWV
%DFNKRH%RRP








SATISFACTORY (;
UNSATISFACTORY
CORRECTED
,QVSHFWHGE\

0DNHDYLVXDOFKHFNUHSODFHPHQWHWFIRUHDFKEODQN 
VSDFHXQGHUWKHKRXUVPHWHUUHDGLQJRIWKHFKHFNVKHHW



DATE WEEKLY 1 2 3 4 5 6 SIGN APPROVAL NOTE
/ 1
/ 2
/ 3
/ 4
/ 5

V
/ 6

XU
/ 7
/ 8

KR
/ 9
/ 10
/ 11

WR <

/ 12

UV ,/

/ 13
/ 14
$


/ 15
'

/ 16
/ 17
/ 18
/ 19
/ 20
X

/ 21
KR

/ 22
/ 23
/ 24


/ 25
/ 26


/ 27
/ 28
/ 29
/ 30
/ 31

COMMENT



KRXUVWRKRXUVFKHFNVKHHW
0DLQ)UDPH


SATISFACTORY (;
UNSATISFACTORY
CORRECTED
,QVSHFWHGE\

0DNHDYLVXDOFKHFNUHSODFHPHQWHWFIRUHDFKEODQN 
VSDFHXQGHUWKHKRXUVPHWHUUHDGLQJRIWKHFKHFNVKHHW

Rear

4 (Out side)
3 Left
(In side) 2

UV
1

X
KR
 <

/
V 7+


8
(Out side)
XU 1

7
KR 02

WR

6 (In side)
5

Right
Front

DATE 1 2 3 4 5 6 7 8



COMMENT




KRXUVWRKRXUVFKHFNVKHHWV
%DFNKRH%RRP


SATISFACTORY (;
UNSATISFACTORY
CORRECTED
,QVSHFWHGE\

0DNHDYLVXDOFKHFNUHSODFHPHQWHWFIRUHDFKEODQN 
VSDFHXQGHUWKHKRXUVPHWHUUHDGLQJRIWKHFKHFNVKHHW
Front 3

1
2 Left

UV
Right

X
KR
 <
6


/
V 7+

DATE 1 2 3 4 5 6
XU 1
KR 02

WR

Left Front
2

3


Right
4


DATE 1 2 3 4

COMMENT



KRXUVWRKRXUVFKHFNVKHHWV
%DFNKRH$UP


SATISFACTORY (;
UNSATISFACTORY
CORRECTED
,QVSHFWHGE\

0DNHDYLVXDOFKHFNUHSODFHPHQWHWFIRUHDFKEODQN 
VSDFHXQGHUWKHKRXUVPHWHUUHDGLQJRIWKHFKHFNVKHHW
Front

Right

2
Left

UV
3

X
KR
 <

/
V 7+


DATE 1 2 3
XU 1
KR 02

WR

Front
4

5
Left

Right


6


DATE 4 5 6

COMMENT








KRXUVWR 


KRXUV




KRXUVWRKRXUV




SATISFACTORY EX1200-7
UNSATISFACTORY
CORRECTED Inspected by:
Make a visual check, replacement, etc. for each blank
space under the hours meter reading of the check sheet.
Front
3

1
Left
2

Right

DATE 1 2 3 4 5 6

1
Front
Left
2

Right
4

DATE 1 2 3 4 5 6

COMMENT




'DLO\&KHFN3RLQWV
%DFNKRH%RRP



(;

Front

Left
1

V
XU
KR Right

WR <

V ,/

3
XU $

'

Front
Left
KR

6



Right

4


'DLO\&KHFN6KHHWV
%DFNKRH%RRP








SATISFACTORY (;
UNSATISFACTORY
CORRECTED
,QVSHFWHGE\

0DNHDYLVXDOFKHFNUHSODFHPHQWHWFIRUHDFKEODQN 
VSDFHXQGHUWKHKRXUVPHWHUUHDGLQJRIWKHFKHFNVKHHW



DATE WEEKLY 1 2 3 4 5 6 SIGN APPROVAL NOTE
/ 1
/ 2
/ 3
/ 4
/ 5

V
/ 6

XU
/ 7
/ 8

KR
/ 9
/ 10
/ 11

WR <

/ 12

V ,/

/ 13
/ 14
XU $


/ 15
'

/ 16
/ 17
/ 18
/ 19
/ 20
/ 21
KR

/ 22
/ 23
/ 24


/ 25
/ 26
/ 27


/ 28
/ 29
/ 30
/ 31

COMMENT



KRXUVWRKRXUVFKHFNVKHHW
0DLQ)UDPH


SATISFACTORY (;
UNSATISFACTORY
CORRECTED
,QVSHFWHGE\

0DNHDYLVXDOFKHFNUHSODFHPHQWHWFIRUHDFKEODQN 
VSDFHXQGHUWKHKRXUVPHWHUUHDGLQJRIWKHFKHFNVKHHW

Rear

4 (Out side)
3 Left
(In side) 2

V
1

XU
KR
 <

/
V 7+


8
(Out side)
XU 1

7
K R 02

WR

6 (In side)
5

Right
Front

DATE 1 2 3 4 5 6 7 8



COMMENT




KRXUVWRKRXUVFKHFNVKHHWV
%DFNKRH%RRP


SATISFACTORY (;
UNSATISFACTORY
CORRECTED
,QVSHFWHGE\

0DNHDYLVXDOFKHFNUHSODFHPHQWHWFIRUHDFKEODQN 
VSDFHXQGHUWKHKRXUVPHWHUUHDGLQJRIWKHFKHFNVKHHW
Front 3

1
2 Left

V
Right

XU
KR
 <
6


/
V 7+

DATE 1 2 3 4 5 6
XU 1
K R 02

WR

Left Front
2

3


Right
4


DATE 1 2 3 4

COMMENT



KRXUVWRKRXUVFKHFNVKHHWV
%DFNKRH$UP


SATISFACTORY (;
UNSATISFACTORY
CORRECTED
,QVSHFWHGE\

0DNHDYLVXDOFKHFNUHSODFHPHQWHWFIRUHDFKEODQN 
VSDFHXQGHUWKHKRXUVPHWHUUHDGLQJRIWKHFKHFNVKHHW
Front

Right

2
Left

V
XU
3

KR
 <

/
V 7+


DATE 1 2 3
XU 1
K R 02

WR

Front
4

5
Left

Right


6


DATE 4 5 6

COMMENT












KRXUVWRKRXUV



KRXUVWR 
KRXUV

SATISFACTORY EX1200-7
UNSATISFACTORY
CORRECTED Inspected by:
Make a visual check, replacement, etc. for each blank
space under the hours meter reading of the check sheet.
Front
3

1
Left
2

Right

DATE 1 2 3 4 5 6

1
Front
Left
2

Right
4

DATE 1 2 3 4 5 6

COMMENT




'DLO\&KHFN3RLQWV
%DFNKRH%RRP



(;

Front

Left
1

V
XU
Right
KR

WR <

V ,/

3
XU $

'

Front
Left
KR

6



Right

4


'DLO\&KHFN6KHHWV
%DFNKRH%RRP








SATISFACTORY (;
UNSATISFACTORY
CORRECTED
,QVSHFWHGE\

0DNHDYLVXDOFKHFNUHSODFHPHQWHWFIRUHDFKEODQN 
VSDFHXQGHUWKHKRXUVPHWHUUHDGLQJRIWKHFKHFNVKHHW



DATE WEEKLY 1 2 3 4 5 6 SIGN APPROVAL NOTE
/ 1
/ 2
/ 3
/ 4
/ 5

V
/ 6

XU
/ 7
/ 8

KR
/ 9
/ 10
/ 11

WR <

/ 12

V ,/

/ 13
/ 14
XU $


/ 15
'

/ 16
/ 17
/ 18
/ 19
/ 20
/ 21
KR

/ 22
/ 23
/ 24


/ 25
/ 26
/ 27


/ 28
/ 29
/ 30
/ 31

COMMENT



KRXUVWRKRXUVFKHFNVKHHW
0DLQ)UDPH


SATISFACTORY (;
UNSATISFACTORY
CORRECTED
,QVSHFWHGE\

0DNHDYLVXDOFKHFNUHSODFHPHQWHWFIRUHDFKEODQN 
VSDFHXQGHUWKHKRXUVPHWHUUHDGLQJRIWKHFKHFNVKHHW

Rear

4 (Out side)
3 Left
(In side) 2

V
1

XU
KR
 <

/
V 7+


8
(Out side)
XU 1

7
K R 02

WR

6 (In side)
5

Right
Front

DATE 1 2 3 4 5 6 7 8



COMMENT




KRXUVWRKRXUVFKHFNVKHHWV
%DFNKRH%RRP


SATISFACTORY (;
UNSATISFACTORY
CORRECTED
,QVSHFWHGE\

0DNHDYLVXDOFKHFNUHSODFHPHQWHWFIRUHDFKEODQN 
VSDFHXQGHUWKHKRXUVPHWHUUHDGLQJRIWKHFKHFNVKHHW
Front 3

1
2 Left

V
Right

XU
KR
 <
6


/
V 7+

DATE 1 2 3 4 5 6
XU 1
K R 02

WR

Left Front
2

3


Right
4


DATE 1 2 3 4

COMMENT



KRXUVWRKRXUVFKHFNVKHHWV
%DFNKRH$UP


SATISFACTORY (;
UNSATISFACTORY
CORRECTED
,QVSHFWHGE\

0DNHDYLVXDOFKHFNUHSODFHPHQWHWFIRUHDFKEODQN 
VSDFHXQGHUWKHKRXUVPHWHUUHDGLQJRIWKHFKHFNVKHHW
Front

Right

2
Left

V
XU
3

KR
 <

/
V 7+


DATE 1 2 3
XU 1
K R 02

WR

Front
4

5
Left

Right


6


DATE 4 5 6

COMMENT












KRXUVWRKRXUV




SATISFACTORY EX1200-7
UNSATISFACTORY
CORRECTED Inspected by:
Make a visual check, replacement, etc. for each blank
space under the hours meter reading of the check sheet.
Front
3

1
Left

KRXUVWR 
2

KRXUV
5

Right

DATE 1 2 3 4 5 6

1
Front
Left
2

Right
4

DATE 1 2 3 4 5 6

COMMENT




'DLO\&KHFN3RLQWV
%DFNKRH%RRP



(;

Front

Left
1

V
XU
KR Right

WR <

V ,/

3
XU $

'

Front
Left
KR

6



Right

4


'DLO\&KHFN6KHHWV
%DFNKRH%RRP








SATISFACTORY (;
UNSATISFACTORY
CORRECTED
,QVSHFWHGE\

0DNHDYLVXDOFKHFNUHSODFHPHQWHWFIRUHDFKEODQN 
VSDFHXQGHUWKHKRXUVPHWHUUHDGLQJRIWKHFKHFNVKHHW



DATE WEEKLY 1 2 3 4 5 6 SIGN APPROVAL NOTE
/ 1
/ 2
/ 3
/ 4
/ 5

V
/ 6

XU
/ 7
/ 8

KR
/ 9
/ 10
/ 11

WR <

/ 12

V ,/

/ 13
/ 14
XU $


/ 15
'

/ 16
/ 17
/ 18
/ 19
/ 20
/ 21
KR

/ 22
/ 23
/ 24


/ 25
/ 26
/ 27


/ 28
/ 29
/ 30
/ 31

COMMENT



KRXUVWRKRXUVFKHFNVKHHW
0DLQ)UDPH


SATISFACTORY (;
UNSATISFACTORY
CORRECTED
,QVSHFWHGE\

0DNHDYLVXDOFKHFNUHSODFHPHQWHWFIRUHDFKEODQN 
VSDFHXQGHUWKHKRXUVPHWHUUHDGLQJRIWKHFKHFNVKHHW

Rear

4 (Out side)
3 Left
(In side) 2

V
1

XU
KR
 <

/
V 7+


8
(Out side)
XU 1

7
K R 02

WR

6 (In side)
5

Right
Front

DATE 1 2 3 4 5 6 7 8



COMMENT




KRXUVWRKRXUVFKHFNVKHHWV
%DFNKRH%RRP


SATISFACTORY (;
UNSATISFACTORY
CORRECTED
,QVSHFWHGE\

0DNHDYLVXDOFKHFNUHSODFHPHQWHWFIRUHDFKEODQN 
VSDFHXQGHUWKHKRXUVPHWHUUHDGLQJRIWKHFKHFNVKHHW
Front 3

1
2 Left

V
Right

XU
KR
 <
6


/
V 7+

DATE 1 2 3 4 5 6
XU 1
K R 02

WR

Left Front
2

3


Right
4


DATE 1 2 3 4

COMMENT



KRXUVWRKRXUVFKHFNVKHHWV
%DFNKRH$UP


SATISFACTORY (;
UNSATISFACTORY
CORRECTED
,QVSHFWHGE\

0DNHDYLVXDOFKHFNUHSODFHPHQWHWFIRUHDFKEODQN 
VSDFHXQGHUWKHKRXUVPHWHUUHDGLQJRIWKHFKHFNVKHHW
Front

Right

2
Left

V
XU
3

KR
 <

/
V 7+


DATE 1 2 3
XU 1
K R 02

WR

Front
4

5
Left

Right


6


DATE 4 5 6

COMMENT












KRXUVWRKRXUV




SATISFACTORY EX1200-7
UNSATISFACTORY
CORRECTED Inspected by:
Make a visual check, replacement, etc. for each blank
space under the hours meter reading of the check sheet.
Front
3

1
Left
2

Right

DATE 1 2 3 4 5 6

KRXUVWR 
1

KRXUV
Front
Left
2

Right
4

DATE 1 2 3 4 5 6

COMMENT




'DLO\&KHFN3RLQWV
%DFNKRH%RRP



(;

Front

Left
1

V
XU
Right
KR

WR <

UV $,/

3

'

Front
X

Left
KR

6



Right

4


'DLO\&KHFN6KHHWV
%DFNKRH%RRP








SATISFACTORY (;
UNSATISFACTORY
CORRECTED
,QVSHFWHGE\

0DNHDYLVXDOFKHFNUHSODFHPHQWHWFIRUHDFKEODQN 
VSDFHXQGHUWKHKRXUVPHWHUUHDGLQJRIWKHFKHFNVKHHW



DATE WEEKLY 1 2 3 4 5 6 SIGN APPROVAL NOTE
/ 1
/ 2
/ 3
/ 4
/ 5

V
/ 6

XU
/ 7
/ 8

KR
/ 9
/ 10
/ 11

WR <

/ 12

UV ,/

/ 13
/ 14
$


/ 15
'

/ 16
/ 17
/ 18
/ 19
/ 20
X

/ 21
KR

/ 22
/ 23
/ 24


/ 25
/ 26


/ 27
/ 28
/ 29
/ 30
/ 31

COMMENT



KRXUVWRKRXUVFKHFNVKHHW
0DLQ)UDPH


SATISFACTORY (;
UNSATISFACTORY
CORRECTED
,QVSHFWHGE\

0DNHDYLVXDOFKHFNUHSODFHPHQWHWFIRUHDFKEODQN 
VSDFHXQGHUWKHKRXUVPHWHUUHDGLQJRIWKHFKHFNVKHHW

Rear

4 (Out side)
3 Left
(In side) 2

UV
1

X
KR
 <

/
V 7+


8
(Out side)
XU 1

7
KR 02

WR

6 (In side)
5

Right
Front

DATE 1 2 3 4 5 6 7 8



COMMENT




KRXUVWRKRXUVFKHFNVKHHWV
%DFNKRH%RRP


SATISFACTORY (;
UNSATISFACTORY
CORRECTED
,QVSHFWHGE\

0DNHDYLVXDOFKHFNUHSODFHPHQWHWFIRUHDFKEODQN 
VSDFHXQGHUWKHKRXUVPHWHUUHDGLQJRIWKHFKHFNVKHHW
Front 3

1
2 Left

UV
Right

X
KR
 <
6


/
V 7+

DATE 1 2 3 4 5 6
XU 1
KR 02

WR

Left Front
2

3


Right
4


DATE 1 2 3 4

COMMENT



KRXUVWRKRXUVFKHFNVKHHWV
%DFNKRH$UP


SATISFACTORY (;
UNSATISFACTORY
CORRECTED
,QVSHFWHGE\

0DNHDYLVXDOFKHFNUHSODFHPHQWHWFIRUHDFKEODQN 
VSDFHXQGHUWKHKRXUVPHWHUUHDGLQJRIWKHFKHFNVKHHW
Front

Right

2
Left

UV
3

X
KR
 <

/
V 7+


DATE 1 2 3
XU 1
KR 02

WR

Front
4

5
Left

Right


6


DATE 4 5 6

COMMENT












KRXUVWRKRXUV




SATISFACTORY EX1200-7
UNSATISFACTORY
CORRECTED Inspected by:
Make a visual check, replacement, etc. for each blank
space under the hours meter reading of the check sheet.
Front
3

1
Left
2

Right

DATE 1 2 3 4 5 6

1
Front
Left
2

Right
4
KRXUVWR 
KRXUV

DATE 1 2 3 4 5 6

COMMENT




'DLO\&KHFN3RLQWV
%DFNKRH%RRP



(;

Front

Left
1

V
XU
KR Right

WR <

V ,/

3
XU $

'

Front
Left
KR

6



Right

4


'DLO\&KHFN6KHHWV
%DFNKRH%RRP








SATISFACTORY (;
UNSATISFACTORY
CORRECTED
,QVSHFWHGE\

0DNHDYLVXDOFKHFNUHSODFHPHQWHWFIRUHDFKEODQN 
VSDFHXQGHUWKHKRXUVPHWHUUHDGLQJRIWKHFKHFNVKHHW



DATE WEEKLY 1 2 3 4 5 6 SIGN APPROVAL NOTE
/ 1
/ 2
/ 3
/ 4
/ 5

V
/ 6

XU
/ 7
/ 8

KR
/ 9
/ 10
/ 11

WR <

/ 12

V ,/

/ 13
/ 14
XU $


/ 15
'

/ 16
/ 17
/ 18
/ 19
/ 20
/ 21
KR

/ 22
/ 23
/ 24


/ 25
/ 26
/ 27


/ 28
/ 29
/ 30
/ 31

COMMENT



KRXUVWRKRXUVFKHFNVKHHW
0DLQ)UDPH


SATISFACTORY (;
UNSATISFACTORY
CORRECTED
,QVSHFWHGE\

0DNHDYLVXDOFKHFNUHSODFHPHQWHWFIRUHDFKEODQN 
VSDFHXQGHUWKHKRXUVPHWHUUHDGLQJRIWKHFKHFNVKHHW

Rear

4 (Out side)
3 Left
(In side) 2

V
1

XU
KR
 <

/
V 7+


8
(Out side)
XU 1

7
K R 02

WR

6 (In side)
5

Right
Front

DATE 1 2 3 4 5 6 7 8



COMMENT




KRXUVWRKRXUVFKHFNVKHHWV
%DFNKRH%RRP


SATISFACTORY (;
UNSATISFACTORY
CORRECTED
,QVSHFWHGE\

㻃0DNHDYLVXDOFKHFNUHSODFHPHQWHWFIRUHDFKEODQN 
VSDFHXQGHUWKHKRXUVPHWHUUHDGLQJRIWKHFKHFNVKHHW
Front 3

1
2 Left

V
Right

XU
KR
 <
6


/
V 7+

DATE 1 2 3 4 5 6
XU 1
K R 02

WR

Left Front
2

3


Right
4


DATE 1 2 3 4

COMMENT



KRXUVWRKRXUVFKHFNVKHHWV
%DFNKRH$UP


SATISFACTORY (;
UNSATISFACTORY
CORRECTED
,QVSHFWHGE\

0DNHDYLVXDOFKHFNUHSODFHPHQWHWFIRUHDFKEODQN 
VSDFHXQGHUWKHKRXUVPHWHUUHDGLQJRIWKHFKHFNVKHHW
Front

Right

2
Left

V
XU
3

KR
 <

/
V 7+


DATE 1 2 3
XU 1
K R 02

WR

Front
4

5
Left

Right


6


DATE 4 5 6

COMMENT








KRXUVWR 


KRXUV




KRXUVWRKRXUV




SATISFACTORY EX1200-7
UNSATISFACTORY
CORRECTED Inspected by:
Make a visual check, replacement, etc. for each blank
space under the hours meter reading of the check sheet.
Front
3

1
Left
2

Right

DATE 1 2 3 4 5 6

1
Front
Left
2

Right
4

DATE 1 2 3 4 5 6

COMMENT




'DLO\&KHFN3RLQWV
%DFNKRH%RRP



(;

Front

Left
1

V
XU
Right
KR

WR <

V ,/

3
XU $

'

Front
Left
KR

6



Right

4


'DLO\&KHFN6KHHWV
%DFNKRH%RRP








SATISFACTORY (;
UNSATISFACTORY
CORRECTED
,QVSHFWHGE\

0DNHDYLVXDOFKHFNUHSODFHPHQWHWFIRUHDFKEODQN 
VSDFHXQGHUWKHKRXUVPHWHUUHDGLQJRIWKHFKHFNVKHHW



DATE WEEKLY 1 2 3 4 5 6 SIGN APPROVAL NOTE
/ 1
/ 2
/ 3
/ 4
/ 5

V
/ 6

XU
/ 7
/ 8

KR
/ 9
/ 10
/ 11

WR <

/ 12

V ,/

/ 13
/ 14
XU $


/ 15
'

/ 16
/ 17
/ 18
/ 19
/ 20
/ 21
KR

/ 22
/ 23
/ 24


/ 25
/ 26
/ 27


/ 28
/ 29
/ 30
/ 31

COMMENT



KRXUVWRKRXUVFKHFNVKHHW
0DLQ)UDPH


SATISFACTORY (;
UNSATISFACTORY
CORRECTED
,QVSHFWHGE\

0DNHDYLVXDOFKHFNUHSODFHPHQWHWFIRUHDFKEODQN 
VSDFHXQGHUWKHKRXUVPHWHUUHDGLQJRIWKHFKHFNVKHHW

Rear

4 (Out side)
3 Left
(In side) 2

V
1

XU
KR
 <

/
V 7+


8
(Out side)
XU 1

7
K R 02

WR

6 (In side)
5

Right
Front

DATE 1 2 3 4 5 6 7 8



COMMENT




KRXUVWRKRXUVFKHFNVKHHWV
%DFNKRH%RRP


SATISFACTORY (;
UNSATISFACTORY
CORRECTED
,QVSHFWHGE\

0DNHDYLVXDOFKHFNUHSODFHPHQWHWFIRUHDFKEODQN 
VSDFHXQGHUWKHKRXUVPHWHUUHDGLQJRIWKHFKHFNVKHHW
Front 3

1
2 Left

V
Right

XU
KR
 <
6


/
V 7+

DATE 1 2 3 4 5 6
XU 1
K R 02

WR

Left Front
2

3


Right
4


DATE 1 2 3 4

COMMENT



KRXUVWRKRXUVFKHFNVKHHWV
%DFNKRH$UP


SATISFACTORY (;
UNSATISFACTORY
CORRECTED
,QVSHFWHGE\

0DNHDYLVXDOFKHFNUHSODFHPHQWHWFIRUHDFKEODQN 
VSDFHXQGHUWKHKRXUVPHWHUUHDGLQJRIWKHFKHFNVKHHW
Front

Right

2
Left

V
XU
3

KR
 <

/
V 7+


DATE 1 2 3
XU 1
K R 02

WR

Front
4

5
Left

Right


6


DATE 4 5 6

COMMENT












KRXUVWRKRXUV



KRXUVWR 
KRXUV

SATISFACTORY EX1200-7
UNSATISFACTORY
CORRECTED Inspected by:
Make a visual check, replacement, etc. for each blank
space under the hours meter reading of the check sheet.
Front
3

1
Left
2

Right

DATE 1 2 3 4 5 6

1
Front
Left
2

Right
4

DATE 1 2 3 4 5 6

COMMENT




'DLO\&KHFN3RLQWV
%DFNKRH%RRP



(;

Front

Left
1

V
XU
KR Right

WR <

V ,/

3
XU $

'

Front
Left
KR

6



Right

4


'DLO\&KHFN6KHHWV
%DFNKRH%RRP








SATISFACTORY (;
UNSATISFACTORY
CORRECTED
,QVSHFWHGE\

0DNHDYLVXDOFKHFNUHSODFHPHQWHWFIRUHDFKEODQN 
VSDFHXQGHUWKHKRXUVPHWHUUHDGLQJRIWKHFKHFNVKHHW



DATE WEEKLY 1 2 3 4 5 6 SIGN APPROVAL NOTE
/ 1
/ 2
/ 3
/ 4
/ 5

V
/ 6

XU
/ 7
/ 8

KR
/ 9
/ 10
/ 11

WR <

/ 12

V ,/

/ 13
/ 14
XU $


/ 15
'

/ 16
/ 17
/ 18
/ 19
/ 20
/ 21
KR

/ 22
/ 23
/ 24


/ 25
/ 26
/ 27


/ 28
/ 29
/ 30
/ 31

COMMENT



KRXUVWRKRXUVFKHFNVKHHW
0DLQ)UDPH


SATISFACTORY (;
UNSATISFACTORY
CORRECTED
,QVSHFWHGE\

0DNHDYLVXDOFKHFNUHSODFHPHQWHWFIRUHDFKEODQN 
VSDFHXQGHUWKHKRXUVPHWHUUHDGLQJRIWKHFKHFNVKHHW

Rear

4 (Out side)
3 Left
(In side) 2

V
1

XU
KR
 <

/
V 7+


8
(Out side)
XU 1

7
K R 02

WR

6 (In side)
5

Right
Front

DATE 1 2 3 4 5 6 7 8



COMMENT




KRXUVWRKRXUVFKHFNVKHHWV
%DFNKRH%RRP


SATISFACTORY (;
UNSATISFACTORY
CORRECTED
,QVSHFWHGE\

0DNHDYLVXDOFKHFNUHSODFHPHQWHWFIRUHDFKEODQN 
VSDFHXQGHUWKHKRXUVPHWHUUHDGLQJRIWKHFKHFNVKHHW
Front 3

1
2 Left

V
Right

XU
KR
 <
6


/
V 7+

DATE 1 2 3 4 5 6
XU 1
K R 02

WR

Left Front
2

3


Right
4


DATE 1 2 3 4

COMMENT



KRXUVWRKRXUVFKHFNVKHHWV
%DFNKRH$UP


SATISFACTORY (;
UNSATISFACTORY
CORRECTED
,QVSHFWHGE\

0DNHDYLVXDOFKHFNUHSODFHPHQWHWFIRUHDFKEODQN 
VSDFHXQGHUWKHKRXUVPHWHUUHDGLQJRIWKHFKHFNVKHHW
Front

Right

2
Left

V
XU
3

KR
 <

/
V 7+


DATE 1 2 3
XU 1
K R 02

WR

Front
4

5
Left

Right


6


DATE 4 5 6

COMMENT












KRXUVWRKRXUV




SATISFACTORY EX1200-7
UNSATISFACTORY
CORRECTED Inspected by:
Make a visual check, replacement, etc. for each blank
space under the hours meter reading of the check sheet.
Front
3

1
Left

KRXUVWR 
2

KRXUV
5

Right

DATE 1 2 3 4 5 6

1
Front
Left
2

Right
4

DATE 1 2 3 4 5 6

COMMENT




'DLO\&KHFN3RLQWV
%DFNKRH%RRP



(;

Front

Left
1

V
XU
Right
KR

WR <

UV $,/

3

'

Front
X

Left
KR

6



Right

4


'DLO\&KHFN6KHHWV
%DFNKRH%RRP








SATISFACTORY (;
UNSATISFACTORY
CORRECTED
,QVSHFWHGE\

0DNHDYLVXDOFKHFNUHSODFHPHQWHWFIRUHDFKEODQN 
VSDFHXQGHUWKHKRXUVPHWHUUHDGLQJRIWKHFKHFNVKHHW



DATE WEEKLY 1 2 3 4 5 6 SIGN APPROVAL NOTE
/ 1
/ 2
/ 3
/ 4
/ 5

V
/ 6

XU
/ 7
/ 8

KR
/ 9
/ 10
/ 11

WR <

/ 12

UV ,/

/ 13
/ 14
$


/ 15
'

/ 16
/ 17
/ 18
/ 19
/ 20
X

/ 21
KR

/ 22
/ 23
/ 24


/ 25
/ 26


/ 27
/ 28
/ 29
/ 30
/ 31

COMMENT



KRXUVWRKRXUVFKHFNVKHHW
0DLQ)UDPH


SATISFACTORY (;
UNSATISFACTORY
CORRECTED
,QVSHFWHGE\

0DNHDYLVXDOFKHFNUHSODFHPHQWHWFIRUHDFKEODQN 
VSDFHXQGHUWKHKRXUVPHWHUUHDGLQJRIWKHFKHFNVKHHW

Rear

4 (Out side)
3 Left
(In side) 2

UV
1

X
KR
 <

/
V 7+


8
(Out side)
XU 1

7
KR 02

WR

6 (In side)
5

Right
Front

DATE 1 2 3 4 5 6 7 8



COMMENT




KRXUVWRKRXUVFKHFNVKHHWV
%DFNKRH%RRP


SATISFACTORY (;
UNSATISFACTORY
CORRECTED
,QVSHFWHGE\

0DNHDYLVXDOFKHFNUHSODFHPHQWHWFIRUHDFKEODQN 
VSDFHXQGHUWKHKRXUVPHWHUUHDGLQJRIWKHFKHFNVKHHW
Front 3

1
2 Left

UV
Right

X
KR
 <
6


/
V 7+

DATE 1 2 3 4 5 6
XU 1
KR 02

WR

Left Front
2

3


Right
4


DATE 1 2 3 4

COMMENT



KRXUVWRKRXUVFKHFNVKHHWV
%DFNKRH$UP


SATISFACTORY (;
UNSATISFACTORY
CORRECTED
,QVSHFWHGE\

0DNHDYLVXDOFKHFNUHSODFHPHQWHWFIRUHDFKEODQN 
VSDFHXQGHUWKHKRXUVPHWHUUHDGLQJRIWKHFKHFNVKHHW
Front

Right

2
Left

UV
3

X
KR
 <

/
V 7+


DATE 1 2 3
XU 1
KR 02

WR

Front
4

5
Left

Right


6


DATE 4 5 6

COMMENT












KRXUVWRKRXUV




SATISFACTORY EX1200-7
UNSATISFACTORY
CORRECTED Inspected by:
Make a visual check, replacement, etc. for each blank
space under the hours meter reading of the check sheet.
Front
3

1
Left
2

Right

DATE 1 2 3 4 5 6

KRXUVWR 
1

KRXUV
Front
Left
2

Right
4

DATE 1 2 3 4 5 6

COMMENT




'DLO\&KHFN3RLQWV
%DFNKRH%RRP



(;

Front

Left
1

V
XU
KR Right

WR <

V ,/

3
XU $

'

Front
Left
KR

6



Right

4


'DLO\&KHFN6KHHWV
%DFNKRH%RRP








SATISFACTORY (;
UNSATISFACTORY
CORRECTED
,QVSHFWHGE\

0DNHDYLVXDOFKHFNUHSODFHPHQWHWFIRUHDFKEODQN 
VSDFHXQGHUWKHKRXUVPHWHUUHDGLQJRIWKHFKHFNVKHHW



DATE WEEKLY 1 2 3 4 5 6 SIGN APPROVAL NOTE
/ 1
/ 2
/ 3
/ 4
/ 5

V
/ 6

XU
/ 7
/ 8

KR
/ 9
/ 10
/ 11

WR <

/ 12

V ,/

/ 13
/ 14
XU $


/ 15
'

/ 16
/ 17
/ 18
/ 19
/ 20
/ 21
KR

/ 22
/ 23
/ 24


/ 25
/ 26
/ 27


/ 28
/ 29
/ 30
/ 31

COMMENT



KRXUVWRKRXUVFKHFNVKHHW
0DLQ)UDPH


SATISFACTORY (;
UNSATISFACTORY
CORRECTED
,QVSHFWHGE\

0DNHDYLVXDOFKHFNUHSODFHPHQWHWFIRUHDFKEODQN 
VSDFHXQGHUWKHKRXUVPHWHUUHDGLQJRIWKHFKHFNVKHHW

Rear

4 (Out side)
3 Left
(In side) 2

V
1

XU
KR
 <

/
V 7+


8
(Out side)
XU 1

7
K R 02

WR

6 (In side)
5

Right
Front

DATE 1 2 3 4 5 6 7 8



COMMENT




KRXUVWRKRXUVFKHFNVKHHWV
%DFNKRH%RRP


SATISFACTORY (;
UNSATISFACTORY
CORRECTED
,QVSHFWHGE\

0DNHDYLVXDOFKHFNUHSODFHPHQWHWFIRUHDFKEODQN 
VSDFHXQGHUWKHKRXUVPHWHUUHDGLQJRIWKHFKHFNVKHHW
Front 3

1
2 Left

V
Right

XU
KR
 <
6


/
V 7+

DATE 1 2 3 4 5 6
XU 1
K R 02

WR

Left Front
2

3


Right
4


DATE 1 2 3 4

COMMENT



KRXUVWRKRXUVFKHFNVKHHWV
%DFNKRH$UP


SATISFACTORY (;
UNSATISFACTORY
CORRECTED
,QVSHFWHGE\

0DNHDYLVXDOFKHFNUHSODFHPHQWHWFIRUHDFKEODQN 
VSDFHXQGHUWKHKRXUVPHWHUUHDGLQJRIWKHFKHFNVKHHW
Front

Right

2
Left

V
XU
3

KR
 <

/
V 7+


DATE 1 2 3
XU 1
K R 02

WR

Front
4

5
Left

Right


6


DATE 4 5 6

COMMENT












KRXUVWRKRXUV




SATISFACTORY EX1200-7
UNSATISFACTORY
CORRECTED Inspected by:
Make a visual check, replacement, etc. for each blank
space under the hours meter reading of the check sheet.
Front
3

1
Left
2

Right

DATE 1 2 3 4 5 6

1
Front
Left
2

Right
4
KRXUVWR 
KRXUV

DATE 1 2 3 4 5 6

COMMENT




'DLO\&KHFN3RLQWV
%DFNKRH%RRP



(;

Front

Left
1

V
XU
Right
KR

WR <

V ,/

3
XU $

'

Front
Left
KR

6



Right

4


'DLO\&KHFN6KHHWV
%DFNKRH%RRP








SATISFACTORY (;
UNSATISFACTORY
CORRECTED
,QVSHFWHGE\

0DNHDYLVXDOFKHFNUHSODFHPHQWHWFIRUHDFKEODQN 
VSDFHXQGHUWKHKRXUVPHWHUUHDGLQJRIWKHFKHFNVKHHW



DATE WEEKLY 1 2 3 4 5 6 SIGN APPROVAL NOTE
/ 1
/ 2
/ 3
/ 4
/ 5

V
/ 6

XU
/ 7
/ 8

KR
/ 9
/ 10
/ 11

WR <

/ 12

V ,/

/ 13
/ 14
XU $


/ 15
'

/ 16
/ 17
/ 18
/ 19
/ 20
/ 21
KR

/ 22
/ 23
/ 24


/ 25
/ 26
/ 27


/ 28
/ 29
/ 30
/ 31

COMMENT



KRXUVWRKRXUVFKHFNVKHHW
0DLQ)UDPH


SATISFACTORY (;
UNSATISFACTORY
CORRECTED
,QVSHFWHGE\

0DNHDYLVXDOFKHFNUHSODFHPHQWHWFIRUHDFKEODQN 
VSDFHXQGHUWKHKRXUVPHWHUUHDGLQJRIWKHFKHFNVKHHW

Rear

4 (Out side)
3 Left
(In side) 2

V
1

XU
KR
 <

/
V 7+


8
(Out side)
XU 1

7
K R 02

WR

6 (In side)
5

Right
Front

DATE 1 2 3 4 5 6 7 8



COMMENT




KRXUVWRKRXUVFKHFNVKHHWV
%DFNKRH%RRP


SATISFACTORY (;
UNSATISFACTORY
CORRECTED
,QVSHFWHGE\

0DNHDYLVXDOFKHFNUHSODFHPHQWHWFIRUHDFKEODQN 
VSDFHXQGHUWKHKRXUVPHWHUUHDGLQJRIWKHFKHFNVKHHW
Front 3

1
2 Left

V
Right

XU
KR
 <
6


/
V 7+

DATE 1 2 3 4 5 6
XU 1
K R 02

WR

Left Front
2

3


Right
4


DATE 1 2 3 4

COMMENT



KRXUVWRKRXUVFKHFNVKHHWV
%DFNKRH$UP


SATISFACTORY (;
UNSATISFACTORY
CORRECTED
,QVSHFWHGE\

0DNHDYLVXDOFKHFNUHSODFHPHQWHWFIRUHDFKEODQN 
VSDFHXQGHUWKHKRXUVPHWHUUHDGLQJRIWKHFKHFNVKHHW
Front

Right

2
Left

V
XU
3

KR
 <

/
V 7+


DATE 1 2 3
XU 1
K R 02

WR

Front
4

5
Left

Right


6


DATE 4 5 6

COMMENT








KRXUVWR 


KRXUV




KRXUVWRKRXUV




SATISFACTORY EX1200-7
UNSATISFACTORY
CORRECTED Inspected by:
Make a visual check, replacement, etc. for each blank
space under the hours meter reading of the check sheet.
Front
3

1
Left
2

Right

DATE 1 2 3 4 5 6

1
Front
Left
2

Right
4

DATE 1 2 3 4 5 6

COMMENT




'DLO\&KHFN3RLQWV
%DFNKRH%RRP



(;

Front

Left
1

V
XU
KR Right

WR <

V ,/

3
XU $

'

Front
Left
KR

6



Right

4


'DLO\&KHFN6KHHWV
%DFNKRH%RRP








SATISFACTORY (;
UNSATISFACTORY
CORRECTED
,QVSHFWHGE\

0DNHDYLVXDOFKHFNUHSODFHPHQWHWFIRUHDFKEODQN 
VSDFHXQGHUWKHKRXUVPHWHUUHDGLQJRIWKHFKHFNVKHHW



DATE WEEKLY 1 2 3 4 5 6 SIGN APPROVAL NOTE
/ 1
/ 2
/ 3
/ 4
/ 5

V
/ 6

XU
/ 7
/ 8

KR
/ 9
/ 10
/ 11

WR <

/ 12

V ,/

/ 13
/ 14
XU $


/ 15
'

/ 16
/ 17
/ 18
/ 19
/ 20
/ 21
KR

/ 22
/ 23
/ 24


/ 25
/ 26
/ 27


/ 28
/ 29
/ 30
/ 31

COMMENT



KRXUVWRKRXUVFKHFNVKHHW
0DLQ)UDPH


SATISFACTORY (;
UNSATISFACTORY
CORRECTED
,QVSHFWHGE\

0DNHDYLVXDOFKHFNUHSODFHPHQWHWFIRUHDFKEODQN 
VSDFHXQGHUWKHKRXUVPHWHUUHDGLQJRIWKHFKHFNVKHHW

Rear

4 (Out side)
3 Left
(In side) 2

V
1

XU
KR
 <

/
V 7+


8
(Out side)
XU 1

7
K R 02

WR

6 (In side)
5

Right
Front

DATE 1 2 3 4 5 6 7 8



COMMENT




KRXUVWRKRXUVFKHFNVKHHWV
%DFNKRH%RRP


SATISFACTORY (;
UNSATISFACTORY
CORRECTED
,QVSHFWHGE\

0DNHDYLVXDOFKHFNUHSODFHPHQWHWFIRUHDFKEODQN 
VSDFHXQGHUWKHKRXUVPHWHUUHDGLQJRIWKHFKHFNVKHHW
Front 3

1
2 Left

V
Right

XU
KR
 <
6


/
V 7+

DATE 1 2 3 4 5 6
XU 1
K R 02

WR

Left Front
2

3


Right
4


DATE 1 2 3 4

COMMENT



KRXUVWRKRXUVFKHFNVKHHWV
%DFNKRH$UP


SATISFACTORY (;
UNSATISFACTORY
CORRECTED
,QVSHFWHGE\

0DNHDYLVXDOFKHFNUHSODFHPHQWHWFIRUHDFKEODQN 
VSDFHXQGHUWKHKRXUVPHWHUUHDGLQJRIWKHFKHFNVKHHW
Front

Right

2
Left

V
XU
3

KR
 <

/
V 7+


DATE 1 2 3
XU 1
K R 02

WR

Front
4

5
Left

Right


6


DATE 4 5 6

COMMENT












KRXUVWRKRXUV



KRXUVWR 
KRXUV

SATISFACTORY EX1200-7
UNSATISFACTORY
CORRECTED Inspected by:
Make a visual check, replacement, etc. for each blank
space under the hours meter reading of the check sheet.
Front
3

1
Left
2

Right

DATE 1 2 3 4 5 6

1
Front
Left
2

Right
4

DATE 1 2 3 4 5 6

COMMENT




'DLO\&KHFN3RLQWV
%DFNKRH%RRP



(;

Front

Left
1

V
XU
Right
KR

WR <

UV $,/

3

'

Front
X

Left
KR

6



Right

4


'DLO\&KHFN6KHHWV
%DFNKRH%RRP








SATISFACTORY (;
UNSATISFACTORY
CORRECTED
,QVSHFWHGE\

0DNHDYLVXDOFKHFNUHSODFHPHQWHWFIRUHDFKEODQN 
VSDFHXQGHUWKHKRXUVPHWHUUHDGLQJRIWKHFKHFNVKHHW



DATE WEEKLY 1 2 3 4 5 6 SIGN APPROVAL NOTE
/ 1
/ 2
/ 3
/ 4
/ 5

V
/ 6

XU
/ 7
/ 8

KR
/ 9
/ 10
/ 11

WR <

/ 12

UV ,/

/ 13
/ 14
$


/ 15
'

/ 16
/ 17
/ 18
/ 19
/ 20
X

/ 21
KR

/ 22
/ 23
/ 24


/ 25
/ 26


/ 27
/ 28
/ 29
/ 30
/ 31

COMMENT



KRXUVWRKRXUVFKHFNVKHHW
0DLQ)UDPH


SATISFACTORY (;
UNSATISFACTORY
CORRECTED
,QVSHFWHGE\

0DNHDYLVXDOFKHFNUHSODFHPHQWHWFIRUHDFKEODQN 
VSDFHXQGHUWKHKRXUVPHWHUUHDGLQJRIWKHFKHFNVKHHW

Rear

4 (Out side)
3 Left
(In side) 2

UV
1

X
KR
 <

/
V 7+


8
(Out side)
XU 1

7
KR 02

WR

6 (In side)
5

Right
Front

DATE 1 2 3 4 5 6 7 8



COMMENT




KRXUVWRKRXUVFKHFNVKHHWV
%DFNKRH%RRP


SATISFACTORY (;
UNSATISFACTORY
CORRECTED
,QVSHFWHGE\

0DNHDYLVXDOFKHFNUHSODFHPHQWHWFIRUHDFKEODQN 
VSDFHXQGHUWKHKRXUVPHWHUUHDGLQJRIWKHFKHFNVKHHW
Front 3

1
2 Left

UV
Right

X
KR
 <
6


/
V 7+

DATE 1 2 3 4 5 6
XU 1
KR 02

WR

Left Front
2

3


Right
4


DATE 1 2 3 4

COMMENT



KRXUVWRKRXUVFKHFNVKHHWV
%DFNKRH$UP


SATISFACTORY (;
UNSATISFACTORY
CORRECTED
,QVSHFWHGE\

0DNHDYLVXDOFKHFNUHSODFHPHQWHWFIRUHDFKEODQN 
VSDFHXQGHUWKHKRXUVPHWHUUHDGLQJRIWKHFKHFNVKHHW
Front

Right

2
Left

UV
3

X
KR
 <

/
V 7+


DATE 1 2 3
XU 1
KR 02

WR

Front
4

5
Left

Right


6


DATE 4 5 6

COMMENT












KRXUVWRKRXUV




SATISFACTORY EX1200-7
UNSATISFACTORY
CORRECTED Inspected by:
Make a visual check, replacement, etc. for each blank
space under the hours meter reading of the check sheet.
Front
3

1
Left

KRXUVWR 
2

KRXUV
5

Right

DATE 1 2 3 4 5 6

1
Front
Left
2

Right
4

DATE 1 2 3 4 5 6

COMMENT




'DLO\&KHFN3RLQWV
%DFNKRH%RRP



(;

Front

Left
1

V
XU
KR Right

WR <

V ,/

3
XU $

'

Front
Left
KR

6



Right

4


'DLO\&KHFN6KHHWV
%DFNKRH%RRP








SATISFACTORY (;
UNSATISFACTORY
CORRECTED
,QVSHFWHGE\

0DNHDYLVXDOFKHFNUHSODFHPHQWHWFIRUHDFKEODQN 
VSDFHXQGHUWKHKRXUVPHWHUUHDGLQJRIWKHFKHFNVKHHW



DATE WEEKLY 1 2 3 4 5 6 SIGN APPROVAL NOTE
/ 1
/ 2
/ 3
/ 4
/ 5

V
/ 6

XU
/ 7
/ 8

KR
/ 9
/ 10
/ 11

WR <

/ 12

V ,/

/ 13
/ 14
XU $


/ 15
'

/ 16
/ 17
/ 18
/ 19
/ 20
/ 21
KR

/ 22
/ 23
/ 24


/ 25
/ 26
/ 27


/ 28
/ 29
/ 30
/ 31

COMMENT



KRXUVWRKRXUVFKHFNVKHHW
0DLQ)UDPH


SATISFACTORY (;
UNSATISFACTORY
CORRECTED
,QVSHFWHGE\

0DNHDYLVXDOFKHFNUHSODFHPHQWHWFIRUHDFKEODQN 
VSDFHXQGHUWKHKRXUVPHWHUUHDGLQJRIWKHFKHFNVKHHW

Rear

4 (Out side)
3 Left
(In side) 2

V
1

XU
KR
 <

/
V 7+


8
(Out side)
XU 1

7
K R 02

WR

6 (In side)
5

Right
Front

DATE 1 2 3 4 5 6 7 8



COMMENT




KRXUVWRKRXUVFKHFNVKHHWV
%DFNKRH%RRP


SATISFACTORY (;
UNSATISFACTORY
CORRECTED
,QVSHFWHGE\

0DNHDYLVXDOFKHFNUHSODFHPHQWHWFIRUHDFKEODQN 
VSDFHXQGHUWKHKRXUVPHWHUUHDGLQJRIWKHFKHFNVKHHW
Front 3

1
2 Left

V
Right

XU
KR
 <
6


/
V 7+

DATE 1 2 3 4 5 6
XU 1
K R 02

WR

Left Front
2

3


Right
4


DATE 1 2 3 4

COMMENT



KRXUVWRKRXUVFKHFNVKHHWV
%DFNKRH$UP


SATISFACTORY (;
UNSATISFACTORY
CORRECTED
,QVSHFWHGE\

0DNHDYLVXDOFKHFNUHSODFHPHQWHWFIRUHDFKEODQN 
VSDFHXQGHUWKHKRXUVPHWHUUHDGLQJRIWKHFKHFNVKHHW
Front

Right

2
Left

V
XU
3

KR
 <

/
V 7+


DATE 1 2 3
XU 1
K R 02

WR

Front
4

5
Left

Right


6


DATE 4 5 6

COMMENT












KRXUVWRKRXUV




SATISFACTORY EX1200-7
UNSATISFACTORY
CORRECTED Inspected by:
Make a visual check, replacement, etc. for each blank
space under the hours meter reading of the check sheet.
Front
3

1
Left
2

Right

DATE 1 2 3 4 5 6

KRXUVWR 
1

KRXUV
Front
Left
2

Right
4

DATE 1 2 3 4 5 6

COMMENT




'DLO\&KHFN3RLQWV
%DFNKRH%RRP



(;

Front

Left
1

V
XU
Right
KR

WR <

V ,/

3
XU $

'

Front
Left
KR

6



Right

4


'DLO\&KHFN6KHHWV
%DFNKRH%RRP








SATISFACTORY (;
UNSATISFACTORY
CORRECTED
,QVSHFWHGE\

0DNHDYLVXDOFKHFNUHSODFHPHQWHWFIRUHDFKEODQN 
VSDFHXQGHUWKHKRXUVPHWHUUHDGLQJRIWKHFKHFNVKHHW



DATE WEEKLY 1 2 3 4 5 6 SIGN APPROVAL NOTE
/ 1
/ 2
/ 3
/ 4
/ 5

V
/ 6

XU
/ 7
/ 8

KR
/ 9
/ 10
/ 11

WR <

/ 12

V ,/

/ 13
/ 14
XU $


/ 15
'

/ 16
/ 17
/ 18
/ 19
/ 20
/ 21
KR

/ 22
/ 23
/ 24


/ 25
/ 26
/ 27


/ 28
/ 29
/ 30
/ 31

COMMENT



KRXUVWRKRXUVFKHFNVKHHW
0DLQ)UDPH


SATISFACTORY (;
UNSATISFACTORY
CORRECTED
,QVSHFWHGE\

0DNHDYLVXDOFKHFNUHSODFHPHQWHWFIRUHDFKEODQN 
VSDFHXQGHUWKHKRXUVPHWHUUHDGLQJRIWKHFKHFNVKHHW

Rear

4 (Out side)
3 Left
(In side) 2

V
1

XU
KR
 <

/
V 7+


8
(Out side)
XU 1

7
K R 02

WR

6 (In side)
5

Right
Front

DATE 1 2 3 4 5 6 7 8



COMMENT




KRXUVWRKRXUVFKHFNVKHHWV
%DFNKRH%RRP


SATISFACTORY (;
UNSATISFACTORY
CORRECTED
,QVSHFWHGE\

0DNHDYLVXDOFKHFNUHSODFHPHQWHWFIRUHDFKEODQN 
VSDFHXQGHUWKHKRXUVPHWHUUHDGLQJRIWKHFKHFNVKHHW
Front 3

1
2 Left

V
Right

XU
KR
 <
6


/
V 7+

DATE 1 2 3 4 5 6
XU 1
K R 02

WR

Left Front
2

3


Right
4


DATE 1 2 3 4

COMMENT



KRXUVWRKRXUVFKHFNVKHHWV
%DFNKRH$UP


SATISFACTORY (;
UNSATISFACTORY
CORRECTED
,QVSHFWHGE\

0DNHDYLVXDOFKHFNUHSODFHPHQWHWFIRUHDFKEODQN 
VSDFHXQGHUWKHKRXUVPHWHUUHDGLQJRIWKHFKHFNVKHHW
Front

Right

2
Left

V
XU
3

KR
 <

/
V 7+


DATE 1 2 3
XU 1
K R 02

WR

Front
4

5
Left

Right


6


DATE 4 5 6

COMMENT












KRXUVWRKRXUV




SATISFACTORY EX1200-7
UNSATISFACTORY
CORRECTED Inspected by:
Make a visual check, replacement, etc. for each blank
space under the hours meter reading of the check sheet.
Front
3

1
Left
2

Right

DATE 1 2 3 4 5 6

1
Front
Left
2

Right
4
KRXUVWR 
KRXUV

DATE 1 2 3 4 5 6

COMMENT




'DLO\&KHFN3RLQWV
%DFNKRH%RRP



(;

Front

Left
1

X UV
KR
Right


WR <
,/


3
XU '$


2
V

Front
Left
KR

6



Right

4




'DLO\&KHFN6KHHWV
%DFNKRH%RRP








SATISFACTORY (;
UNSATISFACTORY
CORRECTED
,QVSHFWHGE\

0DNHDYLVXDOFKHFNUHSODFHPHQWHWFIRUHDFKEODQN 
VSDFHXQGHUWKHKRXUVPHWHUUHDGLQJRIWKHFKHFNVKHHW



DATE WEEKLY 1 2 3 4 5 6 SIGN APPROVAL NOTE
/ 1
/ 2
/ 3
/ 4

UV
/ 5
/ 6

X
/ 7

KR
/ 8
/ 9
/ 10


/ 11

WR <

/ 12
,/

/ 13

/ 14
XU '$

/ 15


/ 16
/ 17
/ 18
/ 19
V

/ 20
/ 21
/ 22
KR

/ 23
/ 24
/ 25


/ 26
/ 27


/ 28
/ 29
/ 30
/ 31

COMMENT



KRXUVWRKRXUVFKHFNVKHHW
0DLQ)UDPH


SATISFACTORY (;
UNSATISFACTORY
CORRECTED
,QVSHFWHGE\

0DNHDYLVXDOFKHFNUHSODFHPHQWHWFIRUHDFKEODQN 
VSDFHXQGHUWKHKRXUVPHWHUUHDGLQJRIWKHFKHFNVKHHW

Rear

4 (Out side)
3 Left

UV
(In side) 2
1

RX
K
 /<

7+


8
(Out side)
XU 21

6 (In side)
WR

5
0

Right
Front
V
KR

DATE 1 2 3 4 5 6 7 8



COMMENT






KRXUVWRKRXUVFKHFNVKHHWV
%DFNKRH%RRP


SATISFACTORY (;
UNSATISFACTORY
CORRECTED
,QVSHFWHGE\

0DNHDYLVXDOFKHFNUHSODFHPHQWHWFIRUHDFKEODQN 
VSDFHXQGHUWKHKRXUVPHWHUUHDGLQJRIWKHFKHFNVKHHW
Front 3

1
2 Left

UV
5

Right

RX
K
 /<
6


7+


DATE 1 2 3 4 5 6
XU 1 2
WR

1
0

Left Front
V

2
KR

3


Right
4


DATE 1 2 3 4

COMMENT



KRXUVWRKRXUVFKHFNVKHHWV
%DFNKRH$UP


SATISFACTORY (;
UNSATISFACTORY
CORRECTED
,QVSHFWHGE\

0DNHDYLVXDOFKHFNUHSODFHPHQWHWFIRUHDFKEODQN 
VSDFHXQGHUWKHKRXUVPHWHUUHDGLQJRIWKHFKHFNVKHHW
Front

Right

2
Left

UV
RX
3

K
 /<

7+


DATE 1 2 3
XU 21
WR

Front
0

4
V

5
KR

Left

Right
6



DATE 4 5 6

COMMENT


QUICK VISUAL INSPECTION REPORT (HYD.EXCAVATORS)
Machine Model Serial No. Inspection Date Service Meter
D M Y HRS

Company Name Machine Location (Mine Site Name)

Work Site Condition/Material (e.g. Blasted and crushed sandstones were being dumped.)

Stamped Number (Main Frame) Stamped Number (Boom) / Front Number Stamped Number (Arm) / Front Number

Details of Crack (e.g. crack length and location)

* Please send a photo of a crack with this report.
Picture Comment