Title Page

  • Conducted on

  • Prepared by

  • Location
  • I have returned the below equipment items.
    I understand that is there is any equipment missing, this may be deducted from my last months salary.

Equipment

  • IPAD

  • Issued

  • Returned

  • TESTER

  • Issued

  • Returned

  • FUEL CARD

  • Issued

  • Returned

  • ID CARD

  • Issued

  • Returned

  • SDS DRILL

  • Issued

  • Returned

  • VAN KEY/FOB

  • Issued

  • Returned

  • UNIFORM

  • Issued

  • Returned

  • SAT-NAV

  • Issued

  • Returned

  • MOBILE

  • Issued

  • Returned

  • PDA

  • Issued

  • Returned

Sign Off

  • Manager's Name and Signature

  • Employee Name and Signature

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.