PreHire Condition Audit - Pumps

• Asset Number

• Conducted on

  Date

• Hiring Branch

  Kwinana S

  Wangara S

• Is this audit being done in the hiring branch?

  YES

  NO
• Location
  Address

• Pump Type

  Diesel Centrifugal Pump

  Submersible Pump

  Air Diaphragm Pump

  Trash Pump

  Piston Pump

• If 'other' add description

• Photo of Asset Plate

  Media

• Hour Meter

• Fuel Level

  Full 100%

  75%

  Half 50%

  25%

  Empty 0%

Condition

• PHOTO of FRONT of Pump

  Media

• PHOTO of LEFT of Pump

  Media

• PHOTO of REAR of Pump

  Media

• PHOTO of RIGHT of Pump

  Media

• Comments on Exterior Condition

• Photo of Control Panel

  Media

• Comment

• Strainer Supplied?

  YES

  NO

• Suction Hose Supplied?

  YES

  NO

• Description of Suction Hose

• Photo of Suction Hose

  Media

• LayFlat Hose Supplied?

  YES

  NO

• Description of LayFlat Hose

• Photo of LayFlat Hose

  Media

Transport

• Is the asset loaded on a truck?

  YES

  NO

• Photo of truck asset is loaded on

  Media

Sign Off

• Coates Hire Staff Sign Off

  Sign

• Hiring Company Name

• Hiring Customer Name & Signature

  Sign