Cartage Australia Pty Ltd
ABN 60 108 355 344
PO Box 879 Cranbourne Vic 3977
Tel: (03) 5996 1019 Fax: (03) 5996 6570

Teflon Floor Campaign Form

Date and Time *

Supervisor *

Supervisor Email *

Other *If CMV Technician then CMV Technician ID is required, please contact derrimutservicebookings@cmvtb.com.au

Second Supervisor

Second Supervisor Email

Other *If CMV Technician then CMV Technician ID is required, please contact derrimutservicebookings@cmvtb.com.au

Trailer Fleet No. *

Trailer Registration No. *

Lookup

Trailer Vehicle Identification Number *Please provide identification information for Head Office to add this as a new Trailer.

Please report any signs of damage, wear, cracks, leaks or missing components which will affect the functionality of the trailer and will need attention & repairs.

Please tick each box that you have sighted and inspected each component, please comment.

I have read the instructions above. *

Teflon Floor

Does the Teflon Floor need repairs? *

YesNo

Teflon Floor Notes *Please describe the repairs required.

Upload pictures... *

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Please upload pictures relevant to the areas that need repair.

Signature *

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Second Supervisor Signature

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Verify *