26.11.2012 Views

RENTAL Manual 2010 Engl. - Tyrolia

RENTAL Manual 2010 Engl. - Tyrolia

RENTAL Manual 2010 Engl. - Tyrolia

SHOW MORE
SHOW LESS

You also want an ePaper? Increase the reach of your titles

YUMPU automatically turns print PDFs into web optimized ePapers that Google loves.

Rental Helmets | 77<br />

HEAD ® PROTECTION TM POST-ACCIDENT HELMET INSPECTION REPORT<br />

Complete all sections and attach copies of all rental agreements, service records and other pertinent documents. Do not leave blanks<br />

and do not guess or speculate when the information called for is not known or available. Enter “unknown” or “n/a” where appropriate.<br />

Shop Name<br />

User information<br />

Helmet information<br />

<strong>RENTAL</strong> AGREEMENT NO.<br />

NAME ACCIDENT DATE<br />

HEIGHT<br />

WEIGHT AGE SEX (circle one)<br />

REPORTED INJURY AND CIRCUMSTANCES OF ACCIDENT<br />

M F<br />

SKI AREA SKI RUN OR LOCATION<br />

Other Equipment information<br />

Helmet Inspection Results<br />

Helmet Status<br />

Personnel<br />

SKIER/RIDER ABILITY<br />

HELMET MAKE HELMET MODEL PRODUCTION CODE (from inside label)<br />

HELMET SIZE SHELL COLOR SHOP INVENTORY NUMBER (if applicable)<br />

SKI / SNOWBOARD MAKE SKI / SNOWBOARD MODEL SKI / SNOWBOARD LENGTH<br />

SKI / SNOWBOARD SERIAL NO. SKI / SNOWBOARD <strong>RENTAL</strong> I.D. NO. (if applicable)<br />

SKI / SNOWBOARD BINDING MAKE AND MODEL SKI BINDING RELEASE SETTINGS (if applicable)<br />

Right Toe ............. Left Toe .............<br />

Right Heel ............. Left Heel .............<br />

BOOT MAKE & MODEL BOOT SIZE<br />

BOOT <strong>RENTAL</strong> I.D. NO. (if applicable)<br />

DESCRIBE ANY DAMAGE OR UNUSUAL CONDITIONS OF SKIS, BOARD, BOOTS, BINDINGS, GOGGLES OR OTHER EQUIPMENT<br />

YES NO<br />

N/A (check one)<br />

0 0 0<br />

Shell intact and undamaged<br />

0 0 0 Liner intact and undamaged<br />

0 0 0 Strap and buckles intact and undamaged<br />

0 0 0 All standard labels present and legible<br />

Retained by shop ....... Retained by customer .......<br />

Returned to distributor ....... Returned to inventory .......<br />

INSPECTION TECHNICIAN DATE<br />

REPORT REVIEWED BY DATE<br />

COMMENTS FOR ANY “NO” OR “N/A” ANSWERS<br />

COMMENTS

Hooray! Your file is uploaded and ready to be published.

Saved successfully!

Ooh no, something went wrong!