Checkpoint Scan Log Form
Log each checkpoint scan event accurately and efficiently using the Checkpoint Scan Log Form.
Date and Time of Scan
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Hour Minutes
AM
PM
AM/PM Option
Checkpoint Location or ID
*
Personnel Name or Badge ID
*
Scan Type
*
Arrival
Departure
Routine Check
Other
Device or Method Used
Please Select
Mobile Scanner
Tablet
Desktop Terminal
Manual Entry
Other
Was the scan successful?
*
Yes
No
Additional Notes or Incident Details
Submit Scan Log
Should be Empty: