Delivery Cart Inventory Checklist
Complete this checklist to verify and document all items loaded onto the delivery cart before dispatch.
Cart ID or Number
*
Date of Checklist
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Time of Checklist
*
Hour Minutes
AM
PM
AM/PM Option
Responsible Staff Name
*
First Name
Last Name
Staff ID or Employee Number
Destination Location
*
Inventory Items Checklist
*
Rows
Quantity
Condition
Item 1
Good
Damaged
Missing
Needs Attention
Item 2
Good
Damaged
Missing
Needs Attention
Item 3
Good
Damaged
Missing
Needs Attention
Item 4
Good
Damaged
Missing
Needs Attention
Item 5
Good
Damaged
Missing
Needs Attention
Are all items accounted for?
*
Yes
No
List any missing or damaged items
Additional Notes or Comments
Staff Signature
*
Submit Checklist
Submit Checklist
Should be Empty: