Template

Equipment Responsibility Form

by Supervisor Lingwood, from the Community

This Equipment Responsibility Form helps organizations document and track equipment issued to employees. It includes an acknowledgement of responsibility for loss or damage, fields to list items like radios, body cameras, stab vests, uniforms, and ID badges, and places to capture serial numbers, sizes, signatures, manager details, and dates. The form clarifies reporting duties for broken, stolen, or damaged items and outlines return requirements at the end of employment. Ideal for security teams and other roles handling company gear, and adaptable to various industries.

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Confirm accountability and compliance with a digital log

With SafetyCulture you can

Digitize any process, procedure or policy

Eliminate mistakes made by paper-based processes

Create and share professional reports instantly

Confirm accountability and compliance with a digital log

About author

Community

This community page makes available free workplace checklists and templates created by other users within the SafetyCulture community. SafetyCulture has re-published this content and where possible, has credited the original author. SafetyCulture has not verified the accuracy, reliability or suitability of any community content. You agree that your use of any of this content is in accordance with SafetyCulture’s Terms and Conditions.

Template
Equipment Delivery and Return Form
Use this equipment delivery and return form to record the issuance and collection of PPE and site tools. Select items such as harnesses, anchors, lanyards, lifelines, respirators, first aid kits, and more. Capture serial or tag numbers, photos, employee details, job and shop locations, dates, and costs. Obtain acknowledgments and signatures in English and Spanish to confirm responsibility for care and replacement. Track returns with receiving signatures to maintain compliance, reduce loss, and improve accountability across projects.
by Ramos Ramos, from the Community
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Template
GFT Equipment Delivery and Return Form
Use this equipment delivery and return form to manage the issue and collection of plant and tools on site. Capture equipment type, serial or ID, time stamped photos, and condition checks before issuing or when returned. Include signatures from the person receiving or returning and the person delivering to confirm responsibility and costs for damage or loss. Built for common construction items like disc cutters, trench rammers, whacker plates, mini diggers, and trailers, the form helps remove unsafe items from circulation and organize repairs or replacements.
by Rod Davey, from the Community
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Template
Equipment Register
Use this equipment register template to control the sign out and return of company assets including phones, keys, cards and tools. The form captures acknowledgments of responsibility and terms, requires names and signatures, and sets expectations for end of day return, no lending, and secure storage. Ideal for office, administration, or facilities teams to maintain an auditable asset trail and reduce loss or damage.
by Sean Mostert, from the Community
Downloads: 10+
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Template
New Equipment Issuance Form
This new equipment issuance checklist helps construction teams document the handover of PPE and other gear. Capture recipient details, department and supervisor, and specify items such as body harnesses, SRLs, lanyards, and anchors. Record asset tag numbers, sizes, manufacturer, model, lot and serial numbers, and note equipment condition. Include acknowledgment text for responsibility, plus recipient and issuer signatures with date. Use this template to maintain clear records, streamline replacements for lost or damaged items, and ensure accountability for safety-critical equipment.
by Zach Eakles, from the Community
Downloads: 30+
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Equipment Responsibility Form

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