Department Handover Checklist Form
Complete this form to document and confirm all tasks and details for a successful department handover.
Source Department
*
Receiving Department
*
Name of Person Handing Over
*
First Name
Last Name
Name of Person Receiving
*
First Name
Last Name
Handover Date
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Assets Handed Over (list key items, equipment, tools, etc.)
*
Documents Handed Over (list manuals, records, files, etc.)
*
Status of Asset and Document Handover
*
All items and documents handed over
Some items/documents outstanding
No items/documents handed over
Outstanding Items or Tasks (if any)
Final Confirmation of Handover Completion
*
Yes, handover is complete
No, further action required
Submit Handover Checklist
Should be Empty: