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    Equipment Handover Form

    Uploaded by

    Azmir Nurhakim Mohd Zawawi
    This equipment handover form documents the transfer of responsibility for various personal protective equipment from one individual to another. It lists 3 items transferred - 2 gas masks, 100 pairs of gloves, and 4 isolation suits. The recipient signs to acknowledge receiving the listed equipment and takes responsibility for replacing anything stolen, lost, or damaged while in their care. The form is signed by both the recipient and issuer to confirm the transfer of equipment and responsibilities.

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    Equipment Handover Form

    Uploaded by

    Azmir Nurhakim Mohd Zawawi
    12 views1 page
    This equipment handover form documents the transfer of responsibility for various personal protective equipment from one individual to another. It lists 3 items transferred - 2 gas masks, 100 pairs of gloves, and 4 isolation suits. The recipient signs to acknowledge receiving the listed equipment and takes responsibility for replacing anything stolen, lost, or damaged while in their care. The form is signed by both the recipient and issuer to confirm the transfer of equipment and responsibilities.

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    Original Title

    Equipment-Handover-Form

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    This equipment handover form documents the transfer of responsibility for various personal protective equipment from one individual to another. It lists 3 items transferred - 2 gas masks, 100 pairs of gloves, and 4 isolation suits. The recipient signs to acknowledge receiving the listed equipment and takes responsibility for replacing anything stolen, lost, or damaged while in their care. The form is signed by both the recipient and issuer to confirm the transfer of equipment and responsibilities.

    Copyright:

    © All Rights Reserved
    Download as XLSX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as xlsx, pdf, or txt
    12 views1 page

    Equipment Handover Form

    Uploaded by

    Azmir Nurhakim Mohd Zawawi
    This equipment handover form documents the transfer of responsibility for various personal protective equipment from one individual to another. It lists 3 items transferred - 2 gas masks, 100 pairs of gloves, and 4 isolation suits. The recipient signs to acknowledge receiving the listed equipment and takes responsibility for replacing anything stolen, lost, or damaged while in their care. The form is signed by both the recipient and issuer to confirm the transfer of equipment and responsibilities.

    Copyright:

    © All Rights Reserved
    Download as XLSX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as xlsx, pdf, or txt
    of 1

    Equipment Handover Form

    Additional Items
    Item Description Model Quantity Serial No. Accompanying the main Initials of Recipient
    item?
    1
    6 in 1 Full Face Gas
    Mask Respirator For - 2 Ihfal
    6800

    2
    Nitrile Powder Free
    Blue Disposable Gloves Top Glove 100pcs Ihfal
    100 Pieces

    3
    PPE Suit/ Hazmat
    Isolation Suit Coverall
    - 4 Ihfal
    Jump Suit Non Woven
    Disposable

    By initialing above and signing below, I acknowledge that the items handed over are my responsibility until I turn them back in. I understand that if they are stolen, lost,
    or damaged while in my care, I will be responsible for replacing them at my own cost.

    Handed over to:


    Name Signature Date

    Handed over by:


    Name Signature Date

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