Appendix B 

Daily Appointment Tracking Sheet

 

Daily Appointment Tracking Sheet

PAGE________ OF_________

FACILITY: __________________________

DATE: _____________________________

TOUR:___________

EMPLOYEE NAME: _________________

APPOINTMENT NUMBER

NUMBER OF 8125s/8017s

8125/8017 CONTAINER COUNT

ACTUAL CONTAINER COUNT

IRREG. Y / N

eMIR REPORTED Y / N

COMMENTS

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

REVIEWER NAME:____________________________________________

DATE:______/______/__________

 

Instructions for Completing the Daily Appointment Tracking Sheet

The Daily Appointment Tracking Sheet must be completed as appointments are received. The first entry on the sheet should reflect the first drop shipment of a tour. Follow these instructions for completing the Daily Appointment Tracking Sheet:

For completing the Daily Appointment Tracking Sheet on the dock:

  1. Complete the header section of the sheet with Facility, Date, Tour, and Employee Name.
  1. Complete the fields for each appointment as follows:.
  1. At the end of the tour, place the tracking sheet on the top of the 8125s to be turned in and submit to the facility FAST coordinator.

For reconciling the Daily Appointment Tracking Sheets with 8125s, the closeout employee will:

  1. After review and close out, place the name of the reviewer and date on the bottom of the report.
  1. File at the beginning or on top of daily 8125s/8017s.