DIGCO GAS FSR AUDIT

• Conducted on

  Date

• Tech:

• Prepared by

• Location
  Address

Truck Information

• Truck Number:

• Truck Mileage:

• Oil Change:

• Tire Rotation :

• Insurance and Accident form present?

  Yes

  No

  N/A

• Registration/Inspection Current?

  Yes

  No

  N/A

• Fire Extinguisher Present And Charged?

  Yes

  No

  N/A

• Truck Parked Safe And Secured?

  Yes

  No

  N/A

• Properly Stocked?

  Yes

  No

  N/A

• Truck Clean?

  Yes

  No

  N/A

• Truck Free Of Damage?

  Yes

  No

  N/A

• Comments:

Work Evaluation
• Address:
  Address

• Job Code:

• Meter Information:

• Dress Code Correct?

  Yes

  No

  N/A

• Pre Inspection Performed?

  Yes

  No

  N/A

• Procedures Followed At The Meter?

  Yes

  No

  N/A

• Procedures Followed With Appliances?

  Yes

  No

  N/A

• Tools And Security Items Present?

  Yes

  No

  N/A

• Comments:

Signatures

• Supervisor:

  Sign

• Tech:

  Sign