Equipment Checkout Form
Employee Name
*
First Name
Last Name
Email
*
example@example.com
Phone Number
*
-
Area Code
Phone Number
Checked Out Equipment
*
¼ “ Pipe Bender
¾ ” Pipe Bender
1 “ Pipe Bender
Hole Saw Kit- 10 Piece
Fiberglass Glow Fish Rods
Steel Fish Tape 100’
Husky Storage Bin (screws) 8 Pcs
Data Cable Tester
Tablet
Work Cart
Niimbot Label Printer
Tie Down Straps 2
First Aid Kit
GFI Adapter 3-way
By signing below, the employee takes the responsibility for any kind of damage to checked out equipment and acknowledges that the equipment is working properly and in a good condition. For any loss or damage, the employee accepts to cover the cost of new equipment.
Signature
*
Submit
Should be Empty: