Date
First Name
Last Name
Organization/Company
Phone Number
Email Address
Time In
Time Out
Host/Person Being Visited
Purpose of Visit
Business Meeting
Service/Maintenance
Delivery
Personal
Other:
Please initial next to each item to confirm your agreement:
Requirement | Initials | |
|---|---|---|
I have received and am wearing a Visitor Badge conspicuously. | ||
I agree to be escorted by my host at all times (if required). | ||
I have been briefed on emergency evacuation procedures/exits. | ||
I agree to follow all health and safety protocols currently in place. |
By signing below, I agree to keep all proprietary information observed or discussed during my visit confidential. I understand that my data is being collected for security and safety purposes and will be handled according to the facility's privacy policy.
Signature
Form Template Insights
Please remove this form template insights section before publishing.
The initial section of the form is dedicated to establishing exactly who is on the premises.
Timestamps are the most critical data points for maintaining a live manifest of the building's population.
Connecting a visitor to a specific internal member of the team is a core security function.
This section transforms the form from a simple list into a confirmation of site awareness.
Mandatory Questions Recommendation
Please remove this mandatory questions recommendation before publishing.