Handover Takeover Checklist Form
Handover Takeover Checklist
Date of Handover/Takeover
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Hour Minutes
AM
PM
AM/PM Option
Department or Location
*
Name of Person Handing Over
*
First Name
Last Name
Name of Person Taking Over
*
First Name
Last Name
Summary of Items/Areas Being Handed Over
*
Checklist of Key Items/Tasks
All equipment accounted for
Documents and records transferred
Access/keys handed over
Outstanding issues discussed
Other
Additional Notes
Signature of Person Handing Over
*
Signature of Person Taking Over
*
Submit Checklist
Submit Checklist
Should be Empty: