(serves as an individualized record data reflected on Utilization of Vehicles Log Sheet) LPN#: Color: Make: Model: Model Year: Vehicle Description: AF3087 Black Jeep Patriot 2016 Date: Notes: Scheduler: Notes: Driver: Notes: Passenger(s): Notes: Destination(s): Notes:
II. STATUS @ SIGN-OUT
Time Driver Signed-Out: Notes: Pick-up Parking Location: Notes: Gas Level @ SOD: Notes:
III. STATUS @ SIGN-IN
Time Driver Signed-Out: Notes: New Parking Location: Notes: Charge Register Level @ EOD: Notes: Target should be ≥ ½ charge Was a recipient present? If yes, kindly name the recipient ⮩ Notes:
IV. VEHICLE SURVEY
Is there anything to report? If yes, kindly explain your findings below. ⮯ Person(s) providing entry: Explanation: Note(s):
V. SMART KEY TRACKING
Are the Master Fob & hidden If yes, kindly explain your findings below. ⮯ key intact? Person(s) Providing Entry: Explanation: Note(s):
EDITOR’S VERIFICATION Verifying Editor: Notes: Admin Only §