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SUBJECT: DOCUMENT NO:

RCT-MOTORPOOL-FORM
EQUIPMENT INSPECTION
REVISION NO.:
REPORT 0 OF 1

DESCRIPTION OF PROPERTY (NOTE: TO BE FILLED-UP COMPLETELY BY THE REQUESTING OFFICE/DEPARTMENT)

OPERATOR/DRIVER NAME:

EQUIPMENT NAME: DATE AND TIME


MODEL: STARTED:

PLATE NO.: DATE AND TIME


INSPECTED BY: FINISHED:

DESCRIPTION OF DAMAGE: POTENTIAL CAUSES

PREVIOUS RELATED ISSUES (IF ANY):

RECOMMENDATIONS FOR REPAIR / REPLACEMENT

STATUS OF EQUIPMENT/VEHICLE: OPERATIONAL NON-OPERATIONAL


REQUESTED BY: INSPECTED BY: REVIEWED BY:

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