Hi,
These are Organisation specific and there is no standardized format.
You may add few points as below which are common and you can add more based on your industry requirement.
Whether completed all work and handed over to Superior
Completed Notice period
ID card handed over
Office keys (desk, drawers) etc
Mobile/sim card ( if applicable)
Visiting cards ( if applicable)
Vehicle / transport equipment's ( if applicable)
handed over laptop/ calculator/headset etc (if applicable)
for each item have a separate column like Yes / No so appropriate Superior can sign and confirm the status.