Member Services Shift Report
Name
*
:
Email
*
:
Date
*
:
Location
*
:
IUOP
RSFC
SRSC
WIC
Shift Day
*
:
Select Day
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
Shift Begin Time
*
:
Shift End Time
*
:
Questions and Concerns
Describe any general participant questions or concerns:
Describe any membership questions or concerns:
Describe any staff questions or concerns:
What questions or concerns do you have that came up during your shift?
Other Areas
Risk Management:
What to look for:
Did you have any code reds or code blues?
Were they handled correctly and do you have any questions?
Did you have any evacuations?
RecTrac Issues:
What to look for:
RecTrac Setup
Issues Accessing RecTrac
Household/Member/Participant Issues
Training Issues
Facility Issues:
What to look for:
Office Clean?
Supplies Needed?
Key Issues?
Information Technology Issues:
What to look for:
Was all equipment working?
Were there any problems or concerns with a specific computer or software?
Was an IT Help Request submitted?
Other or Misc.:
Submit