Tractor Report - Payne Transportation Ltd.

Tractor Maintenance Report V2

Contractor's Maintenance & Repair Report - Payne requires at least one maintenance report to be filed at minimum per month. This report is to cover from the 1st Day of the Month to the Last Day of the Month and MUST BE SUBMITTED BY THE 15th OF THE NEXT MONTH

Period Covered

Date From(Required)

Date To(Required)

Your Contact Information

Owner Operator's Name(Required)

First Last

Your Email Address(Required)

Email required to send confirmation of this report

Your Phone(Required)

Month this Report Covers(Required)

Which Division?(Required)

Equipment Details

Power Unit Number(Required)

Odometer: Units of Measure(Required)

Beginning Odometer(Required)

Ending Odometer(Required)

Total distance based on odometer entries(Required)

Was worked performed for this period?(Required)

Yes

Maintenance Performed(Required)

Date (MM/DD/YYYY)

Parts Purchased

Nature of Worked Performed

Person or Firm performing work

Location work performed

Additional Comments