B&G: E&S Check In Sheet

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

Completion Of Rental

• Asset #- Picture

  Media

• Asset #- Written

• Equipment Type

• Fuel - Used

  Full

  3/4

  1/2

  1/4

  empty

• Fuel- Needed

  Diesel

  Kerosene

  Gas

• Tire / Track Condition

  Media

• Lights

  Media

• Picture of Incoming Equipment

  Media

Additional Details

• Key

  Yes

  No

  N/A

• Carrying Case

  Yes

  No

  N/A

• Gas Can

  Yes

  No

  N/A

• Wrench

  Yes

  No

  N/A

• Operational Manual

  Yes

  No

  N/A

• Fire Extinguisher

  Yes

  No

  N/A

• Backup Alarm

  Yes

  No

  N/A

• Horn

  Yes

  No

  N/A

• Seat Belt

  Yes

  No

  N/A

Damage Details

• Note Any Damage At Completion of Rental

Completion Signatures

• Customer

  Sign

• B&G Employee

  Sign

• This is intended for physical inspection and subject to shop inspection.
  
  NOTE: Rental charges are based on time out and not time used.