PLANT ROOM KEY ISSUE REQUEST FORM		PF354B

To:	Warehouse 

From:	       (Name of Authorising Officer)

	       (Title)

1.	Request the issue of Plant Room key for:      
(Building Name and Number)
	Date:          	Time:-      
(Maximum Period that this form can be valid for is 3 months)
2.	THIS REQUEST FORM DOES NOT INCLUDE THE ISSUING OF PLANT ROOM KEYS TO OTTO HIRSCHFELD BUILDING (BUILDING 81)
3.	KEY MUST BE RETURNED TO WAREHOUSE (BUILDING99) BY 15:50 HOURS EACH DAY
4.	Key to be issued to:      
(Name)
	From the Contract Firm:      
(Company/Section)
	For the purpose of:        (Nature of work)

5.	The above person has been advised of his/her responsibility for RETURNING THE KEY AT COMPLETION OF WORK EACH DAY and of the consequences involving costs associated with the re-keying of the building should the key be lost.

Signature of understanding:		
	(person signing out the key from Warehouse)

Name (print): 		

6.	Signature of P&F Authority:  		

	Members Appointment:  		

	Date:		
7.	PHOTO IDENTIFICATION IS REQUIRED BEFORE ANY KEY WILL BE ISSUED