ESD Tool Discharge Log Form
Log each electrostatic discharge tool event accurately. Please complete all fields for a comprehensive discharge record.
Date and Time of Discharge
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Hour Minutes
AM
PM
AM/PM Option
Tool ID or Name
*
Operator Name
*
First Name
Last Name
Location of Discharge
*
Type of Discharge
*
Direct
Indirect
Unknown
Discharge Value (Volts)
*
Action Taken
*
Please Select
Tool Reset
Tool Replaced
Area Cleaned
No Action Required
Other
Supervisor/Inspector Name
*
First Name
Last Name
Comments or Notes
Signature (Operator or Supervisor)
*
Submit Log Entry
Submit Log Entry
Should be Empty: