ACCOUNT CARDS & PASSES
Description
Received by
Date
Returned To
Date
(e.g. P-Card, American Express, Phone Card, Parking/Gate Card, Copy
Employee
Received
Dept Rep
Returned
Card, etc.)
(Initials)
(Initials)
UNIFORMS & PERSONAL PROTECTIVE EQUIPMENT
Item Description
Received by
Date
Returned To
Date
(e.g. shirts, pants, gloves, safety glasses, helmet, coveralls, etc.)
Employee
Returned
Dept Rep
Returned
(Initials)
(Initials)
RESEARCH, LABORATORY, CONTROLLED EQUIPMENT & MATERIALS*
Description
Acknowledged
At end of responsibility,
Accounted
Date
(e.g.. specimens, chemicals, lasers, radioactive
by employee
materials have been properly
for by
Accounting
material, biohazardous material, gas cylinders,
(Initials)
handled & accounted for:
employee
Completed
etc.)
Indicate as labeled,
& Dept Rep
transferred to authorized
(Initials)
recipient, and/or disposed of.
*Contact Environmental Health & Safety if needed for proper handling
of controlled materials at 919-515-7915.
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