1. Machine Information
   Machine Brand

   Machine Type
2. Tire Information
   Tire Dimension
   Tire Brand

   Tire Type
   Tire Tread (L2-L5)

   Tire Tread Status

   New

   Semi-worn

   Worn off
   Tire Dimension d (mm)

   Tire Dimension b (mm)
3. Minimum distance

   (F + M = minimum distance between tire and machine components)

   Front wheels F (mm)

   Front wheels M (mm)
   Rear wheels F (mm)

   Rear wheels M (mm)

   Rear wheels R (mm)

   Rear wheels T (mm)
   
4. Rock Information
   Type of rock

   Inclusions in the rock
   Compressive Strength (hardness) Mohs

   Percentage of quartz (%)
   Rock Sample (in the size of a first) available
5. Working Distance
   Length per haul

   Steep gradient (%)
   Soil condition

   Dry

   Occasionally wet

   Always wet
6. Type of Operation
   Tire protection chains used (brand/type)
   Average life of tire protection chains (working hours)
   Operating hours/day

   Average life (working hours)

   Protected

   Not Protected
   Any other unusual working conditions (such as long idle machine time, long driving distances, great heat, etc.)

The fields marked with an asterisk (*) are mandatory.