Daily Fire Report Shift Ticket

1
Shift Date* This field is required.
Date
Month
Day
Year
2
Equipment Type
Please Select
Please Select
Dozer
Excavator
Skidder
Feller Buncher
Strip Mulcher
Pumpercat
HETF
Water Tender
3
Incident Name
4
Equipment E Number
5
Your Name (Equipment Personnel 2)
First Name
Last Name
6
Equipment Personnel 2
First Name
Last Name
7
Equipment Personnel 3
First Name
Last Name
8
Equipment Personnel 4
First Name
Last Name
9
Transport Truck Retained
Yes
No
10
Separate E Number for Transport Truck
Yes
No
11
Transport Truck E Number
12
Transport Truck Operator Name
First Name
Last Name
13
Picture of Shift Ticket
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Select files to upload
Max. file size: 10.0MB
Upload a photo or scan of the completed shift ticket.
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14
Equipment Checks/Issues
Please Select
Please Select
No Issues
Minor Maintenance Needed
Equipment Out of Service
15
Equipment Issues Description
16
Name
First Name
Last Name
17
Transport Truck Shift Ticket Picture
Drag and drop files here
Select files to upload
Max. file size: 10.0MB
Upload a picture or scan of the transport truck shift ticket.
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18
Equipment Issues Picture
Drag and drop files here
Select files to upload
Max. file size: 10.0MB
Attach a picture of the equipment issue.
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Should be Empty: