B&G: Multi-Purpose Check Out Sheet

• Audit Title

• Document No.

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

START OF RENTAL

• Date

  Date

• Asset #

• Unit Serial #

  Media

• Equipment Type

• Fluid Levels

  Oil,Hyd,Coolant,Trans- checked

• Meter Mileage / Hours

• Fuel

• Tire/Track Condition

  Media

• Pictures of Outgoing 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 Start Of Rental

ALL FUNCTIONS ARE WORKING PROPERLY

• I have thoroughly checked the machine and agree with the assessments stated above. I have had the opportunity to note any previous damage to this machine. I understand that if B&G Equipment delivers the equipment, I must call for a pickup number to stop the rental. I also agree that once a pickup number has been issued, I will place the equipment in an area that can be accessed by the driver.

• CUSTOMER

  Sign

• B&G EMPLOYEE

  Sign