Family Oilfield 4747 - Power Unit
Maintenance
Name of Person Completing the Work:
First Name
Last Name
Date
-
Month
-
Day
Year
Date
Was a Repair Request Form Submitted for this work?
Yes
No
Odometer Reading
Hour meter Reading
Date of Next Safety Due:
-
Month
-
Day
Year
Date
Check the following that have been inspected:
Check all fluids to appropriate levels
Glass in good condition
Lights in working condition
Air System working
Exhaust System in working condition
Drive line inspection
PTO & pump system inspected
Tires (pressure and visual condition)
Fire Extinguisher & First Aid Kit
Work / Repairs Completed:
Signature
Submit
Should be Empty: