Employee Work Checkout Log Form
Submit your end-of-shift checkout details for supervisor review.
Employee Name
*
First Name
Last Name
Employee ID
*
Date of Checkout
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Checkout Status
*
Completed
Partial
Not Completed
Checkout Time
*
Hour Minutes
AM
PM
AM/PM Option
Summary of Work Completed
*
Handoff Details (to next shift or team)
Issues or Incidents Noted
Supervisor Name
*
Supervisor Review
*
Approved
Requires Follow-up
Submit Log
Should be Empty: