LAEMPE REICH EQUIPMENT DELIVERY REPORT V1.1

• Audit Title

• Client / Site

• Delivery and Unloading Date and Time

  Date

• Prepared by

• Location
  Address

• This report form is for machines delivered to a customer's site with a delayed installation schedule. Include photos of machine unloading and most importantly photos of machine and components as stored at the customer's site. Make sure all components, crates, and accessories are accounted for and stored properly to prevent damage or any items being misplaced.

Machine and Component Delivery Information.

• Order/Project Number (Serial Number)

• List Equipment and Components Delivered

• Truck Arrival Time

  Date

• Time Unload Begins Including Un Tarp

  Date

• Time Unload Is Finished Including Re Tarp

  Date

• Truck Departure Time

  Date

Unloading Information

• Damage Noted From Shipping? If Yes Note Details Below

  NO

  YES

• Note Problems or Machine/Component Damage From Shipping Discovered During Unloading

Unloading Issue

• Problem or Issue

• Description of Problem or Issue

• Photos

  Media

• Damage To Any Components During Unloading? If Yes Give Details Below.

  NO

  YES

• Note Problems or Machine/Component Damage Caused During Unloading

Unloading Issue

• Problem or Issue

• Description of Problem or Issue

• Photos

  Media

Photos of All Equipment and Components Unloading

• Unloading Photos

  Media

Machine Storage

• Photographs of All Equipment and Components As Stored

  Media

• Are There any issues or problems with storage area or method of storage? If YES note details below.

  Yes

  No

  N/A

• Note Any Issues With Storage Method Or Location

Machine Storage Problem

• Storage Problem

• Description or Recommendation

• Photo of Problem Area

  Media

• How will this be resolved?

Signatures

• Customer Signature

  Sign

• Laempe Reich Representative Signature

  Sign

• Additional Comments or Notes