Blank Template No.

HOUSEKEEPING SCHEDULE

Qualification : Food and Beverage Station Practical

Services NC II Work Area
Area / : Dining Area Tools / Dining Area
Section Eqpt. Eqpt.
In - Charge : Melody N. Moralejo Services

Responsible Schedule for the Month of January

ACTIVITIES Daily Every Weekly Every 15th Monthly Remarks
Person other Day
Day
Mopping of the Trainees  Don’t
floor leave the
floor
wet.
Arranging of Trainees  Arrange
the tables and accordin
chairs g to the
food
service
setup
Cleaning the Trainees  Use
windows and proper
ceiling cleaning
tool for
the
window
Cleaning of the Trainees  Arrange
fixtures and accordin
furniture g to its
original
position
Washing of the Trainees  Not to
table cloths and use
napkins strong
bleach to
the
colored
table
cloths
 and
napkins
Updating of the Head chief,  Make
menu trainee sure that
the
menu
are all
available
Preparing table Trainees  Arrange
wares as for
preparati
on of the
next
food
service
Polishing of the Trainees  Use
silverwares silver
polish
only
Checking of the Trainees  Repair if
buffet tables, there are
dining tables things to
and chairs if repair or
defective or not change
Cleaning of the Trainees  Be
bar careful
with the
breakabl
es
Inspected by: Reported to: Approved by:
Melody N. Moralejo Mark Santos Clyde Smith
Melody N. Moralejo Mark Santos Clyde Smith
Date : June 20,2018 Date: June 20,2018
Blank Template No. 2

HOUSEKEEPING INSPECTION CHECKLIST

Qualification : Food and Beverage Services NC II

Area / Section : Dining Area

In - Charge : Melody N. Moralejo

YES NO CRITERIA

 1. Is the floor mopped daily?

 2.
 3.
 4.
 5.
 6.
 7.
 8.
 9.
 10.
Are the tables and chairs arranged daily?
Are the windows and ceiling cleaned every other day?
Do they clean fixtures and furniture weekly?
Are table cloths and napkins washed weekly?
Is the menu updated monthly?
Are the table wares prepared daily?
Are the silverwares polished every 15th day?
Are the buffet tables, dining tables and chairs checked if
defective or not monthly?
Is the bar cleaned every week?

Prepared by: Noted:

Melody N. Moraejo Clyde Smith

Melody N. Moralejo Clyde Smith
Trainer Supervisor
Blank Template 3:

EQUIPMENT MAINTENANCE SCHEDULE

Equipment Type : Refrigerator

Property Code / Number : REF 000-000-320
Location : Kitchen Area
Schedule for the Month of February
Responsible Daily Every Weekl Every Monthly Remarks
ACTIVITIES person other y 15th
Day Day

Cleaning Trainee,  Use proper

of the Trainer tools to clean
fridge and
freezer
Defrosting Trainee,  Avoid using
of the Trainer sharp tool in
freezer defrosting
Checking Technicia  To maintain the
of the n good quality of
refrigerato the machine
r motor
Cleaning Technicia  To remove heat
of the n from
condenser refrigerator and
coils freezer
Clean and Technicia  Use proper
replace n tools and
the gasket appropriate
gasket
Clean the Trainee  Use proper
interior tools to clean
Deodorize Trainer  To remove
unnecessary
Trainee odor and use
right deodorizer
Replace Technicia  To prolong the
the ice n life of the water
maker or dispenser water
water filter
dispenser
 water filter

Prepared by: Noted:

Melody N. Moraejo Clyde Smith
Melody N. Moralejo Clyde Smith
Trainer Supervisor

Blank Template 4:

MAINTENANCE INSPECTION CHECKLIST

Equipment Type : Refrigerator

Property Code / Number : REF 000-000-320
Location : Kitchen Area
In - Charge : Melody N. Moralejo

YES NO INSPECTION ITEMS

Is the freezer and fridge properly cleaned weekly?

Is the freezer defrosted every 15th day?
Is the refrigerator motor checked every month?
 Is the condenser coils cleaned every month?
 Is the gasket cleaned and replace every month?
 Is the interior cleaned daily?
 Is the refrigerator deodorized weekly?
 Is the ice maker or water dispenser water filter replaced
every 15th day?

Prepared by: Noted:

Melody N. Moraejo Clyde Smith

Melody N. Moralejo Clyde Smith
Trainer Supervisor
Blank Template No. 5

BREAKDOWN / REPAIR REPORT

Breakdown / Repair Report # 099

Property ID Number REF 000-000-320

Descriptive Name Refrigerator

Location Kitchen Area

Findings: Recommendation:

Not cooling properly 1. Check the refrigerator condenser fan motor

Inspected by: Melody N.
Moralejo
Date : June 20,2018
2. Clean the motor’s bearing, maybe becomes
gummed up with dirt
3. Freshen and remove odor by putting deodorizer
Reported to: Mark Santos
Date: June 20,2018

Assigned to : Melody N.
Moralejo
Assigned by : Clyde Smith
Date : June 20,2018
Received Assignment : : Melody N. Moralejo
Assignee : Clyde Smith
Date : June 20,2018

Subsequent Action Taken: Recommendation:

The motor’s bearings are Better ask assistance from the technician.
cleaned
Bought appropriate
deodorizer
By: Mark Santos Reported to: Megan Santos

Date : June 20,2018 Date: June 20,2018

Blank Template No. 6 : TAG-OUT BILL

DANGER/CAUTION TAG-OUT INDEX AND RECORD AUDITS

LOG DATE TYPE DESCRIPTION DATE
SERIAL ISSUED ( Danger/Caution) (System Components, Test COMPLETED
reference ,etc.
1987189 June Defective Frigidaire- 18 Cu Ft Top-Freezer June
0 19,2019 refrigerator Refrigerator- Stainless Steel 20,2018
motor

Prepared by: Approved:

Melody N. Moraejo Clyde Smith
Melody N. Moralejo Clyde Smith
Trainer Supervisor
Blank Template No. 7

WORK REQUEST
Unit No. Description:

1987189 Frigidaire- 18 Cu Ft Top-Freezer Refrigerator- Stainless Steel

0
Observation: Not cooling properly
Activities: Date Reported:

1. Replacement of the new refrigerator June 20,2018

condenser fan motor

2. Deodorizer is recommended to buy Reported By:

Melody N. Moralejo

Prepared by: Approved:

Melody N. Moraejo Clyde Smith
Melody N. Moralejo Clyde Smith
Trainer Supervisor
Blank Template No. 8

WASTE SEGREGATION LIST

Qualification : Food and Beverage Services NC II

Area / Section : Kitchen Area
In - Charge : Melody N. Moralejo

WASTE SEGREGATION METHOD

GENERAL / ACCUMULATED WASTES
Recycle Compose Dispose
Broken glasses and plates 
Food wastes 
Used tissues 
Used paper cups, plates, spoons and 
forks
Used plastic water bottles 
Used papers 

Prepared by: Approved:

Melody N. Moraejo Clyde Smith
Melody N. Moralejo Clyde Smith
Trainer Supervisor
 Blank Template No. 9

PURCHASE REQUEST
Moralejo’s Foundation Academy
(Name of Institution)

Department: FBS Dept. PR no. Date:

SAI no. Date:
Section: Kitchen Area ALOBS no. Date:

Item Unit of Estimated Estimated

Item Description
No. Quantity Issue Unit Cost Cost
242018301
Frigidaire
Refrigerator
Condenser
1 1 peice Fan Motor ₱4,297.50 ₱4,297.50
 1x
HomeLife
Refrigerator
Deodorizer
with Active
Carbon
2 4 piece Unscented ₱349.00 ₱1,396.00
                 
                 
                 
                 
                 
                 
                 ₱5,693.50

Purpose: To replace the defective condenser fan motor

 
  Requested by: Cash availability: Approved by:
   
Signature: Sam Smith    KCruz  
 
Printed Name: Sam Smith   Kate Cruz
Designation: Technician   Dept. Head