UNIT INSPECTION
SAFETY INSPECTION
£
No paint damage, scratches, or corrosion
£
All Guards/Shields Installed and Secured
£
No hydraulic oil leaks, fuel leaks, air leaks
£
All Safety Decals Clear and Legible
£
Checked engine/hydraulic fluid levels
£
Reflectors, Trailer Lights are Clean
£
Hydraulic Hoses Secure and Fittings Tight
£
All Lights are Clean and Working
£
Conveyor Belts Move Freely
£
Reviewed Operating/Safety Instructions
£
Conveyor Belts Aligned and Tensioned
£
Rear Conveyor Swings and Moves Freely. Limit Switches function correctly
£
Gate cylinders and limit switches function correctly
£
Checked trailer tires and air-ride system
£
Checked Tire Pressure
I have thoroughly instructed the buyer on the above described equipment. The review included the
content of the Operator’s Manual, equipment care, adjustments, safe operation and warranty policy.
Date _____________________
Dealer’s Signature _________________________________________
The above equipment and Operator’s Manual have been received by me. I have been thoroughly
instructed as to care, adjustments, safe operation and applicable warranty policy.
Date _____________________
Buyer’s Signature __________________________________________
The Dealer must fill out this form, and be signed by both the Dealer and Buyer at the time of delivery.
Scan or photograph the completed form (must be legible), and email it to: [email protected]
A copy of this form may also be mailed to the above address.
Buyer’s Name ____________________________
Dealer’s Name ____________________________
Address __________________________________ Address
__________________________________
City ______________________________________ City
______________________________________
Province/State ____________________________ Province/State
____________________________
Postal Code/Zip Code _____________________
Postal Code/Zip Code _____________________
Country __________________________________ Country
__________________________________
Phone Number ____________________________
Phone Number ____________________________
Unit’s Model Number ______________________
Unit’s Serial Number _______________________
Delivery Date _____________________________
General Purpose:
£
Private
£
Commercial
PRODUCT REGISTRATION FORM
and INSPECTION REPORT
Box 760, 275 Hespler Ave, Winkler, Manitoba R6W 4A8
T: (800) 418-9461 P: (204) 325-4195 F: (204) 325-8116
www.convey-all.com [email protected]
Summary of Contents for CST-1550
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