Template #1

HOUSEKEEPING SCHEDULE
Qualification
Area/Section
In-Charge

ACTIVITIES

Schedule for the Month of

_________________

Responsible
Person

Every
other
Day

Daily

Weekly

Every
15th
Day

Monthly

Remarks

Template #2
EQUIPMENT MAINTENANCE SCHEDULE
EQUIPMENT TYPE
EQUIPMENT CODE
LOCATION
Schedule for the Month of_____________
ACTIVITIE
S

MANPOWE
R

Daily

Every
Other
Day

Weekly

Every
15th
Day

Monthly

Remarks

Special Instructions:
Trainer:

Template #3
HOUSEKEEPING INSPECTION CHECKLIST
Qualification
Area/Section
In-Charge
YES

NO

INSPECTION ITEMS

Remarks:

Inspected by:

Date:

Template #4

EQUIPMENT MAINTENANCE INSPECTION CHECKLIST

Equipment Type

: ________________________________

Property Code/Number : ________________________________

Location

: ________________________________

Trainer-In-Charge

: ________________________________

YE
S

NO

INSPECTION ITEMS

Remarks:

Inspected by:

Date:

Template #5
WASTE SEGREGATION LIST
Qualification
Area/Section
In-Charge
GENERAL/ACCUMULATED WASTES

WASTE SEGREGATION METHOD

Recycle

Compose

Dispose

Template #6
LOG

DATE

TYPE

DESCRIPTION

SERIA
L

ISSUE
D

(Danger/Caution)

(System Components, Test

Reference, etc.

Template #7

BREAKDOWN / REPAIR REPORT

Property ID Number
Property Name
Location
Findings

Recommendation

Inspected by:

Reported to:

Date:

Date:

Subsequent Action Taken:

Recommendation:

By Technician

Reported to:

Date:

Date: