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Item CONDITION

Item to be Checked
No.
SAT SUN MON TUE WED THU FRI
1 Fluid Level
2 Hydraulic Leakage
3 Operating Levers
4 Lights
5 Hazard Beacon
6 Reversing Alarm
7 Windows
8 Horn
9 Tires/Tracks
10 Seatbelt
11 Fire Extinguisher
12 Foot Break
13 Hand Break
14 Mirrors
15 Visibility
16 Attachments (Bucket/Blade/Ripper)
17 (SAG) Licensed
18 SA/SPSP Certification
19 3rd party equipment inspection
20 Service Sticker
21 Company logo
22 PWAS
Operator’s Name: Badge Number:
Vehicle No: Date Start:
Project:

NOTE: Failure to comply such above conditions, work shall not proceed without prior instructions.
Remarks:

 - Ok X - Not Ok N/A- Not Applicable

Inspected by:
Operator Signature

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