| Observer Name | John j/ Kevin thoen |
|---|---|
| Date of Inspection | 03/09/2022 |
| Site | Field (Wells) |
| Area / Job | 7361 Hudson medicl |
| Model / Size | 19’ scissor x2 |
| Unit Number | 11281826/ 10989789 |
| 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 |
