Information

  • Document No.

  • Audit Title

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

  • Keys and/or locks that are damaged, obsolete or no longer required must be returned to the key / lock custodian so they can be destroyed in such a manner so as to render them unrecognisable and unrecoverable

Key/Lock Disposal Request

  • Key/lock destruction disposal request details should be recorded below, signed off by the key/lock custodian and approval by the state customer service manager

  • Name of Custodian Requesting Key/Lock Disposal

  • Date of Key/Lock Disposal Request

  • Type of Key/Lock

  • Serial Number

  • Key Description

  • Reason for Key/Lock Disposal Request

  • Signature of Key/Lock Custodian

  • Name of CCA Manager Approving Key/Lock Disposal

  • Signature of CCA Approver

  • Approval Date

  • Keys/locks are to be packed with the original form for transfer to EQS, they are to be taken to EQS by a responsible staff member. Details of the staff member responsible for delivering the keys for destruction and expected arrival date should be captured

Key/Lock Disposal Transfer

  • Name of CCA Transfer Person

  • Date to be Delivered to EQS

  • I the key/lock disposal transfer person agree to transfer the identified keys to EQS for distruction

  • Signature of Disposal Transfer Person

Record of Actual Key/Lock Disposal

  • Once the keys/locks arrive at the EQS Workshop that locks and keys are either placed in a vice or hit with a large hammer where they are destroyed. During this process the record of actual key/lock disposal of the key/lock disposal form is completed. A line manager must witness the lock and/or keys being damaged and the sign the form stating that they have witnessed the locks/keys being destroyed. They are are then either placed in an industrial dump bin or depending on the amount destroyed could be sent to scrap metal place for recycling

  • Key/Lock Presented Serial Number Validated

  • Actual Date of Disposal

  • Manner of Disposal

  • Location of Disposal/Business Unit eg Victoria, EQS warehouse

  • Name of Person Destroying Key/Lock

  • Signature of Person Destroying Key/Lock

  • Name of Person Witnessing Disposal of Key/Lock

  • Signature of Person Witnessing Disposal of the Key/Lock

  • Once the key/locks have been destroyed and disposed of the completed key/lock disposal form is to be scanned and sent to the key lock custodian confirming the key destruction has been completed

Administration Updates

  • The key/lock custodian must update the state key register to reflect the disposal / destruction of the identified keys/locks

  • Name of Key Custodian

  • Date Key/Lock Register Updated

  • Key Custodians 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.