Format is good.
Further suggestions for better system of gate passes.
All gate passes should have machine serial number or computer generated serial number.
Every department should have an authorised signatory for gate passes and a standby person also whose specimen signatures are available at Security gate.
Colour codes can be give for gate passes.
Gate passes should be checked during internal audit.
Items of company going out through gate passes should be tallied with receipt particulars from place item is being sent.