General Service Record

Engineer's Email

1. Item

2. Model

3. Serial number

4. Frame

5. Frame comments

6. Frame condition

Good repair

Requires repair

7. Drive wheels

8. Drive wheel comments

9. Drive wheel condition

Good repair

Requires repair

N/A

10. Wheels

Tyre wear

Tyre pressure

Bearings

N/A

11. Castor wheel comments

12. Castor wheels condition

Good repair

Requires repair

N/A

13. Seat

14. Seat comments

15. Seat condition

Good repair

Requires repair

N/A

16. Other comments

17. Statement

I can confirm that this item is suitable to be used within the Resource Library.

I recommend that this item is not suitable for the Resource Library and should be condemned.

18. Engineer's name

19. Inspection date

Client's email:

20. Image uploads

Maximum file size: 134.22MB