| NEW EQUIPMENT ID: |
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MAINTENANCE CLASS: |
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DATE IN SERVICE: |
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| REPLACED EQUIPMENT ID: |
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MAINTENANCE CLASS: |
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DISTRICT: |
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C/C: |
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Now that you have been using this new vehicle for a short
period of time, we would like you and your crew to take a few minutes, perhaps at a tailgate
safety meeting, and candidly evaluate this unit. Feedback to the Division of Equipment is
important to see if this vehicle is meeting your needs.
| How long have you had this new unit? |
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| For what purpose is it primarily used? |
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| Has it met your needs? Y/N |
| Comments: |
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| What, if anything, would you add or remove from this unit? |
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| Have you had any problems with this vehicle? Y/N If so, what type? |
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| What do you like most about this unit? |
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| Would you have preferred another type of vehicle
to do the job described above? Y/N |
| Comments: |
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| How many crewmembers use this vehicle? |
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| Is the unit easy, moderate, or hard to operate? (circle your answer) |
| Was training provided? Y/N |
| Comments: |
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| Was the unit properly labeled for
safety and/or operating? Y/N |
| Was equipment received in proper condition? Y/N |
| Is there anything that could be
considered a safety problem? Y/N |
| Comments: |
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| Your overall evaluation of this vehicle: |
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Please forward this evaluation to your District Equipment Manager through your supervisor
and Regional Equipment Coordinator.
Equipment Managers: Route to the local Shop Superintendent.
Equipment Shop Superintendents: Route to HQ Division of Equipment Field Operations.
9/15/04
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