Uploaded by Jabo Villar de Veas

Accountability Form Lockers - GSD

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LOCKER USAGE POLICY & AGREEMENT FORM
All lockers situated at iConcept Contact Solution units are properties of ICCS. ICCS respects the privacy of locker occupants
though the company reserves the right to dismantle the lock of the occupant’s locker at any time without consent in an
instance where the locker procedures are being abused or in the case of an emergency. The ICCS Company also reserves
the right to alter the policies governing the use of lockers. By signing this form, Employees agree to abide by the terms
and conditions outlined in this agreement. Misuse of a locker may result in the termination of locker privilege.
1. Lockers are assigned according to the ICCS Company locker ratio assignment policy.
2. Employees must provide own lock.
3. Lockers are contract-base use only.
At the end of each contract, you must clear out all contents of your locker. Failure to do so, will result in the cutting
of your lock and discard of its contents.
4. No Firearms, flammable solutions, and other dangerous materials may be stored in the lockers.
5. Employees should never store any valuables in their lockers, including laptops, money, jewelry, etc.
6. Employees are not permitted to affix anything to the interior/exterior of the lockers
7. All lockers that are not registered to an individual will be routinely inspected. Any locks found on unregistered
lockers will be removed and its contents will be disposed of as appropriate.
8. Employees are solely responsible for the contents of the locker
The ICCS Company assumes no responsibility for loss, damage, or theft of any item(s) in a locker; locked or
unlocked.
9. There is a fee for damaged lockers. It is the cost to repair the lockers which will be determined upon assessment.
Employees are held responsible to report any damage or needed repairs to the ICCS Company.
NAME: _______________________________________
OFFICE UNIT NO.:____________________________
COMPANY/DEPARTMENT: ________________________
LOCKER NO:____________________________
IMMEDIATE SUPERIOR: ___________________________
Locker Issued by:
____________________________________
SIGNATURE OF OCCUPANT
____________________________________________
FULL NAME / SIGNATURE / DATE
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