Audit

By signing below, I agree to accept liability for the equipment, Chemical and key listed below. I understand that should any damages occur that exceed the warranty of the merchandise while the equipment is in my possession, I will be held fully responsible and liable for the full amount of the repairs/replacement of the equipment. And also if I lost the key, I will be held fully responsible and liable for the full amount of the replacement of the keys which I have. And also I am take full responsibility use of chemical listed below and I read (SDS) Safety Data sheet.

Site Name

Cleaner Full Name

Passport/Driving License/Photo ID

Passport/Driving License/Photo ID

Serial Number of the Key

Number of Keys

By Signing here, I am confirming that I will take care the site key and I will take all the responsibility until returning to the Dutra Management.
Please note that this checklist is a hypothetical example and provides basic information only. It is not intended to take the place of, among other things, workplace, health and safety advice; medical advice, diagnosis, or treatment; or other applicable laws. You should also seek your own professional advice to determine if the use of such checklist is permissible in your workplace or jurisdiction.