| Observer Name | Dan Jensen |
|---|---|
| Date of Inspection | 05/03/2018 |
| Site | Wells |
| Area / Job | 6584 gym |
| Model / Size | 660sjc |
| Unit Number | 0300210786 |
| 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 |
