Hired Equipment

Nechako Equipment for Hire Registration Form

Registered Owner

Name:
Address:
Phone:
Email:
GST#:

Truck Specifications

Axles: SingleTandem
Delivery Systems: PupBelly Dump
Serial Number:
License Number:
Net Engine HP:
Other Attachments:

Truck Capacity Calculation

(to top of metal sideboard)
Truck: m high x m wide x m long = m3
Trailer: m high x m wide x m long = m3
Total Size: m3
Front Tire Size:
Rear Tire Size:

Licensed Capacity Calculation

Licensed GVW: kg
Tare Weight (Weight Scale): kg
Licensed Load (GVW - Tare): kg
Licensed Capacity (-1780 kg/m3): kg
Weight Scale Slip:

"H" Plate

Do you have an "H" plate for your truck? YesNo
If Yes, what is its number?
If No, would you obtain an "H" plate or permit if a prime contractor offered you work? YesNo

Copy of Truck Registration:

Description of Other Equipment

Type:
Make:
Model:
Year:
Engine Size:
License #:
Licensed GVW: kg
Serial #:
Attachments:

NOTE: To work for this company, you must be registered with the Workers' Compensation Board

WCB #: