METRO DUMAGUETE COLLEGE, Form No.

: QMS-SOP-OP-001
INC. (MDC) Rev. No. 0
E.J. Blanco Drive Extension, Daro,
Dumaguete City Effectivity Date: 20 June 2022
MANUAL TITLE: QUALITY MANUAL Page No.: Page 1 of 1
DOCUMENT NAME: BREAKDOWN REPORT / MAINTENANCE REQUEST

Date:
Property / Asset Number:
Property / Asset Name:
Location:

Findings:
(Please indicate details of
breakdown on the space
provided.)

Reported By: (Signature

over Printed Name)
Report Received By:
(Signature over Printed
Name)

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METRO DUMAGUETE COLLEGE, Form No.: QMS-SOP-OP-001

INC. (MDC) Rev. No. 0
E.J. Blanco Drive Extension, Daro,
Dumaguete City Effectivity Date: 20 June 2022
MANUAL TITLE: QUALITY MANUAL Page No.: Page 1 of 1
DOCUMENT NAME: BREAKDOWN REPORT / MAINTENANCE REQUEST

Date:
Property / Asset Number:
Property / Asset Name:
Location:

Findings:
(Please indicate details of
breakdown on the space
provided.)

Reported By: (Signature

over Printed Name)
Report Received By:
(Signature over Printed
Name)