Shift Inspection Form
Inspector's Name
First Name
Last Name
Date
-
Month
-
Day
Year
Date
Location
Please check if the items are sufficient or missing. If any item in the list is needed, please enter the required quantity.
Enough
Missing
Need more
Consent forms
1
2
Lab Forms
3
4
Gloves
5
6
Masks
7
8
Face Shield
9
10
Apron
11
12
Sanitising Gel
13
14
Antibacterial Wipes
15
16
Please upload picture(s) of the workplace to make sure its neat, tidy, and clean.
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Additional Notes
Signature
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Should be Empty: