| Observer Name | Shawn Casavan |
|---|---|
| Date of Inspection | 10/07/2021 |
| Site | Field (Wells) |
| Area / Job | Medtronics |
| Model / Size | S-85 XC Genie |
| Unit Number | 11266000 |
| Wheels / Tires | Pass |
| Fire extinguisher | Pass |
| Welder & Leads | Pass |
| Hydraulic Components | Pass |
| Lights & Alarm | Pass |
| Fuel and Oil Levels | Pass |
| Clear working and driving area | Pass |
| Platform | Pass |
| Platform | Pass |
| Controls | Pass |
| All Pass or Fail | Pass |
