CENTRAL FACILITIES MANAGEMENT OFFICE

CFMO Headquarters, JHS Prefab

Ateneo de Manila University
Loyola Heights Campus
Katipunan Avenue, Loyola Heights
1108 Quezon City, Philippines
+63(2)8426-6001 loc 4261 +63(2)8426-5940
comcen.fmo@ateneo.edu

KEYS TURNOVER FORM

Unit/Office: Construction of Arrupe Infirmary

Location/Building Room Floor Room No. of TYPES OF LOCKS

Name no. No. Keys Door Cabinet Double
knob lock lock
Arrupe Building Infirmary Main Door/ GF NA 3 ✓
Entrance
Dental GF NA 3 ✓
Room
Bed 1 GF NA 3 ✓
Bed 2 GF NA 3 ✓
Bed 3 GF NA 3 ✓
Bed 4 GF NA 3 ✓
Treatment GF NA 3 ✓
Room
Doctor’s GF NA 3 ✓
Room /
Office
Isolation GF NA 3
Room 1
Isolation GF NA 3
Room 2
Pantry GF NA 3
Accordion
Emploeye’s GF NA 3
Toilet
Patient GF NA 3
Toilet
Exit Door? GF NA 3
Steel door

Prepared by:_____________________________ Date:________________________

(Print name and signature)

Noted by:________________________________ Date:________________________

Office/Unit Head (Print name and signature)
Received by: _________________________ Date:______________________
(Print name and signature)