Republic of the Philippines

EULOGIO “AMANG” RODRIGUEZ

INSTITUTE OF SCIENCE AND TECHNOLOGY
CAVITE CAMPUS
General Mariano Alvarez, Cavite

EQUIPMENT INSPECTION AND MAINTENANCE REPORT

Name of Equipment: Description: Location:

Serial Number: Model Number: Year Model:

Accountable Person: Date of Inspection:

Actions Taken:

Recommendations:

Equipment/Materials Needed:

Qty./Unit Description

Inspected by: Conforme:

________________________________ ____________________________
Signature over Printed Name Signature over Printed Name

Noted:
Approved:

ROBERTO A. TURALBA
Program Head, BSIT AGNES N. COO, Ed.D.
Campus Administrator, ECC