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Gate Pass For Materials

This document is a gate pass authorizing an employee to remove specified materials from the hospital. It lists the employee's name, a description of the items being removed, their serial numbers and quantities. Hospital management and security must sign off, with security recording the date and time of removal and intended return. Upon return, security and the receiving employee sign to acknowledge the items' condition and receipt.

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Rosler Maggay
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2K views

Gate Pass For Materials

This document is a gate pass authorizing an employee to remove specified materials from the hospital. It lists the employee's name, a description of the items being removed, their serial numbers and quantities. Hospital management and security must sign off, with security recording the date and time of removal and intended return. Upon return, security and the receiving employee sign to acknowledge the items' condition and receipt.

Uploaded by

Rosler Maggay
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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GATE PASS FOR MATERIALS

This is to authorize Mr./Ms. of


to take the following materials out of the hospital:

Description of items Serial No. Qty. Reason

Conformed: Approved by:


Employee name & signature Name & signature

For Security Guard use only:

Checked by: Date of release: Time:


Security Guard on Duty
(name & signature)

For borrowed/repaired items:

Date returned: Condition:

Returned by: Received by:


(name & signature) (name & signature)

(3 copies – 1 SG; 1borrower, 1 for the employee)

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