ADAMSON

U N I V E R S I T Y
College of Engineering
LABORATORY GROUP LIST

Subject : Section: Group No.

Time Schedule : Day : Room :
The following names listed below are the members of a group to borrow, use, and return the Laboratory
apparatus. If the borrowed apparatus was damaged by any member of the group after the release by the
laboratory student assistant, the same members of the group will be charged by the amount covering the

LABORATORY COPY
damage or replacement.
NAME COURSE STUDENT NO.: SIGNATURE
01)
02)
03)
04)
05)
06)
07)
08)
09)
10)

Signature over Printed name of Instructor Assigned

F-EELAB-001 (05-24-12)

ADAMSON
U N I V E R S I T Y
College of Engineering
LABORATORY GROUP LIST

Subject : Section: Group No.

Time Schedule : Day : Room :

The following names listed below are the members of a group to borrow, use, and return the Laboratory
apparatus. If the borrowed apparatus was damaged by any member of the group after the release by the
laboratory student assistant, the same members of the group will be charged by the amount covering the
FACULTY COPY

damage or replacement.
NAME COURSE STUDENT NO.: SIGNATURE
01)
02)
03)
04)
05)
06)
07)
08)
09)
10)
 Signature over Printed name of Instructor Assigned
F-EELAB-001 (05-24-12)
ADAMSON
U N I V E R S I T Y
College of Engineering LABORATORY DAMAGE REPORT
DATE :
For:

Please be informed that the following students

NAME COURSE STUDENT NO.: SIGNATURE
01)
02)
03)
04)
05)
06)
07)
08)
09)
10)
belonging to
SUBJECT GROUP NO. SECTION SCHEDULE
damaged/lost the following:

QTY DESCRIPTION CODE BRAND TIME DAY REMARKS

Signature over Printed name of Professor Assigned

The item shall be: Repaired Charged for the repair Charged for the replacement
Amounting to PhP Amounting to PhP

F-EELAB-003 (05-24-12) Signature over Printed name of Student Assistant

 ADAMSON
U N I V E R S I T Y
College of Engineering
ACCIDENT/DAMAGE REPORT

TO : DATE :
FROM :

This is to inform you about the accident/damage that occurred at TIME DAY :
SUBJECT: SECTION: GROUP NO.: SCHED:
NATURE OF ACCIDENT/ DAMAGE:
BRAND OF EQUIPMENT: DESCRIPTION: CODE:

STUDENT'S COPY
PERSONS INVOLVED/RESPONSIBLE:
NAME STUDENT NO.: SIGNATURE
01)
02)
03)
04)
05)
06)
07)
08)
09)
10)

11)

F-EELAB-005 (05-24-12) Signature over Printed name of Professor Assigned

 ADAMSON
U N I V E R S I T Y
LABORATORY REQUEST FORM

For: Date:

May I request for the following:

Qty Unit Articles Action taken

(for lab use only)

LAB COPY
Signature over printed name
F-EE-ECE-CPELAB-007 (05-15-12)

ADAMSON
U N I V E R S I T Y
LABORATORY REQUEST FORM

For: Date:
STUDENT ASSISTANT'S COPY
May I request for the following:
Qty Unit Articles Amount

Remarks:
Signature over printed name
F-EE-ECE-CPELAB-007 (05-15-12)
 ADAMSON
U N I V E R S I T Y
ADAMSON
U N I V E R S I T Y
College of Engineering College of Engineering

JOB ORDER FORM WORK REQUISITION FORM

LAB COORDINATOR COPY

LAB COORDINATOR COPY

TO: DATE: TO: DATE:
TIME: TIME:
FROM: DATE ACC: FROM: DATE ACC:
TIME ACC: TIME ACC:

ADAMSON
U N I V E R S I T Y
ADAMSON
U N I V E R S I T Y
College of Engineering College of Engineering
STUDENT ASSISTANT'S COPY

STUDENT ASSISTANT'S COPY

WORK REQUISITION FORM WORK REQUISITION FORM

TO: DATE: TO: DATE:

TIME: TIME:
FROM: DATE ACC: FROM: DATE ACC:
TIME ACC: TIME ACC:
RED TAG RED TAG RED TAG
Date: Tagged by: Date: Tagged by: Date: Tagged by:

Item Name: Item Name: Item Name:

Location: Location: Location:

• CATEGORY • • CATEGORY • • CATEGORY •

Equipment Machine Parts Equipment Machine Parts Equipment Machine Parts
Tools & Jigs Raw Materials Tools & Jigs Raw Materials Tools & Jigs Raw Materials
Finished Goods Work-in-Progress Finished Goods Work-in-Progress Finished Goods Work-in-Progress
Instruments Stationary, Etc. Instruments Stationary, Etc. Instruments Stationary, Etc.
Consumables Misc. Consumables Misc. Consumables Misc.
Other Other Other

• REASON • • REASON • • REASON •

Scrap Old/Obsolete Scrap Old/Obsolete Scrap Old/Obsolete
Not Needed Extra Not Needed Extra Not Needed Extra
Defect Defect Defect
Other Other Other

Additional information Additional information Additional information

on the reverse. on the reverse. on the reverse.
F-COELAB-003 (03-01-16) F-COELAB-003 (03-01-16) F-COELAB-003 (03-01-16)

RED TAG RED TAG RED TAG

Date: Tagged by: Date: Tagged by: Date: Tagged by:

Item Name: Item Name: Item Name:

Location: Location: Location:

• CATEGORY • • CATEGORY • • CATEGORY •

Equipment Machine Parts Equipment Machine Parts Equipment Machine Parts
Tools & Jigs Raw Materials Tools & Jigs Raw Materials Tools & Jigs Raw Materials
Finished Goods Work-in-Progress Finished Goods Work-in-Progress Finished Goods Work-in-Progress
Instruments Stationary, Etc. Instruments Stationary, Etc. Instruments Stationary, Etc.
Consumables Misc. Consumables Misc. Consumables Misc.
Other Other Other

• REASON • • REASON • • REASON •

Scrap Old/Obsolete Scrap Old/Obsolete Scrap Old/Obsolete
Not Needed Extra Not Needed Extra Not Needed Extra
Defect Defect Defect
Other Other Other

Additional information Additional information Additional information

on the reverse. on the reverse. on the reverse.
F-COELAB-003 (03-01-16) F-COELAB-003 (03-01-16) F-COELAB-003 (03-01-16)
RED TAG RED TAG RED TAG
• ACTION TO TAKE • • ACTION TO TAKE • • ACTION TO TAKE •
Return to Return to Return to
Discard Discard Discard
Move to Red Tag Holding Area Move to Red Tag Holding Area Move to Red Tag Holding Area
Move to Move to Move to
Shared Shared Shared
Recycle Recycle Recycle
Other Other Other

• ADDITIONAL COMMENTS • • ADDITIONAL COMMENTS • • ADDITIONAL COMMENTS •

TAG ID# TAG ID# TAG ID#

F-COELAB-003 (03-01-16) F-COELAB-003 (03-01-16) F-COELAB-003 (03-01-16)

RED TAG RED TAG RED TAG

• ACTION TO TAKE • • ACTION TO TAKE • • ACTION TO TAKE •
Return to Return to Return to
Discard Discard Discard
Move to Red Tag Holding Area Move to Red Tag Holding Area Move to Red Tag Holding Area
Move to Move to Move to
Shared Shared Shared
Recycle Recycle Recycle
Other Other Other

• ADDITIONAL COMMENTS • • ADDITIONAL COMMENTS • • ADDITIONAL COMMENTS •

TAG ID# TAG ID# TAG ID#

F-COELAB-003 (03-01-16) F-COELAB-003 (03-01-16) F-COELAB-003 (03-01-16)