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Inspected By:
Distributor:
Customer:
Hoist Model:
Hoist Serial No.:
Chassis VIN:
Chassis Make & Model:
Chassis GVWR:
Chassis CA / CT:
After Frame:
PTO Make:
PTO Model:
PTO Serial No.:
PTO % of Engine RPM:
Hyd. Pump Make:
Hyd. Pump Model:
Hyd. Pump Serial No.:
Were there any problems installing the hoist to the truck chassis?
If yes, please describe:
All bolts checked for proper tightness.
Please include photos of the hoist installed on the truck chassis. Be sure to include at least one photo
from each side of the chassis/hoist.
SWL Pre-Delivery Check List
PRE-DELIVERY CHECK LIST
INSPECTOR'S INFORMATION
I. COMPONENT INFORMATION
II. INSTALLATION TO CHASSIS
Page 1
Signature:
Date Installed:
Date Inspected:
Distance from rear of cab to the centerline
of rear axle/tandem.
Distance from centerline of rear
axle/tandem to rear of hoist.
YES
NO
Revision A
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