Appendix 4

Maintenance work Order

BUILDING

VEHICLE
MACHINE

ENVIRONMENT

STATUS

From: ELECTRICAL INSTALLATION (DEPARTMENT).

To: MAINTENANCE
COORDINATOR.
Description of Problem, Recommendations and Cost Involved (Labour, Market, Overhead)
1. REPAIR ON SECURITY LIGHTS (Preventive Maintenance )
2. REPAIR ON DOMITORY FANS (Preventive Maintenance)
Date: .
Signature.
Recommendations by Maintenance Coordinator.

Date: . Signature:

Recommendations and Guidelines on procedures by PMU

Date: .. Signature:

Recommendations and directive by Authorizing Officer

Date: ..
Signature:
..
Work Accepted by: .. Signature:
Date: ..
Date completed..Name of Job
Executor.Signature:
Checked & Approved by in charge of Maintenance
Remarks:

Signature:

Work Order No: EI/PM/INFUSTR/2014/01

Date:

For Emergence work Put (E) for planned work Put (P)
Attached: BOQ ( ) Drawing
appropriate

( ) specimen ( ) Additional description (

) Put ( ) where

Appendix 4
Maintenance work Order
BUILDING

VEHICLE
MACHINE

ENVIRONMENT

STATUS

From: ELECTRICAL INSTALLATION (DEPARTMENT).

To: MAINTENANCE
COORDINATOR.
Description of Problem, Recommendations and Cost Involved (Labour, Market, Overhead)
1. Repair lights around the fence (Preventive Maintenance )
2. Fixing of Sport lights at the teachers resident (Preventive Maintenance)
Date: .
Signature.
Recommendations by Maintenance Coordinator.

Date: 21042015. Signature:

Recommendations and Guidelines on procedures by PMU

Date: .. Signature:

Recommendations and directive by Authorizing Officer

Date: ..
Signature:
..
Work Accepted by: .. Signature:
Date: ..
Date completed..Name of Job
Executor.Signature:

Checked & Approved by in charge of Maintenance

Remarks:

Signature:

Work Order No: EI/PM/INFUSTR/2015/01

Date:

For Emergence work Put (E) for planned work Put (P)
Attached: BOQ ( ) Drawing
appropriate

( ) specimen ( ) Additional description (

Appendix 4
Maintenance work Order

) Put ( ) where

Work Order No: EI/PM/INFUSTR/2016/01

BUILDING

VEHICLE
MACHINE

ENVIRONMENT

STATUS

From: ELECTRICAL INSTALLATION (DEPARTMENT). To: MAINTENANCE

COORDINATOR.
Description of Problem, Recommendations and Cost Involved (Labour, Market,
Overhead)
1. Repair and re-fix all security lights on workshops

(Corrective

Maintenance )
Date: .
Signature.
Recommendations by Maintenance Coordinator.
-

I recommend the repair to be done by our Electrical departments

instructors.
Required materials and parts should follow procurement procedures.

Date: 22082016. Signature:

Recommendations and Guidelines on procedures by PMU

Date: .. Signature:

Recommendations and directive by Authorizing Officer

Date: ..
Signature:
..
Work Accepted by: Signature:
Date: .
Date completed..Name of Job Executor
Signature:.
Checked & Approved by in charge of Maintenance
Remarks:

Signature:

Date:

For Emergence work Put (E) for planned work Put (P)
Attached: BOQ ( ) Drawing
appropriate

( ) specimen ( ) Additional description (

) Put ( ) where