Manufacturing Shift Check-in Form
Please complete this form at the start of your shift to confirm your readiness and compliance with safety protocols.
Employee Name
*
First Name
Last Name
Employee ID Number
*
Department
*
Please Select
Assembly
Packaging
Quality Control
Maintenance
Logistics
Other
Shift
*
Morning
Afternoon
Night
Date of Shift
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Check-in Time
*
Hour Minutes
AM
PM
AM/PM Option
Work Area or Machine Assigned
*
Personal Protective Equipment (PPE) Check: Are you wearing all required PPE for your shift?
*
Yes
No
Pre-Shift Safety Inspection Completed?
*
Yes
No (report to supervisor)
Are there any hazards or issues to report at the start of your shift?
*
No issues to report
Equipment malfunction
Missing PPE
Spill or debris in area
Other (please specify)
Special Instructions or Notes for This Shift (if any)
Supervisor Comments (to be filled by supervisor if applicable)
Check In
Should be Empty: