Equipment Check-In and Check-Out Checklist Form
Record equipment issuance, condition, and return details.
Person responsible
*
First Name
Last Name
Equipment name or description
*
Asset tag or equipment reference
Check-in or check-out
*
Please Select
Check out (issue equipment)
Check in (return equipment)
Transaction date
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Equipment condition checklist
Clean
No visible damage
Powers on or functions as expected
Damage or issue noted
Accessories included or returned
Charger or power adapter
Cable
Case or carrying bag
Other accessory
No accessories
Return condition checklist
Returned in expected condition
Needs cleaning
Needs repair or inspection
Not returned
Additional notes or issue details
Expected return date
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Submit Checklist
Should be Empty: