WARDEN’S CHECKLIST Chief Warden’s Copy: To be given to Team Warden later as Clearance        

 

Place:

Warden:

FD:

ITEM

QUANTITY

DESCRIPTION

 

Rice Cooker

 

 

 

Plates

 

 

 

Glasses/Cups

 

 

 

Gas Stove 

 

 

 

Gas Tank

 

 

 

Pails

 

 

 

Basin

 

 

 

Water Jug

 

 

 

Kettles

 

 

 

`Kawa’

 

 

 

 

 

 

 

Megaphone

 

 

 

Electric  Bulbs

 

 

 

Electric Wiring

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

I have received the above items from the Chief Warden.    I am responsible to return the same at the end of the fieldwork.

Signed Received: Team Warden_______________________________   Date:________

 

CLEARANCE: I have received back the above items upon return by Team Warden.

Signed Received: Chief  Warden________________________________Date:_________