Information

  • Document No.

  • Audit Title

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

  • Date/Time

  • Operator:

  • Phone:

  • Division:

  • Branch:

  • Section:

  • Customer GL Code:

  • Details of Request

  • Replacing Fleet:

  • Request must be signed by GM

  • Hybrid:

  • Option 1:

  • Option 2:

  • Option 3:

  • Standard Accessories

  • Additional Information:

  • Add media

  • Primary Purpose

  • Number of Passengers

  • Carriage of Equipment

  • Size

  • Parameters:

  • Max value $55,000 (GST Excl)

  • Vehicle is not suitable if any parameters are NO

  • 5 Star ANCAP

  • Vehicle is not suitable if any parameters are NO

  • Authorised sales & service centre

  • Vehicle is not suitable if any parameters are NO

  • Greenhouse rating >5

  • Vehicle is not suitable if any parameters are NO

  • CEO approval (if required)

  • Vehicle is not suitable if any parameters are NO

  • Consultations:

  • Operator:

  • Select date

  • Supervisor:

  • Select date

  • Workshop:

  • Select date

  • Fleet:

  • Select date

  • SET Team:

  • Select date

  • Other:

  • Select date

  • Request Authorisation:

  • Manager: Sign: Date:

    IF REQUIRED
    CEO: Sign: Date:

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.