Tyre Requsition Form

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“ Service excellence is at the heart of what we do ”

TYRE REQUISITION FORM


Date:………………………

Truck number:…………...

Cause of Damage

……………………………………………………………………………………………………………………………………………………………
……………………………………………………………………………………………………………………………………………………………

Number of Tyres Required.

Tractor Head Left kms Right kms Trailer Left kms Right kms

Front Axel Axel 1

Terius Axel Axel 2

Diff Axel Axel 3

Serial numbers of tyres removed from the Truck.

……………………………………………………………………………………………………………………………………………………………
……………………………………………………………………………………………………………………………………………………………
……………………………………………………………………………………………………………………………………………………………
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Serial numbers of the new tyres.

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……………………………………………………………………………………………………………………………………………………………
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……………………………………………………………………………………………………………………………………………………………

Approved by:

Workshop Manager: …………………………………………… Sign; ……………………………………………

Store Manager: ………………………………………………….. Sign: ………………………………………………

Procurement Manager: ………………………………........... Sign: ………………………………………………

Security Officer: ………………………………… Sign: ………………………………………………

Tyre Inspector: ……………………………………………. Sign: …………………………………………

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