Delivery Inspection Form

Lessee / Company Name *

Delivery Date *

Address

Job Site Street Address

Job Site City

Job Site State

Job Site Postal Code

Trailer # *

Options Included in Trailer Rental *

12,000 BTU Della Mini Split

18,000 BTU Della Mini Split

30A Extension Cord - 10'

30A Extension Cord - 25'

30A Extension Cord - 50'

50A Extension Cord - 10'

50A Extension Cord - 25'

50A Extension Cord - 50'

50A Extension Cord Splitter Adapter

4 to 3 Prong Cord Adapter

Butcher Block Countertop in V-Nose

Bench (Set of 1)

Bench (Set of 2)

Bench (Set of 3)

Chairs (Set of 4)

Chairs (Set of 6)

Chairs (Set of 8)

Chairs (Set of 10)

Copper Grounding Rod - (8ft)

Copper Grounding Wire

Corner Stabilizer Jacks (Set of 2)

Corner Stabilizer Jacks (Set of 4)

Eye Wash Station

Fire Extinguisher (Large)

Fire Extinguisher (Small)

First Aid Kit

Generator - Predator 11,500 Watt

Mini Fridge

Microwave

Lockers (Set of 1)

Lockers (Set of 2)

Starlink Internet

Table 72" x 24"

Trailer Jack Blocks (Set of 3)

Trailer Jack Blocks (Set of 5)

TV - 55"

TV - 65"

Wheel Chocks (Set of 2)

Wrench (Manual Crank for Stabilizer Jacks)

All Included Options on Trailer Rental Demonstrated in Good Working Condition? *

Any Pre-Existing Damage (If YES, describe here)

Lessee Briefed on Stabilizer Jack(s) Deployment & Front Jack Deployment *

Lessee Briefed on Grounding Requirements *

Lessee Confirmation: No Occupancy in Trailer Until Grounding is Verified and Trailer is Level / Stabilized *

Trailer Rental Dropoff Photo(s) Upload *

Click to upload

PDF, DOC/DOCX, XLS/CSV, JPG/JPEG, PNG, GIF

Inspection Conducted with Both (Lessee & Lessor) Reps Present

Freez Bros Representative Name *

Freez Bros Representative Signature *

Clear

Lessee Representative Name *

Lessee Representative Email *

We will send a copy of this inspection report to this email

Lessee Representative Signature *

Clear