Republic of the Philippines

Department of Education
Region II – Cagayan Valley
Schools Division of Cagayan

ICT PREVENTIVE MAINTENANCE SERVICE HISTORY FORM

OFFICE: OWNER:
EQUIPMENT BRAND NAME/
DESCRIPTION: SN NUMBER:
PROPERTY
DATE AQUIRED:
NUMBER:

Vacuum, Air-Blowing and Dusting of Internal Vacuum, Air-Blowing and Dusting of Internal
Parts of CPU Parts of CPU
 Motherboard  Motherboard
 Memory  Memory
 HDD  HDD
 Power Supply  Power Supply
 Other Internal Parts _____________________  Other Internal Parts _____________________
System System
 Disk Clean-up  Disk Clean-up
 Clean browser history  Clean browser history
 Delete temporary files  Delete temporary files
 Disk defragmentation  Disk defragmentation
Other Infra Other Infra
 Internet connectivity  Internet connectivity
 Telephony System monitoring  Telephony System monitoring
 CCTV System Monitoring  CCTV System Monitoring
 Cable Management  Cable Management
 Check ports and cable connection for  Check ports and cable connection for
signs of wearing signs of wearing

Remarks : ___________________________________ Remarks : ___________________________________

______________________________________________
______________________________________________
______________________________________________
______________________________________________
______________________________________________
______________________________________________
______________________________________________
______________________________________________
______________________________________________
______________________________________________

PMO : _______________________________________ PMO : _______________________________________

Date: ________________________________________ Date: ________________________________________

Acknowledged by: __________________________ Acknowledged by: __________________________

Date: ________________________________________ Date: ________________________________________

Address: Regional Government Center, Carig Sur, Tuguegarao City, 3500

Telephone Nos.: PLDT (078) 377-1065; Globe Landline (078) 255-5317, (078) 255-5318
Email Address: sdo.cagayan@deped.gov.ph
Website: deped-sdocagayan.com.ph Doc Code:
As of:
FM-SDS-ICT-002
Oct 1, 2019
Rev:
Page:
01
1