Equipment Lease Return Condition Assessment Form
Lessee Information
Lessee Name
Contact Information
Equipment Information
Equipment Type / Description
Equipment ID / Serial Number
Return Details
Date Returned
Return Location
Condition Assessment
Inspection Item
Condition
Comments
Physical Appearance
Mechanical/Electrical Functionality
Safety Devices
Accessories Returned
Missing/Damaged Parts
Additional Remarks
Inspected By
Date
Lessee Acknowledgement
Date