Blank Template No.

HOUSEKEEPING SCHEDULE

Qualification : Station
Area / : Tools /
Section Eqpt.
In - Charge : Services

Responsible Schedule for the Month of May

ACTIVITIES Daily Every Weekly Every 15th Monthly Remarks
Person other Day
Day

Inspected by: Reported to: Approved by:

Date : Date
Blank Template No. 2

HOUSEKEEPING INSPECTION CHECKLIST

Qualification : Computer hardware Servicing NC II

Area / Section : Computer Laboratory

In - Charge : Juan De La Cruz

YES NO CRITERIA

1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
12.
13.
14.
15.
16.
Blank Template 3:

EQUIPMENT MAINTENANCE SCHEDULE

Equipment Type :
Property Code / Number :
Location :
Schedule for the Month of _________________
Responsible Daily Every Weekly Every Monthly Remarks
ACTIVITIES person other 15th Day
Day

Prepared by: Noted:

_____________________ _________________
Trainer Supervisor
Blank Template 4:

MAINTENANCE INSPECTION CHECKLIST

Equipment Type :
Property Code / Number :
Location :
In - Charge :

YES NO INSPECTION ITEMS

Prepared by: Noted:

_____________________ _________________
Trainer Supervisor
Blank Template No. 5

BREAKDOWN / REPAIR REPORT

Breakdown / Repair Report # 099

Property ID Number

Descriptive Name
Location

Findings: Recommendation:

1.

Inspected by: Reported to:

Date : Date:

Assigned to : Received Assignment :

Assigned by : Assignee :
Date : Date :

Subsequent Action Taken: Recommendation:

By: Reported to:

Date : Date:
Blank Template No. 6 : TAG-OUT BILL

DANGER/CAUTION TAG-OUT INDEX AND RECORD AUDITS

LOG DATE TYPE DESCRIPTION DATE
SERIAL ISSUED ( Danger/Caution) (System Components, Test COMPLETED
reference ,etc.

Prepared by: Approved:

Trainer Supervisor
Blank Template No. 7

WORK REQUEST
Unit No. Description:

Observation:

Prepared by: Approved:

______________________ ____________________
Trainer Supervisor
Blank Template No. 8

WASTE SEGREGATION LIST

Qualification :
Area / Section :
In - Charge :

WASTE SEGREGATION METHOD

GENERAL / ACCUMULATED WASTES
Recycle Compose Dispose
 Blank Template No. 9

PURCHASE REQUEST

(Name of Institution)

Department: PR no. Date:

SAI no. Date:
Section: ALOBS no. Date:

Item Unit of Estimated Estimated

Item Description
No. Quantity Issue Unit Cost Cost

Purpose:

Requested by: Cash availability: Approved by:

Signature:

Printed Name:

Designation:
Workshop Layout