Kitchen Handover Form
Please complete this form to document the kitchen handover, including condition, inventory, and any observations.
Date of Handover
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Name of Person Handing Over
*
First Name
Last Name
Name of Person Receiving
*
First Name
Last Name
Kitchen Cleanliness
*
Excellent
Good
Fair
Poor
Inventory Checklist
*
Rows
Present
Condition (Good/Fair/Poor)
Refrigerator
1
Good
Fair
Poor
Stove/Oven
2
Good
Fair
Poor
Microwave
3
Good
Fair
Poor
Dishwasher
4
Good
Fair
Poor
Sink
5
Good
Fair
Poor
Cabinets
6
Good
Fair
Poor
Countertops
7
Good
Fair
Poor
Fire Extinguisher
8
Good
Fair
Poor
Are all appliances functioning properly?
*
Yes
No
Are safety equipment (fire extinguisher, smoke detector) available and in working order?
*
Yes
No
Are there any damages or missing items?
*
No
Yes (please specify below)
If yes, please describe damages or missing items
Additional Comments or Observations
Signature of Person Handing Over
*
Signature of Person Receiving
*
Submit Handover Form
Submit Handover Form
Should be Empty: