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Gate Pass

The document is a gate pass form that contains instructions for its completion, sections to provide details of the materials/equipment to be transported including quantity, description and serial numbers if applicable, approval from the relevant department, and areas for security personnel to sign off after inspecting the transport at entry and exit gates.
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© © All Rights Reserved
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100% found this document useful (1 vote)
105 views

Gate Pass

The document is a gate pass form that contains instructions for its completion, sections to provide details of the materials/equipment to be transported including quantity, description and serial numbers if applicable, approval from the relevant department, and areas for security personnel to sign off after inspecting the transport at entry and exit gates.
Copyright
© © All Rights Reserved
Available Formats
Download as PDF, TXT or read online on Scribd
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MATERIAL & EQUIPMENT GATE PASS

ISD/F-006 (Oct.14)
INSTRUCTIONS
1. The Form must be prepared in three copies, computer-printed or typewritten.
2. The date must be in MM/DD/YY format.
3. The approved gate pass shall expire 7 days from the date of approval/issuance.
4. Use additional form for items that cannot be contained in the first form.
5. Tampering of the document is strictly prohibited. Each correction must be countersigned.

MATERIALS/EQUIPMENT BELONG TO:


Date:
06/02/18
Company Contractor Personal Others____________

USER ORGANIZATION
Name Badge No. Org. Code Dept/Div./Unit
Basharat Rehman 8002733 0048 Tamimi O&M
TYPE OF CARRIER/VEHICLE INFORMATION

Company Contractor Private Hand-carried Others____________

Door No. License Plate No. Driver’s/Carrier’s Name: Badge/Iqama No.


Main gate 1 8943 RIYAZ 2281462594
Loaded at (Bldg/Site): Loaded by: (Name & Badge No.) Driver’s/Carrier’s Signature:

Tamimi portacbin RIYAZ 8005025


Destination (Bldg/Site): Contact Number:

0592756799
Quantity Pkg/Box/ Material Description Serial Number
Piece/Etc.

03 piece Acetylene cylinder


01 piece oxygen cylinder

APPROVAL
Department Badge No. Date: Contact No.
Manager/Approver:

Org. Code Dept/Div/Unit:

For Industrial Security Use Only


1ST Gate (Checker): Badge Signature: Date: Time: Gate/Post No.
No.

2nd Gate (Checker): Badge Signature: Date: Time: Gate/Post No.


No.

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