BREAKDOWN / REPAIR REPORT

Property ID Number HWM-01

Property Name Sphygmomanometer
Location HILOT ROOM
Findings: Recommendation:

Defective Replacement of Sphygmomanometer

Sphygmomanometer
Inspected by: Reported to:
Mark Nel
John Joshua A. Lorilla
Palmiano
Date: Date:

May 15, 2023 May 15, 2023

Subsequent Action Recommendation:
Taken:
Replacement of Sphygmomanometer
Inspection of the
equipment
By: Reported to:

Owner of the School Mark John Lorilla

Date: Date:

May 15, 2023 May 15, 2023

Prepared by:

Joshua A. Lorilla

Joshua A. Lorilla