From To Distance Expected Required Total Non Work No. Of Is This a Non Did Earliest Expected Active Work Time Since Change Work Previous Start Finish Working Break Time for Previous of Shift Time Working Time Time for Time Time Previous Work Time days in During Time for Trip Trip 12 Days in Last 24 the Last 24 Exceed Hours Previous Hours 14 Hours 14 Days Max Min Min If yes Min 168 hours 7 hours 2 days 24 Hours 8 hours Periods exceeding Time 14 hours Required not permitted FAULT RECORD AND REPAIR REGISTER Prime Mover Registration No. ____________________ Date Odometer Detail of Fault Priority Conditions/ Priority Set Date of Repaired By Tested By Reading Limit By Repaired Trailer 1 Registration No. ____________________ Date Odometer Detail of Fault Priority Conditions/ Priority Set Date of Fault Repaired By Tested By Reading Limit By Repaired Trailer 2 Registration No. ____________________ Date Odometer Detail of Fault Priority Conditions/ Priority Set Date of Fault Repaired By Tested By Reading Limit By Repaired
From To Distance Expected Active Working Time Required Break Time Total Work Time for Previous 12 Days Non Work Time Since Previous Work Time in Last 24 Hours No. Of days in the Previous 14 Days Is This a Change of Shift Non Work Time During Last 24 Hours Did Previous Working Time Exceed 14 Hours Earliest Start Time for Trip Expected Finish Time for Trip Max 168 hours Min 7 hours Min 2 days If yes 24 Hours Time Required Min 8 hours Periods exceeding 14 hours not permitted FAULT RECORD AND REPAIR REGISTER Prime Mover Registration No. ____________________ Date Odometer Reading Detail of Fault Priority Conditions/ Limit Priority Set By Date of Repaired Repaired By Tested By Trailer 1 Registration No. ____________________ Date Odometer Reading Detail of Fault Priority Conditions/ Limit Priority Set By Date of Fault Repaired Repaired By Tested By Trailer 2 Registration No. ____________________ Date Odometer Reading Detail of Fault Priority Conditions/ Limit Priority Set By Date of Fault Repaired Repaired By Tested By
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