Information

  • Customer name

  • Rental IN or OUT?

  • Conducted on

  • Prepared by

  • Location
  • Model

  • VIN

  • Hours

  • ANY DAMAGE TO EXTERIOR PANELS OR PAINT?

  • ANY DAMAGE TO TRACKS OR SPROCKETS?

  • ARE THE STAKE DOWNS DAMAGED OR BENT?

  • ANY DAMAGE TO CONTROLS OR GAUGES?

  • IS THERE A DRILL HEAD?

  • IS THE DRILL HEAD DAMAGED?

  • IS THERE A PROBE?

  • IS THE PROBE DAMAGED OR OVERHEATED?

  • LIST THE SERIAL NUMBER OF THE PROBE

  • IS THERE A STARTER ROD?

  • IS THE STARTER ROD DAMAGED?

  • IS THERE A SUB SAVER?

  • WEAR % ON SUB SAVER? (0 BEING BRAND NEW - 100 BEING COMPLETELY WORN)

  • IS THERE A DUCK BILL?

  • IS THE DUCK BILL DAMAGED?

  • IS THERE A LOCATOR?

  • IS THE LOCATOR DAMAGED?

  • LIST SERIAL NUMBERS OF RECEIVER, REMOTE, AND BATTERY CHARGER

  • IS THERE A ROD BOX WITH THE DRILL?

  • IS THE ROD BOX DAMAGED OR BENT?

  • ARE THERE ANY RODS WITH THE DRILL?

  • HOW MANY RODS ARE THERE?

  • ARE ANY OF THE RODS BENT OR DAMAGED?

  • HOW MANY RODS ARE BENT OR DAMAGED?

  • WEAR % ON JAWS (0 BEING BRAND NEW - 100 BEING COMPLETELY WORN)

  • ANY DAMAGE TO ROD LOADER ARMS?

  • ARE THERE ANY OTHER TOOLS OR ACCESSORIES WITH THE DRILL THAT NEED TO BE ACCOUNTED FOR?

  • LIST THE ACCESSORIES:

  • IS THE WATER PUMP ANTIFREEZED?

  • ARE PORCELAIN SLEEVES ON WATER PUMP CRACKED?

  • WHAT IS THE CURRENT FUEL LEVEL?

  • DID THE CUSTOMER HAVE ANY ISSUES WITH THE UNIT?

  • IS THERE A MIX SYSTEM?

  • IS THERE ANY DAMAGE TO THE MIX SYSTEM?

  • WHAT IS THE MODEL AND SERIAL NUMBER OF THE MIX SYSTEM?

  • IS THE MIX SYSTEM ANTIFREEZED?

  • IS THE PUMP LEAKING?

  • IS THERE A TRAILER?

  • IS THE TRAILER DAMAGED?

  • WHAT IS THE MODEL AND SERIAL NUMBER OF THE TRAILER?

  • CUSTOMER ACKNOWLEDGES ALL NOTED DAMAGE AND ASSUMES RESPONSIBILITY. CUSTOMER UNDERSTANDS THERE MAY BE FURTHER DAMAGE FOUND ONCE CHECKED OVER BY A TECHNICIAN AND THE SERVICE DEPARTMENT WILL CALL WITH AN ESTIMATE TO REPAIR DAMAGE. CUSTOMER AGREES TO PAY INVOICE THAT WILL FOLLOW ONCE DAMAGE IS REPAIRED.

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.