Equipment Repair Sign-Off Form
Document completed equipment repairs and authorize equipment return to service.
Equipment Name or ID
*
Date of Repair
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Description of Repair Performed
*
Technician Name
*
First Name
Last Name
Technician Comments (optional)
Supervisor Name
*
First Name
Last Name
Final Approval
*
Approved
Not Approved
Supervisor Comments (optional)
Date of Approval
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Supervisor Signature
*
Submit Sign-Off
Submit Sign-Off
Should be Empty: