VEHICLE DETAILS

• Company Name^*
  

• Contact Name^*
  

• Phone Number^*
  

• Email Address^*
  

• Vehicle Type^*
  

• Vehicle Make^*
  

• Vehicle Model^*
  

• Date Issued^*
  

• Reinspection Due*
  

• Structure^*
  

• ROPS Serial no^*
  

• Vehicle Site ID no^*
  

• DEFORMATION Any apparent deformation to the load carrying structure?^*
  YesNo

• IMPACT DAMAGE Any apparent deformation to the load carrying structure?*
  YesNo

• ABRASIVE DAMAGE Any apparent deformation to the load carrying structure?^*
  YesNo

• WELD INTEGRITY Apparent cracking, stressing?^*
  YesNo

• Any holes drilled in ROPS frame?^*
  YesNo

• Certificate Plate attached?^*
  YesNo

• CORROSION Level of corrosion that may affect load
  

• Attach photo