Equipment Decommissioning Checklist
Please complete this checklist to safely decommission equipment.
Equipment ID/Serial Number
*
Equipment Name
*
Date of Decommissioning
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Reason for Decommissioning
*
Checklist Items
Additional Comments
Submit
Should be Empty: