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Equipment Maintenance Work Order Form

This document outlines a triplicate work order form for equipment maintenance, consisting of three sheets for user, maintenance progress, and equipment history. It includes sections for users to report issues, maintenance heads to log requests, and technicians to document repairs. The completed forms are to be filed together after maintenance is finished.

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Dheresa Ligaba
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51 views3 pages

Equipment Maintenance Work Order Form

This document outlines a triplicate work order form for equipment maintenance, consisting of three sheets for user, maintenance progress, and equipment history. It includes sections for users to report issues, maintenance heads to log requests, and technicians to document repairs. The completed forms are to be filed together after maintenance is finished.

Uploaded by

Dheresa Ligaba
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd

Note: this is a triplicate form

· 1st sheet is the user file copy


· 2nd sheet is the maintenance progress file copy
· 3rd sheet is the equipment history file copy

Section A: To Be Completed By User


Equipment type: Inventory number:
Item location:

Name of person making request: Date:

Description of problem:
Troubleshooting performed (if relevant):

Section B: To Be Completed By Head Of Equipment Maintenance

Date request received: Work order number:

Priority of task (high/medium or low): Task allocated to:

Section C: To Be Completed By Maintenance Technician


Was item repaired? Yes No
If yes, complete maintenance report form. If no, state reason work not
Return item to user. completed and return work
Equipment returned to___________________ order form to head of
equipment maintenance for
Date returned__________________________ follow up and completion of
work order (by assigning an-
other technician or outsourcing):
Name of maintenance technician _________________________

Signature: ____________________________________________

After corrective maintenance is completed the work order form and corrective maintenance log
form should be filed together

Sample Work Order Form

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