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Malibu City Hall End of Shift Report

2. Instructions

   Complete the form below in its entirety at the end of each shift.

4. Staff Member Information
6. First Name*
7. Last Name*
8. Date and Time*
   Date and Time

   Date and Time
10. Continue

Report Information

2. List all City of Malibu Recreation Programs that were held during your shift.*
4. Please provide the names of all City program instructors instructing during your shift.*
5. I verify that I checked all instructors have been approved and background checked.*

   Please initial above.

7. Did any issues occur with participants, instructors, or spectators during these programs?*
11. List all facility rentals that took place at Malibu City Hall during your shift.*

    Permits can be found in the Facility Permits Binder

12. List any unpermitted facility use that you observed during your shift.*
14. List all assigned projects that you completed during your shift.*
16. Did you submit an accident or incident report during your shift?*

    1. Yes
    2. No

    If yes, please make sure to submit any paperwork in a City envelope and place in the safe.

18. Did you observe any interior or exterior facility areas that need additional custodial attention?*

    Areas may include floors, restrooms, activity rooms, mirrors, doors, and windows.

20. Did any safety issues or vandalism occur during your shift that needs immediate attention?*

    1. Yes
    2. No

    If yes, please submit a maintenance request.

22. Please document below and notify a supervisor immediately.
23. Image
27. Any other non-urgent details, issues, or concerns that were brought up during your shift.
29. I verify that all electronics (iPad and card reader) have been returned and petty cash secured in safe.*

    1. Yes
Leave This Blank:


30. 1. Receive an email copy of this form.
31. Email address

    This field is not part of the form submission.

32. Submit | Go Back

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