On-Call Handover Log Form
Complete this form to document and communicate all relevant details during an on-call shift handover.
Shift Date
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Shift Start Time
*
Hour Minutes
AM
PM
AM/PM Option
Shift End Time
*
Hour Minutes
AM
PM
AM/PM Option
Handover From (Staff Name)
*
First Name
Last Name
Handover To (Staff Name)
*
First Name
Last Name
Incident / Status Summary
*
Active Tasks
*
Pending Actions
*
Priority of Outstanding Issues
*
High
Medium
Low
Escalation Needs or Follow-Up Notes
*
Submit Handover
Should be Empty: