Cartage Australia Pty Ltd
ABN 60 108 355 344
PO Box 879 Cranbourne Vic 3977
Tel: (03) 5996 1019 Fax: (03) 5996 6570

Hoist Box Inspection Campaign Form

Date and Time *

Supervisor *

Supervisor Email *

Other *If CMV Technician then CMV Technician ID is required, please contact derrimutservicebookings@cmvtb.com.au

Second Supervisor

Second Supervisor Email

Other *If CMV Technician then CMV Technician ID is required, please contact derrimutservicebookings@cmvtb.com.au

Trailer Fleet No. *

If Trailer not listed please use T999 and enter missing trailer identification information.

Trailer Registration No. *

Lookup

If Trailer is T999 and the registration is not known please enter NOTKWN as the value.

Trailer Vehicle Identification Number *Please provide identification information for Head Office to add this as a new Trailer.

Please report any signs of damage, wear, cracks, leaks or missing components which will affect the functionality of the trailer and will need attention & repairs.

Please tick each box that you have sighted and inspected each component, please comment.

I have read the instructions above. *

Please report any signs of damage, wear, cracks, leaks or missing components which will affect the functionality of the trailer and will need attention & repairs. Please tick each box that you have sighted and inspected each component and that it does not need any attention, please comment.

SERVICE ITEMS

NAServiceableUnserviceable

HOIST BOX FRONT

NAServiceableUnserviceable

HOIST BOX PASSENGER SIDE

NAServiceableUnserviceable

HOIST BOX DRIVER SIDE

NAServiceableUnserviceable

HOIST BOX HOIST MOUNTING PLATE PASSENGER SIDE

NAServiceableUnserviceable

HOIST BOX HOIST MOUNTING PLATE DRIVER SIDE

NAServiceableUnserviceable

HOIST MOUNT BOLTS

NAServiceableUnserviceable

Notes

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Signature *

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Second Supervisor Signature

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