0% found this document useful (0 votes)
34 views1 page

Application To Use Lab Revised

Lab

Uploaded by

Neel
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
0% found this document useful (0 votes)
34 views1 page

Application To Use Lab Revised

Lab

Uploaded by

Neel
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
You are on page 1/ 1

Form No.

- DME/001

To, Date: __________


The Head of Department,
Mechanical Engineering, SFIT, Borivali West.
Subject: Permission to use _______________________________ laboratory (lab no.: ________).
Respected Sir,
Description of Work:

For issuing tools/components


Issue Return
SN Details of Tools/ Components
Date & Time Date & Time

For using machine/system


SN Machine/System Date In Time Out Time

I hereby declare that I have read and understood the safety instructions and shall carry out my work
in a safety conscious environment in compliance with all regulations as laid down by the SFIT as
well as verbal instructions.
In the event of an accident which is due to my negligence and/or non-compliance with SFIT safety
regulations and procedures, I will indemnify the SFIT on all liabilities.
I will ensure that the working space and equipment in the laboratory are clean, tidy and in orderly.

SN Name Branch PID No. Roll No. Contact No. Signature

Name & Signature of Project Guide

(Kindly take signature of respective subject in-charge/class coordinator for course project/any other work)

You might also like