truck-form

Omaha Drain - Truck & Asset Handover

I. Employee & Vehicle Assignment

Technician Name: *

Date of Assignment: *

Truck Number / ID: *

Odometer Reading: *

VIN (Last 6): *

Fuel Level at Handover: *

II. Capital Equipment Inventory (Serialized)

Verify Model and Serial Numbers match physical assets. Note condition codes: (N) New, (G) Good, (F) Fair, (P) Poor/Damaged.
Note: If item is not on truck, type "N/A" in fields.

Equipment Type	Model / Make *	Serial Number (SN#) *	Cond. *	Verified?
Small Jetter
Big Jetter (Trailer/Truck Mount)
Small Camera (Reel/Monitor)
Big Camera (Main Line)
Snaking Machine (Drum/Sectional)
Descaling Machine
Locator / Wand

III. Hand & Power Tools Manifest

List all Power Tools (Drills, Saws), Batteries, Chargers, Shovels, and Specialty Hand Tools: *

IV. Truck Stock (Parts & Materials)

Summary of On-Board Inventory (Pipe, Fittings, Ferncos, Chemicals, Glue/Primer): *

V. Other Items & Vehicle Notes

Additional Equipment / Key Fobs / Fuel Cards / Uniforms Issued: *

Existing Vehicle Damage (Describe dents, scratches, cracked glass): *

ACKNOWLEDGMENT OF RESPONSIBILITY:
I acknowledge receipt of the vehicle and equipment listed above. I confirm that all items are in the condition noted. I understand that I am responsible for the daily care, security, and maintenance of these assets. I agree to report any loss, theft, or damage immediately to management. Failure to return these items upon termination of employment may result in deduction from final pay (to the extent permitted by law) or legal action.

Printed Name: *

Technician Signature *

I accept custody of this truck and tools.

Printed Name: *

Management / Fleet Sign-off *

Verified by Operations

Please fill out all required fields and ensure BOTH signatures are provided.

✓ Submitted to Omaha Drain HQ

The form data has been successfully sent to the Operations system.

If you need a physical copy for the truck, you may print it now.

Asset Assignment & Handover Form

✓ Submitted to Omaha Drain HQ