Brasfield and Gorrie

B&G: Equipment and Supply Damage Form

Customer Damage Communication

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Information

Audit Title
Document No.
Client / Site
Conducted on
Prepared by
Location
Personnel

Conducted on
Photo of Damaged Equipment
Bill customer date
Work order number
Hours beginning of rental
Hours at the time of damage
Where was the damage discovered?
Damage waiver contract
Service call date
Date customer was informed of damage
Customer contact spoken to
Field service mechanic
Shop mechanic
Customer phone number
Checkout sheet has been reviewed?
Contributing factors if any
Total estimated cost of repair

Brasfield and Gorrie

B&G: Equipment and Supply Damage Form

Customer Damage Communication

Use this Template

Print as PDF

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