Use this electronic equipment checkout form to separately record equipment details including its type. Reinforce equipment usage responsibility and record relevant details using Notes.
Scan this QR code to use this paper checklist on your smartphone or tablet or
visit
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Title Page
Employee Name
Department
Prepared by
Date & Time
Location
Equipment Checkout
Item
Equipment Type
Specify equipment type
Quality
Quantity
Issuance
Date issued
Do you need to specify a return date?
Return date
I agree to comply to the policies of using this equipment and will return it on time.
Employee number
Employee's full name & signature
Completion
Additional notes
Approver's full name & signature
SafetyCulture Staff
Equipment Checkout Form
Use this electronic equipment checkout form to separately record equipment details including its type. Reinforce equipment usage responsibility and record relevant details using Notes.
The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions.
The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice.
You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction.
You should independently determine whether the template is suitable for your circumstances.
