Sega Zone Equipment Audit

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

Machine #1

• Machine Name

• Is Equipment on Token vend

  Yes

  No

  N/A

• Is there any action required?

  Yes

  No

  N/A

• Are there any parts required?

  Yes

  No

  N/A

Machine #2

• Machine Name

• Is Equipment on Token vend

  Yes

  No

  N/A

• Is there any action required?

  Yes

  No

  N/A

• Are there any parts required?

  Yes

  No

  N/A

Machine

• Machine Name

• Is Equipment on Token vend

  Yes

  No

  N/A

• Is there any action required?

  Yes

  No

  N/A

• Are there any parts required?

  Yes

  No

  N/A

Machine

• Machine Name

• Is Equipment on Token vend

  Yes

  No

  N/A

• Is there any action required?

  Yes

  No

  N/A

• Are there any parts required?

  Yes

  No

  N/A

Machine

• Machine Name

• Is Equipment on Token vend

  Yes

  No

  N/A

• Is there any action required?

  Yes

  No

  N/A

• Are there any parts required?

  Yes

  No

  N/A

Machine

• Machine Name

• Is Equipment on Token vend

  Yes

  No

  N/A

• Is there any action required?

  Yes

  No

  N/A

• Are there any parts required?

  Yes

  No

  N/A

Machine

• Machine Name

• Is Equipment on Token vend

  Yes

  No

  N/A

• Is there any action required?

  Yes

  No

  N/A

• Are there any parts required?

  Yes

  No

  N/A

Machine

• Machine Name

• Is Equipment on Token vend

  Yes

  No

  N/A

• Is there any action required?

  Yes

  No

  N/A

• Are there any parts required?

  Yes

  No

  N/A

Machine

• Machine Name

• Is Equipment on Token vend

  Yes

  No

  N/A

• Is there any action required?

  Yes

  No

  N/A

• Are there any parts required?

  Yes

  No

  N/A

Machine

• Machine Name

• Is Equipment on Token vend

  Yes

  No

  N/A

• Is there any action required?

  Yes

  No

  N/A

• Are there any parts required?

  Yes

  No

  N/A

Machine

• Machine Name

• Is Equipment on Token vend

  Yes

  No

  N/A

• Is there any action required?

  Yes

  No

  N/A

• Are there any parts required?

  Yes

  No

  N/A

Machine

• Machine Name

• Is Equipment on Token vend

  Yes

  No

  N/A

• Is there any action required?

  Yes

  No

  N/A

• Are there any parts required?

  Yes

  No

  N/A

Machine

• Machine Name

• Is Equipment on Token vend

  Yes

  No

  N/A

• Is there any action required?

  Yes

  No

  N/A

• Are there any parts required?

  Yes

  No

  N/A

Machine

• Machine Name

• Is Equipment on Token vend

  Yes

  No

  N/A

• Is there any action required?

  Yes

  No

  N/A

• Are there any parts required?

  Yes

  No

  N/A

Machine

• Machine Name

• Is Equipment on Token vend

  Yes

  No

  N/A

• Is there any action required?

  Yes

  No

  N/A

• Are there any parts required?

  Yes

  No

  N/A

Machine

• Machine Name

• Is Equipment on Token vend

  Yes

  No

  N/A

• Is there any action required?

  Yes

  No

  N/A

• Are there any parts required?

  Yes

  No

  N/A

Machine

• Machine Name

• Is Equipment on Token vend

  Yes

  No

  N/A

• Is there any action required?

  Yes

  No

  N/A

• Are there any parts required?

  Yes

  No

  N/A

Machine

• Machine Name

• Is Equipment on Token vend

  Yes

  No

  N/A

• Is there any action required?

  Yes

  No

  N/A

• Are there any parts required?

  Yes

  No

  N/A

Machine

• Machine Name

• Is Equipment on Token vend

  Yes

  No

  N/A

• Is there any action required?

  Yes

  No

  N/A

• Are there any parts required?

  Yes

  No

  N/A

Machine

• Machine Name

• Is Equipment on Token vend

  Yes

  No

  N/A

• Is there any action required?

  Yes

  No

  N/A

• Are there any parts required?

  Yes

  No

  N/A

Machine

• Machine Name

• Is Equipment on Token vend

  Yes

  No

  N/A

• Is there any action required?

  Yes

  No

  N/A

• Are there any parts required?

  Yes

  No

  N/A

Machine

• Machine Name

• Is Equipment on Token vend

  Yes

  No

  N/A

• Is there any action required?

  Yes

  No

  N/A

• Are there any parts required?

  Yes

  No

  N/A

Signatures

• Sega Representative

  Sign