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Lab Equipment Request Form

This document is a component request form used by a lecturer to request equipment from a lab for a practical topic. It requires the lecturer to provide their name, the lab, date required, and practical topic. The requested components and quantities are then listed. Upon receiving the equipment, the lecturer and lab admin acknowledge the handover. After use, the lecturer confirms the equipment was cleaned, rearranged, and in good condition before return. The lab admin then verifies the equipment return.

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bmrajah
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337 views1 page

Lab Equipment Request Form

This document is a component request form used by a lecturer to request equipment from a lab for a practical topic. It requires the lecturer to provide their name, the lab, date required, and practical topic. The requested components and quantities are then listed. Upon receiving the equipment, the lecturer and lab admin acknowledge the handover. After use, the lecturer confirms the equipment was cleaned, rearranged, and in good condition before return. The lab admin then verifies the equipment return.

Uploaded by

bmrajah
Copyright
© Attribution Non-Commercial (BY-NC)
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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COMPONENT REQUEST FORM

SECTION A : COMPONENT REQUEST LIST (LECTURER)


LECTURER NAME
LAB
DATE REQUIRED
PRACTICAL TOPIC

: _____________________________
: _____________________________
: _____________________________
: _____________________________

Component Name

Quantity

Remark

SECTION B : COMPONENT HANDOVER (LECTURER )


EQUIPMENT HANDOVER DATE : ____________________________

I hereby acknowledge that I have received the above listed equipment in good order and condition.
_____________________________
NAME:
(LECTURER)

_________________________________
NAME:
(LAB ADMIN)

SECTION C : COMPONENT RETURN AND INSPECTION (LECTURER)

General housekeeping performed


Equipment re-arranged accordingly
Equipment in good condition

__________________________
NAME:
(LECTURER)

Comments :
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
SECTION D : LAB ADMIN VERIFICATION (LAB ADMIN)

Comments:
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________

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