| Observer Name | Jacob Randall |
|---|---|
| Date of Inspection | 11/16/2021 |
| Site | Sealants |
| Area / Job | GRAYBAR ROCHESTER |
| Model / Size | 66 jlg |
| Unit Number | 77629 |
| Wheels / Tires | Pass |
| Fire extinguisher | Fail |
| Welder & Leads | Fail |
| Hydraulic Components | Pass |
| Lights & Alarm | Pass |
| Fuel and Oil Levels | Pass |
| Clear working and driving area | Pass |
| Platform | Pass |
| Platform | Pass |
| Controls | Pass |
| Comments | Not equiped |
| All Pass or Fail | Pass |
