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Form Material Gate Pass (00000002)

This document is a gate pass form used to record the movement of goods in and out of a location. It requires filling out details such as the owner of the goods, type of movement (permanent or temporary), description of goods, approval signatures from relevant parties, and a section to record the return of temporarily removed goods. The purpose is to document and control the movement of materials, equipment, products and other items into and out of the premises.

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Rony Wicaksono
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© © All Rights Reserved
Nous prenons très au sérieux les droits relatifs au contenu. Si vous pensez qu’il s’agit de votre contenu, signalez une atteinte au droit d’auteur ici.
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90% ont trouvé ce document utile (10 votes)
41K vues1 page

Form Material Gate Pass (00000002)

This document is a gate pass form used to record the movement of goods in and out of a location. It requires filling out details such as the owner of the goods, type of movement (permanent or temporary), description of goods, approval signatures from relevant parties, and a section to record the return of temporarily removed goods. The purpose is to document and control the movement of materials, equipment, products and other items into and out of the premises.

Transféré par

Rony Wicaksono
Copyright
© © All Rights Reserved
Nous prenons très au sérieux les droits relatifs au contenu. Si vous pensez qu’il s’agit de votre contenu, signalez une atteinte au droit d’auteur ici.
Formats disponibles
Téléchargez aux formats PDF, TXT ou lisez en ligne sur Scribd
  • Material Gate Pass: A form used to authorize and record the movement of materials in or out of a facility, capturing details like date, owner, contractor, vehicle, and description of goods.

Attachment 1 Page 1 of 1

E0910-F0003-02 Procedure No E0910-P0003-02

Material Gate Pass SCY No :

Day/ Date : / Time : Location : Pass Type COR


GMR to

Owner of Goods Chandra Asri SMI Contractor/ Private


(Please tick √ ) (name)

Type of Carry-out Permanent Temporary : Vehicle No.:


(Please tick √ ) (estimated date of return)

Type of Goods : Machine,Parts, Tools/Equipment Product Samples Office Equipment PC / LAPTOP

(Please tick √ ) Industrial Wastes Grass and Domestic Waste Project Material Excess *) Refilled/replaced

Purpose :
Emergency Reason*) :
*) Fill-out in case of emergency condition only

FOR TERMPORARY COR / GMR Only


[Fill-out When returning the goods]
NO DESCRIPTION OF GOODS TOTAL UNIT
TOTAL REMAIN
RETURN (if any)

GRAND TOTAL
APPROVAL SHEET
(Based on Request Approval Matrix)
No Position Name ID No. Signature Date / Hours

1 Requestor /
2 Transporter /
3 Witness :
a). Person In Charge (User) /
b). Security /
4 SM Incharge /
5 DM / GM Incharge /
7 Security Head/ Coordinator /

VERIFICATION OF TEMPORARY COR / GMR AT THE TIME OF ESTIMATED DATE OF RETURN


APPROVAL WHEN RETURNING OF GOODS
NOT RETURNED YET

HAD BEEN RETURNED, on


date of return The Person who return the goods SM In Charge Security Coordinator

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