Equipment Form Name Email PhoneLocation of the PersonBrisbaneGold coastMelbourneSydneyDate MM slash DD slash YYYY Cleaning EquipmentSmall DusterLarge DusterJanitor PacVac VacuumSabco Mop BucketMop Sticks & Mop PadsMicrofibre ClothesPack of GlovesStainless Steel ScourersCaddyCleaning ChemicalsMultipurpose ChemicalGlass CleanerFloor CleanerDishwashing LiquidToilet CleanerGifMagic EraserSponge Scourer 5 packWet wipesWindow WasherWindow SequeezerDeclaration. Declare that I have received all equipment necessary for me to carry out my day to day tasks as a part-time cleaning employee at Effly Pty Ltd. I acknowledge that I will be responsible for these materials and equipment and if anything is damaged, lost or stolen that I will report it to my reporting manager immediately. After looking it over, if it is found that the damage or loss of equipment resulted from careless or reckless behavior, I understand that my employer will pursue appropriate compensation.YesNoAny Additional Comments or Equipment / Chemicals would you like to include here? Signature