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Plate:

Version:
MACHINERY CHECK LIST
Date of elaboration:

DATE: _______________ TIME: ________________ SHIFT: _________________ TEAM: __________________


OPERATOR: ___________________________ SUPERVISOR: _________________________________
Repair When: Immediate Before 10 hours Before 24 hours Before 1 week

No. Goo
CHECK STATUS Evil NA Observations
d
1 Direction system
2 Braking system
3 Backup alarm
4 Seat belt
5 Hydraulic system
6 Mirrors
7 Tires
8 nuts
9 Circulin
10 Lights
11 Wiper washer
12 Ring and tab
13 Horn
14 Control Panel
15 Seating
16 Extinguisher
17 First aid kit
18 window glass
19 Suspension
20 Mudguard
21 safety shoes
22 Stirrups
23 Order and Cleanliness
24 Emergency brake system
25 Engine
26 Hydroline

FINAL STATUS OF THE VEHICLE APPROVED DISAPPROVED

CONDITIONS TO OPERATE:
These conditions must be 100% operational according to the shift and weather conditions.

SIGNATURE OF SIGNATURE OF
OPERATOR: ___________________________ SSOMA: _________________________________

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