Appendix 4

Maintenance work Order

Work Order No: MB/CM/INFUSTR/2015/01
BUILDING

VEHICLE
MACHINE

ENVIRONMENT

STATUS

From: MASONRY AND BRICKLAYING (DEPARTMENT).

To: MAINTENANCE
COORDINATOR.
Description of Problem, Recommendations and Cost Involved (Labour, Market, Overhead)
1. Rehabilitation of MB workshop roof (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: 22012015. 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
Put ( ) where appropriate

( ) specimen ( ) Additional description (