Device Accountability Log: Device Receipt
Date Received
date
Batch # or Device Type
text
Lot #, Serial #, or Model Number(s)
integer
Received by (staff initials)
text
Device Accountability Log: Device Use
Device Accountability Log: Device Return/Repair/Destruction
RET = Returned DES = Destroyed REP = Repaired
text
Date of final Device Disposition
date
Reason
text
Confirmed by (staff initials)
text
Comments
text