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2200 W. Panama Road, Martell, NE 68404
402-794-5000
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Home
About
Blog Posts
Services
Careers
Driver Application
Operator Application
Employee Portal
Material Order
Contact
Operator Inspection Form
Please enable JavaScript in your browser to complete this form.
Name
*
First
Last
Phone
*
Location / Job Site
*
Equipment Type
*
Please Select Equipment
Dozer
Fuel Truck
Low Boy
Mini Excavator
Motor Grader
Other
Pickup
Roller
Scraper
Side Dump
Skid Loader
Straight Truck
Track Hoe
Track Loader
Tractor
Truck & Pup
Water Truck
Wheel Loader
Unit Number
*
Machine Hours
*
Please check the following if problematic:
Engine Oil Pre-Start
Hydraulic Oil Pre-Start
Antifreeze Level Pre-Start
Air Filter/Tap Pre-Start
Zerks Are All Taking Grease
Bucket & Boom Pins
Bucket & Teeth Condition
Radiator Condition
Antifreeze Leaks
Oil Leaks
Lights
Backup Alarm
Tires/Tracks
Glass
Mirrors
Brakes
Gauges
Exterior Condition
Interior Condition
Seatbelt
Transmission Oil
Worksite Hazard
Additional Comments
Upload Image of Problem Areas
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You can upload up to 3 files.
Signature
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