| Observer Name | Kevin Darcy |
|---|---|
| Date of Inspection | 06/22/2023 |
| Site | Field (Wells) |
| Area / Job | IDOT SIOUX CITY IOWA |
| Model / Size | S-65 GENIE 65 FT |
| Unit Number | 10401455 |
| 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 |
