Asset Issue/Return Form
Type a question
Issue
Return
Employee Information
Name
First Name
Last Name
Email
example@sixtownhousing.org
Phone Number
Please enter a valid phone number.
Asset Information
Serial Number
Asset Description
Please Select
Wheelbarrow
Voltage Tester
Heat Gun
R.C.D Plug
Extension Lead
Heater
Drill/Driver
Impact Driver
SDS Hammer Drill
Multi Tool
Recip Saw
Proving Unit
Multi Meter
Test Meter
Gas Analyser
Digital Monometer
Strimmer
Mower
Hedge Trimmer
Leaf Blower
Chain Saw
Stihl Saw
Henry Hover
Planer
Circular Saw
Jigsaw
Transformer
Generator
Grinder
Steamer/Stripper
Sander
Mixing Paddle
Cement Mixer
Hop Up
Step Ladder 3 Tread
Step Ladder 5 Tread
Step Ladder 7 Tread
Ext Ladder
Double Ext Ladder
Triple Ext Ladder
2-Section 3-Way Ladder
3-Section 3-Way Ladder
Tetra Harness Kit
Telescopic Ladders
Test Leads
Other
Asset Type
Please Select
GRP
Aluminium
1.5v (1 cell)
3.0v (2 cell)
4.5v (3 cell)
5v
6v (4 cell)
7.2v
9v
9.6v
12v
14.4v
18v
20v
24v
36v
18/54v
110v
230v
Petrol
Asset Make
Please Select
DeWalt
Bosch
Makita
A.E.G
Hilti
Fein
Stanley
Black and Decker
Ryobi
Parkside
Hitachi (Metabo)
Festool
Stihl
Skil
Einhell
Mac Tools
Milwaukee
Megger
Mac Allister
Werner
Youngman
Lyte
Xtend+Climb
Other/Description
Related Photos/Documents
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Declaration
I understand that this equipment is company-owned and I am using it for work related purposes. I understand that I am responsible for the care/maintenance of the equipment. In case that the equipment is in any case damaged, lost, stolen, while outside the office premises, I shall be responsible for notification to Facilities Management section. In case the equipment gets broken due to wear and tear, I shall have it inspected with the company's Facilities Management Section as soon as possible. I understand that upon termination of my employment, I shall surrender and turn over the equipment back to the company. In absence of return of the asset, the company has the right to withhold my final pay until return of the asset. By signing this Agreement, I acknowledge that I have received the asset described above in working order and I conform to the terms and conditions for the use of said equipment.
Date
-
Month
-
Day
Year
Date
Signature
Submit
Should be Empty: