Use & Maintenance Form

Type of Use
Person in Charge
Organization
Date of Event
Start Time
End Time
Weather
Temperature
Facilities Used
Equipment Used
Vehicles Moved
Moved By
Email Address
Rooms Cleaned
Coffee Area Cleaned
Equipment Put Away
Lights Off
Waste Baskets Emptied
Coffee Maker Off
Heat Down
Doors Locked
Repairs or Corrections Needed
Was Anyone Injured?
If Yes - ID:
SSN
Add'l Info
First ID
Last ID
Title

I certify that the above information is true to the best of my knowledge, and answered honestly.