Title Page

  • Conducted on

  • Prepared by

  • Location

COMPANY SUPPLIED STOCK

  • 28FT LADDER

  • 12FT

  • 10FT

  • 8FT

  • 6FT

  • LITTLE GIANT

  • Arc Flash Kit- Suit, Gloves, Sheild

  • Drill Combo Kit- Drill & Impact

  • 1/2" , 3/4" , 1" EMT Bender

  • Hammer Drill

  • Sawzall

  • Bandsaw

  • Power Actuated Tool

  • Circular Saw

  • 250 Fish Tape

  • Glow Rods

  • Holesaw Kit

  • POWER CORD

  • Ratchet Knock Out Set

  • GFI

  • SHOP VAC

  • COME ALONG

  • PUMP SPRAYER

  • Water Jug

  • Caution Tape

  • 5Gal Bucket

  • BACK PACK

SAFETY SUPPLIES

  • LOCK OUT TAG OUT "LOTO"

  • ROADSIDE KIT

  • FIRST AID KIT

  • Face Mask

  • 100FT SAFETY ROPE

  • Hearing Protection

  • Hard Hat

  • Cut 4 Gloves

  • Bump Cap

  • Safety Vest

  • FALL PROTECTION HARNESSES

  • LANYARD

  • RETRACTABLE LANYARD

  • CROSS ARM STRAP

  • FIRE EXTINGUISHER

  • HOW MANY?

VEHICLE INFO

  • MAKE

  • MODEL

  • VIN#

  • MILEAGE

  • IS VAN CLEAN "INSIDE & OUT"??

  • GAS CARD

  • INSURANCE CARD

  • REGISTRATION

  • Kyrus

  • BLUETOOTH "HANDS FREE" SET

  • PICTURE FRONT OF VEHICLE

  • ANY DAMAGE?

  • PICTURE DRIVERS SIDE VEHICLE

  • ANY DAMAGE?

  • PICTURE PASSANGER SIDE VEHICLE

  • ANY DAMAGE?

  • PICTURE BACK OF VEHICLE

  • ANY DAMAGE?

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