Appendix 4

Maintenance work Order

Work Order No: ADMN/DOMITORIES/CM/2014/01
BUILDING

VEHICLE
MACHINE

ENVIRONMENT

STATUS

From: DOMITORIES (DEPARTMENT).

To: MAINTENANCE COORDINATOR.
Description of Problem, Recommendations and Cost Involved (Labour, Market, Overhead)
1. Repair of padlock key (Corrective 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:

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

Date:

( ) specimen ( ) Additional description (

) Put ( ) where

Appendix 4
Maintenance work Order
BUILDING

VEHICLE
MACHINE

ENVIRONMENT

STATUS

From: ADMINISTRATION (DEPARTMENT).

To: MAINTENANCE COORDINATOR.
Description of Problem, Recommendations and Cost Involved (Labour, Market, Overhead)
1 Fumigation on the dormitories (Maintenance schedule)
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: ADMN/PM/DOMITORIES/2014/02

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
Work Order No: ADMN/PM/DOMITORIES/2014/03
BUILDING

VEHICLE
MACHINE

ENVIRONMENT

STATUS

From: ADMINISTRATION (DEPARTMENT).

To: MAINTENANCE COORDINATOR.
Description of Problem, Recommendations and Cost Involved (Labour, Market, Overhead)
1. Fumigation on the dormitories matresses (Maintenance schedule)
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:

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: MASONRY AND BRICKLAYING (DEPARTMENT).

To: MAINTENANCE
COORDINATOR.
Description of Problem, Recommendations and Cost Involved (Labour, Market, Overhead)
1. Re fixing of worn out lights for Serengeti dormitory (Corrective
Maintenance )
Date: .
Signature.
Recommendations by Maintenance Coordinator.

I recommend that repair to be done by our qualified personnel

Required materials for the repair should follow procurement procedures

Date: 26012015. 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: ADMN/DOMITORIES/CM/INFUSTR/2015/01

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

ENVIRONMENT

STATUS

MACHINE
From: DOMITORIES (DEPARTMENT).
To: MAINTENANCE COORDINATOR.
Description of Problem, Recommendations and Cost Involved (Labour, Market, Overhead)
1. Re fixing of window class and mortise lock for Serengeti dormitory
(Corrective Maintenance )
Date: .
Signature.
Recommendations by Maintenance Coordinator.
-

I recommend that repair to be done by our qualified personnel

Required materials and parts for the repair should follow procurement
procedures

Date: 01072015. 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:

Work Order No: ADMN/DOMITORIES/CM/INFUSTR/2015/02

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: DOMITORIES (DEPARTMENT).

To: MAINTENANCE COORDINATOR.
Description of Problem, Recommendations and Cost Involved (Labour, Market, Overhead)
1. Repair water main pipe supply for premises (Corrective Maintenance )
Date: .
Signature.
Recommendations by Maintenance Coordinator.
-

I recommend that repair to be done by our qualified personnel

Required materials and parts for the repair should follow procurement
procedures

Date: 12022016. 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: ADMN/DOMITORIES/CM/INFUSTR/2016/01

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: DOMITORIES (DEPARTMENT).

To: MAINTENANCE COORDINATOR.
Description of Problem, Recommendations and Cost Involved (Labour, Market, Overhead)
1. Repair of storage tanks valve. (Corrective Maintenance)
Date: .
Signature.
Recommendations by Maintenance Coordinator.
-

I recommend that repair to be done by our qualified personnel (from PPF

section)
Required materials and parts for the repair should follow procurement
procedures

Date: 07062016. 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: ADMN/DOMITORIES/CM/INFUSTR/2016/02

Date:

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

( ) specimen ( ) Additional description (

) Put ( ) where