Title Page

  • Document Number

  • Location
  • Reported on

  • Completed by

Section 1. Details of loser

  • Name

  • Department

  • Address

  • Telephone Number

Section 2. Description

  • Full description of lost property. (include make, colour, size, shape, serial number and any distinguishing marks by which it could be identified. If money, how much and how its made up)

  • Describe lost property

Section 3. Date, time and place when property last known to be in loser's possession

  • Date

  • Time

  • Place

Section 4. Date, time and place when loss was discovered

  • Date

  • Time

  • Place

Section 5. Further information

  • Any further information that may assist in recovery of the lost property

  • Detail

  • Signature of loser

Section 6. Action Taken

  • Was action taken to search for lost property

  • Why

  • Who

  • When

  • Where was searched

  • was property found

Section 7. Remarks

  • Remarks

  • Copy to

  • What file and what reference number

  • Signature on Completion

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.