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MT. GRACE RESOURCES MANAGEMENT, INC.

BIOMEDICAL MAINTENANCE SERVICES GROUP


132 PIONEER ST., MANDALUYONG CITY

CM WORK ORDER SUMMARY


DIVINE GRACE MEDICAL CENTER
Hospital Name PERIOD OF Mar/01/2021 - Aug/31/2021

DEPARTMENT / AREA : CSR

WORK ORDER NO MGD/CM/000006 NATURE OF PROBLEM ASSESSMENT/WORK DONE STATUS/RECOMMENDATIONS


WO DATE Jul/23/2021 PMS AND CALIBRATION Performed Preventive Maintenance and Equipment is functional
WORK ORDER STATUS Completed Calibration
Physical Inspection (Passed)
WORK ORDER TYPE OTHERS
Functional Testing (Passed)
ASSIGNED TO LARRY CALUBAG ECG Test (Passed)
Sp02 Test (Passed)
EQUIPMENT NO. MGD1000129
NIBP Test (Passed)
MODEL NAME: PRO 1 NIBP Leak Test (Passed)
MANUFACTURER NAME OPRIMA Equipment is functional
ASSET DESCRIPTION MONITORS, BEDSIDE, PHYSIOLOGIC

WORK ORDER NO MGD/CM/000007 NATURE OF PROBLEM ASSESSMENT/WORK DONE STATUS/RECOMMENDATIONS


WO DATE Jul/22/2021 PMS AND CALIBRATION Performed Preventive Maintenance and Equipment is functional
WORK ORDER STATUS Completed Calibration
Physical Inspection (Passed) FOR REPLACEMENT OF POWER CORD
WORK ORDER TYPE OTHERS
Functional Testing (Passed)
ASSIGNED TO LARRY CALUBAG ECG Test (Passed)
Sp02 Test (Passed)
EQUIPMENT NO. MGD1000128
NIBP Test (Passed)
MODEL NAME: PRO 1 NIBP Leak Test (Passed)
MANUFACTURER NAME OPRIMA Equipment is functional
ASSET DESCRIPTION MONITORS, BEDSIDE, PHYSIOLOGIC
FOR REPLACEMENT OF POWER CORD

PREPARED BY: REVIEWED BY: VERIFIED AND ACKNOWLEDGED BY:

Reports generated by CEMS


CSR Page 1 of 1
MT. GRACE RESOURCES MANAGEMENT, INC.
BIOMEDICAL MAINTENANCE SERVICES GROUP
132 PIONEER ST., MANDALUYONG CITY

CM WORK ORDER SUMMARY


DIVINE GRACE MEDICAL CENTER
Hospital Name PERIOD OF Mar/01/2021 - Aug/31/2021

DEPARTMENT / AREA : INTENSIVE CARE UNIT

WORK ORDER NO MGD/CM/000003 NATURE OF PROBLEM ASSESSMENT/WORK DONE STATUS/RECOMMENDATIONS


WO DATE Jul/30/2021 PM AND CALIBRATION Performed Preventive Maintenance and Equipment is functional
WORK ORDER STATUS Completed Calibration
Physical Inspection (Passed)
WORK ORDER TYPE OTHERS
Functional Testing (Passed)
ASSIGNED TO LARRY CALUBAG BP Manometer Accuracy Test (Passed)
BP Leak Test (Passed)
EQUIPMENT NO. MGD1000131
Equipment is functional
MODEL NAME: ROLL-BY
MANUFACTURER NAME WELCH ALLYN
ASSET DESCRIPTION SPHYGMOMANOMETERS, ANEROID

WORK ORDER NO MGD/CM/000004 NATURE OF PROBLEM ASSESSMENT/WORK DONE STATUS/RECOMMENDATIONS


WO DATE Jul/30/2021 PMS Performed Preventive Maintenance Equipment is functional
WORK ORDER STATUS Completed Physical Inspection (Passed)
Functional Testing (Passed)
WORK ORDER TYPE OTHERS
Suction Test (Passed)
ASSIGNED TO LARRY CALUBAG - Max: 0.08 MPa
Cleaning
EQUIPMENT NO. MGD1000130
Equipment is functional
MODEL NAME: T-150
MANUFACTURER NAME TMS
ASSET DESCRIPTION ASPIRATORS

WORK ORDER NO MGD/CM/000005 NATURE OF PROBLEM ASSESSMENT/WORK DONE STATUS/RECOMMENDATIONS


WO DATE Jul/30/2021 PMS Performed Preventive Maintenance Equipment is functional
WORK ORDER STATUS Completed Physical Inspection (Passed)
Functional Testing (Passed)
WORK ORDER TYPE OTHERS
Suction Test (Passed)
ASSIGNED TO LARRY CALUBAG - Max: 0.08 MPa
Cleaning
EQUIPMENT NO. MGD1000132
Equipment is functional
MODEL NAME: T-150
MANUFACTURER NAME TMS
ASSET DESCRIPTION ASPIRATORS

PREPARED BY: REVIEWED BY: VERIFIED AND ACKNOWLEDGED BY:

Reports generated by CEMS


INTENSIVE CARE UNIT Page 1 of 1
MT. GRACE RESOURCES MANAGEMENT, INC.
BIOMEDICAL MAINTENANCE SERVICES GROUP
132 PIONEER ST., MANDALUYONG CITY

CM WORK ORDER SUMMARY


DIVINE GRACE MEDICAL CENTER
Hospital Name PERIOD OF Mar/01/2021 - Aug/31/2021

DEPARTMENT / AREA : OPERATING ROOM

WORK ORDER NO MGD/CM/000001 NATURE OF PROBLEM ASSESSMENT/WORK DONE STATUS/RECOMMENDATIONS


WO DATE Jul/14/2021 Low Output Power Physical Inspection Equipment is defective
WORK ORDER STATUS Completed Functional Testing with Fluke Electrosurgical Equipment is obsolete as of July 2005 (Please see attached
Analyzer(Failed) Oblolescence Letter from manufacturer)
WORK ORDER TYPE CORRECTIVE MAINTENANCE
Set Cut Power=300 watts | Output=38.4 watts
ASSIGNED TO LARRY CALUBAG Set Coag Power=120 watts | Output= 19.7
watts
EQUIPMENT NO. MGD1000126
Output Energy Calibration (Failed)
MODEL NAME: FORCE 2-20PC - no output response during calibration
MANUFACTURER NAME VALLEYLAB
ASSET DESCRIPTION ELECTROSURGICAL UNITS, MONOPOLAR

WORK ORDER NO MGD/CM/000002 NATURE OF PROBLEM ASSESSMENT/WORK DONE STATUS/RECOMMENDATIONS


WO DATE Aug/02/2021 Request for technical evaluation Perform test and evaluation. Equipment is Created equipment decommissioning report, refer to EDR
WORK ORDER STATUS Completed subject for decommissioning Control No. EDRMGD000001

WORK ORDER TYPE CORRECTIVE MAINTENANCE


ASSIGNED TO LARRY CALUBAG

EQUIPMENT NO. MGD1000126


MODEL NAME: FORCE 2-20PC
MANUFACTURER NAME VALLEYLAB
ASSET DESCRIPTION ELECTROSURGICAL UNITS, MONOPOLAR

WORK ORDER NO MGD/CM/000008 NATURE OF PROBLEM ASSESSMENT/WORK DONE STATUS/RECOMMENDATIONS


WO DATE Jul/02/2021 PMS AND CALIBRATION Performed Preventive Maintenance and Equipment is functional
WORK ORDER STATUS Completed Calibration
Physical Inspection (Passed)
WORK ORDER TYPE OTHERS
Functional Testing (Passed)
ASSIGNED TO LARRY CALUBAG BP Manometer Accuracy Test (Passed)
BP Leak Test (Passed)
EQUIPMENT NO. MGD1000121
Equipment is functional
MODEL NAME: ROLL-BY
MANUFACTURER NAME WELCH ALLYN
ASSET DESCRIPTION SPHYGMOMANOMETERS, ANEROID

PREPARED BY: REVIEWED BY: VERIFIED AND ACKNOWLEDGED BY:

Reports generated by CEMS


OPERATING ROOM Page 1 of 5
MT. GRACE RESOURCES MANAGEMENT, INC.
BIOMEDICAL MAINTENANCE SERVICES GROUP
132 PIONEER ST., MANDALUYONG CITY

CM WORK ORDER SUMMARY


DIVINE GRACE MEDICAL CENTER
Hospital Name PERIOD OF Mar/01/2021 - Aug/31/2021

WORK ORDER NO MGD/CM/000009 NATURE OF PROBLEM ASSESSMENT/WORK DONE STATUS/RECOMMENDATIONS


WO DATE Jul/02/2021 PMS AND CALIBRATION Performed Preventive Maintenance and Equipment is functional
WORK ORDER STATUS Completed Calibration
Physical Inspection (Passed)
WORK ORDER TYPE OTHERS
Functional Testing (Passed)
ASSIGNED TO LARRY CALUBAG BP Manometer Accuracy Test (Passed)
BP Leak Test (Passed)
EQUIPMENT NO. MGD1000118
Equipment is functional
MODEL NAME: ROLL-BY
MANUFACTURER NAME WELCH ALLYN
ASSET DESCRIPTION SPHYGMOMANOMETERS, ANEROID

WORK ORDER NO MGD/CM/000010 NATURE OF PROBLEM ASSESSMENT/WORK DONE STATUS/RECOMMENDATIONS


WO DATE Jul/02/2021 PMS Performed Preventive Maintenance Equipment is functional
WORK ORDER STATUS Completed Physical Inspection (Passed)
Functional Testing (Passed)
WORK ORDER TYPE OTHERS
O2 Leak Test (Passed)
ASSIGNED TO LARRY CALUBAG Checking of O2 Fittings (Passed)
Cleaning
EQUIPMENT NO. MGD1000117
Equipment is functional
MODEL NAME: 110 ANESTHETIC UNIT
MANUFACTURER NAME SIMS NEU PAC
ASSET DESCRIPTION ANESTHESIA UNITS

WORK ORDER NO MGD/CM/000011 NATURE OF PROBLEM ASSESSMENT/WORK DONE STATUS/RECOMMENDATIONS


WO DATE Jul/02/2021 PMS AND CALIBRATION Performed Preventive Maintenance and Equipment is functional
WORK ORDER STATUS Completed Calibration
Physical Inspection (Passed)
WORK ORDER TYPE OTHERS
Functional Testing (Passed)
ASSIGNED TO LARRY CALUBAG Breath Rate Test (Passed)
I:E Test (Passed)
EQUIPMENT NO. MGD1000116
Equipment is functional
MODEL NAME: ULCO MEDICAL
MANUFACTURER NAME ULCO
ASSET DESCRIPTION ANESTHESIA UNITS

PREPARED BY: REVIEWED BY: VERIFIED AND ACKNOWLEDGED BY:

Reports generated by CEMS


OPERATING ROOM Page 2 of 5
MT. GRACE RESOURCES MANAGEMENT, INC.
BIOMEDICAL MAINTENANCE SERVICES GROUP
132 PIONEER ST., MANDALUYONG CITY

CM WORK ORDER SUMMARY


DIVINE GRACE MEDICAL CENTER
Hospital Name PERIOD OF Mar/01/2021 - Aug/31/2021

WORK ORDER NO MGD/CM/000012 NATURE OF PROBLEM ASSESSMENT/WORK DONE STATUS/RECOMMENDATIONS


WO DATE Jul/02/2021 PMS AND CALIBRATION Performed Preventive Maintenance and Equipment is functional
WORK ORDER STATUS Completed Calibration
Physical Inspection (Passed)
WORK ORDER TYPE OTHERS
Functional Testing (Passed)
ASSIGNED TO LARRY CALUBAG Breath Rate Test (Passed)
I:E Test (Passed)
EQUIPMENT NO. MGD1000120
Equipment is functional
MODEL NAME: FABIUS PLUS
MANUFACTURER NAME DRAGER
ASSET DESCRIPTION ANESTHESIA UNITS

WORK ORDER NO MGD/CM/000013 NATURE OF PROBLEM ASSESSMENT/WORK DONE STATUS/RECOMMENDATIONS


WO DATE Jul/02/2021 PMS AND CALIBRATION Performed Preventive Maintenance and Equipment is functional
WORK ORDER STATUS Completed Calibration
Physical Inspection (Passed)
WORK ORDER TYPE OTHERS
Functional Testing (Passed)
ASSIGNED TO LARRY CALUBAG Breath Rate Test (Passed)
I:E Test (Passed)
EQUIPMENT NO. MGD1000122
Equipment is functional
MODEL NAME: AEON 7400A
MANUFACTURER NAME AEONMED
ASSET DESCRIPTION ANESTHESIA UNITS

WORK ORDER NO MGD/CM/000014 NATURE OF PROBLEM ASSESSMENT/WORK DONE STATUS/RECOMMENDATIONS


WO DATE Jul/02/2021 PMS AND CALIBRATION Performed Preventive Maintenance and Equipment is functional
WORK ORDER STATUS Completed Calibration
Physical Inspection (Passed)
WORK ORDER TYPE OTHERS
Functional Testing (Passed)
ASSIGNED TO LARRY CALUBAG ECG Test (Passed)
Sp02 Test (Passed)
EQUIPMENT NO. MGD1000119
NIBP Test (Passed)
MODEL NAME: PRO 1 NIBP Leak Test (Passed)
MANUFACTURER NAME OPRIMA Equipment is functional
ASSET DESCRIPTION MONITORS, BEDSIDE, PHYSIOLOGIC

PREPARED BY: REVIEWED BY: VERIFIED AND ACKNOWLEDGED BY:

Reports generated by CEMS


OPERATING ROOM Page 3 of 5
MT. GRACE RESOURCES MANAGEMENT, INC.
BIOMEDICAL MAINTENANCE SERVICES GROUP
132 PIONEER ST., MANDALUYONG CITY

CM WORK ORDER SUMMARY


DIVINE GRACE MEDICAL CENTER
Hospital Name PERIOD OF Mar/01/2021 - Aug/31/2021

WORK ORDER NO MGD/CM/000015 NATURE OF PROBLEM ASSESSMENT/WORK DONE STATUS/RECOMMENDATIONS


WO DATE Jul/02/2021 PMS AND CALIBRATION Performed Preventive Maintenance and Equipment is functional
WORK ORDER STATUS Completed Calibration
Physical Inspection (Passed)
WORK ORDER TYPE OTHERS
Functional Testing (Passed)
ASSIGNED TO LARRY CALUBAG ECG Test (Passed)
Sp02 Test (Passed)
EQUIPMENT NO. MGD1000115
NIBP Test (Passed)
MODEL NAME: SVM-7621 NIBP Leak Test (Passed)
MANUFACTURER NAME NIHON KOHDEN Equipment is functional
ASSET DESCRIPTION MONITORS, BEDSIDE, PHYSIOLOGIC

WORK ORDER NO MGD/CM/000016 NATURE OF PROBLEM ASSESSMENT/WORK DONE STATUS/RECOMMENDATIONS


WO DATE Jul/14/2021 PMS AND CALIBRATION Performed Preventive Maintenance and Equipment is functional
WORK ORDER STATUS Completed Calibration
Physical Inspection (Passed)
WORK ORDER TYPE OTHERS
Functional Testing (Passed)
ASSIGNED TO LARRY CALUBAG Cut Power Output Calibration
Coag Power Output Calibration
EQUIPMENT NO. MGD1000123
Cleaning
MODEL NAME: FORCE 2-20PC Equipment is functional
MANUFACTURER NAME VALLEYLAB
ASSET DESCRIPTION ELECTROSURGICAL UNITS, MONOPOLAR

WORK ORDER NO MGD/CM/000017 NATURE OF PROBLEM ASSESSMENT/WORK DONE STATUS/RECOMMENDATIONS


WO DATE Jul/14/2021 PMS AMD CALIBRATION Performed Preventive Maintenance and Equipment is functional
WORK ORDER STATUS Completed Calibration
Physical Inspection (Passed)
WORK ORDER TYPE OTHERS
Functional Testing (Passed)
ASSIGNED TO LARRY CALUBAG Cut Power Output Calibration
Coag Power Output Calibration
EQUIPMENT NO. MGD1000124
Cleaning
MODEL NAME: FORCE 40S-20 Equipment is functional
MANUFACTURER NAME VALLEYLAB
ASSET DESCRIPTION ELECTROSURGICAL UNITS, MONOPOLAR

PREPARED BY: REVIEWED BY: VERIFIED AND ACKNOWLEDGED BY:

Reports generated by CEMS


OPERATING ROOM Page 4 of 5
MT. GRACE RESOURCES MANAGEMENT, INC.
BIOMEDICAL MAINTENANCE SERVICES GROUP
132 PIONEER ST., MANDALUYONG CITY

CM WORK ORDER SUMMARY


DIVINE GRACE MEDICAL CENTER
Hospital Name PERIOD OF Mar/01/2021 - Aug/31/2021

WORK ORDER NO MGD/CM/000018 NATURE OF PROBLEM ASSESSMENT/WORK DONE STATUS/RECOMMENDATIONS


WO DATE Jul/14/2021 PMS AND CALIBRATION Performed Preventive Maintenance and Equipment is functional
WORK ORDER STATUS Completed Calibration
Physical Inspection (Passed)
WORK ORDER TYPE OTHERS
Functional Testing (Passed)
ASSIGNED TO LARRY CALUBAG Cut Power Output Calibration
Coag Power Output Calibration
EQUIPMENT NO. MGD1000125
Cleaning
MODEL NAME: SYSTEM 5000 Equipment is functional
MANUFACTURER NAME CONMED
ASSET DESCRIPTION ELECTROSURGICAL UNITS, MONOPOLAR

WORK ORDER NO MGD/CM/000019 NATURE OF PROBLEM ASSESSMENT/WORK DONE STATUS/RECOMMENDATIONS


WO DATE Jul/14/2021 PMS AND CALIBRATION Performed Preventive Maintenance and Equipment is functional
WORK ORDER STATUS Completed Calibration
Physical Inspection (Passed)
WORK ORDER TYPE OTHERS
Functional Testing (Passed)
ASSIGNED TO LARRY CALUBAG Cut Power Output Calibration
Coag Power Output Calibration
EQUIPMENT NO. MGD1000127
Cleaning
MODEL NAME: FORCE 2-20PC Equipment is functional
MANUFACTURER NAME VALLEYLAB
ASSET DESCRIPTION ELECTROSURGICAL UNITS, MONOPOLAR

PREPARED BY: REVIEWED BY: VERIFIED AND ACKNOWLEDGED BY:

Reports generated by CEMS


OPERATING ROOM Page 5 of 5
MT. GRACE RESOURCES MANAGEMENT, INC.
BIOMEDICAL MAINTENANCE SERVICES GROUP
132 PIONEER ST., MANDALUYONG CITY

CM WORK ORDER SUMMARY


DIVINE GRACE MEDICAL CENTER
Hospital Name PERIOD OF Mar/01/2021 - Aug/31/2021

PREPARED BY: REVIEWED BY: VERIFIED AND ACKNOWLEDGED BY:

Reports generated by CEMS


OPERATING ROOM Page 1 of 1

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