Information
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Document No.
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Audit Title
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Client / Site
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Conducted on
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Prepared by
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Location
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Personnel
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Date/Time
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Operator:
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Phone:
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Division:
- Corporate Services
- Financial Services
- Human Resources
- Planning & Environment
- Community Sport & Culture
- Infrastructure Services
- Water & Waste
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Branch:
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Section:
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Customer GL Code:
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Details of Request
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Replacing Fleet:
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Request must be signed by GM
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Hybrid:
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Option 1:
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Option 2:
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Option 3:
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Standard Accessories
- Automatic
- Floor Mats
- Mud Flaps
- Bluetooth
- Air Conditioning
- Seat Covers
- Locking Fuel Cap
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Additional Information:
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Add media
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Primary Purpose
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Number of Passengers
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Carriage of Equipment
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Size
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Parameters:
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Max value $55,000 (GST Excl)
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Vehicle is not suitable if any parameters are NO
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5 Star ANCAP
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Vehicle is not suitable if any parameters are NO
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Authorised sales & service centre
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Vehicle is not suitable if any parameters are NO
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Greenhouse rating >5
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Vehicle is not suitable if any parameters are NO
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CEO approval (if required)
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Vehicle is not suitable if any parameters are NO
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Consultations:
- Operator
- Supervisor
- Workshop
- Fleet
- SET Team
- Other
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Operator:
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Select date
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Supervisor:
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Select date
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Workshop:
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Select date
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Fleet:
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Select date
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SET Team:
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Select date
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Other:
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Select date
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Request Authorisation:
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Manager: Sign: Date:
IF REQUIRED
CEO: Sign: Date:
