Daily Situation Shift Report

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DAILY SITUATION/SHIFT REPORT
DATE: ________________________
DAY OF WEEK: ____________________________
POSITION: ________________________________
Name:
Shift:
Location:
Shift Responsibilities:
Shift Accomplishments:
Shift Notes:
*It is your responsibility to make the person relieving your position aware of any shift specifics
and unfinished tasks. Please use this space to record a summary of shift activities. Please
be sure to pass on all information to your relief. If there is no relief, please debrief with your
supervisor before concluding your shift.*
Signature: ________________________________________________________________
Date: _________________
Signature of Person Taking Report: __________________________________________
Date: _________________
8/2006

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