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  • Asset Registration Form

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    Skywalker_92
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    This document is an asset registration form used to record information about assets owned by a hospital. It collects details such as the asset number, description, location, type, purchase date and cost, manufacturer, model, and serial number. It also tracks the asset's status, including whether it is functioning, not in use, or disposed. The form provides fields to document the asset's condition, ownership, manuals provided, maintenance schedule, standard components, and specifications. Staff must sign and initial the form upon completion.

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    Example of Asset Registration Form

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    This document is an asset registration form used to record information about assets owned by a hospital. It collects details such as the asset number, description, location, type, purchase date and cost, manufacturer, model, and serial number. It also tracks the asset's status, including whether it is functioning, not in use, or disposed. The form provides fields to document the asset's condition, ownership, manuals provided, maintenance schedule, standard components, and specifications. Staff must sign and initial the form upon completion.

    Copyright:

    © All Rights Reserved
    Download as XLS, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as xls, pdf, or txt
    363 views4 pages

    Asset Registration Form

    Uploaded by

    Skywalker_92
    This document is an asset registration form used to record information about assets owned by a hospital. It collects details such as the asset number, description, location, type, purchase date and cost, manufacturer, model, and serial number. It also tracks the asset's status, including whether it is functioning, not in use, or disposed. The form provides fields to document the asset's condition, ownership, manuals provided, maintenance schedule, standard components, and specifications. Staff must sign and initial the form upon completion.

    Copyright:

    © All Rights Reserved
    Download as XLS, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as xls, pdf, or txt
    of 4

    ASSET REGISTRATION FORM

    Service

    FEMS

    BEMS

    Asset No.

    Hospital

    Asset Description

    Department Name

    Location Code

    ( Building No.-Floor No.-Room No. )

    Asset Type Code

    Registration No.

    KEW. PA2 Ref No.


    Cost Centre

    Brand

    Purchase Date

    Model

    Date Commissioned

    Manufacturer

    Contract / LPO No

    Make

    Warranty Start Date

    Serial No

    Warranty Expiry Date

    Engine No.

    Date BER

    Chasis No.

    Supplier

    C1

    Asset Condition

    C2

    C3

    C4

    C5

    C6 /

    C7

    Purchase Cost (RM)

    S1 / S2 / S3 / S4 / S5

    Asset Status

    Manuals

    V1 / V2 / V3 / V4 / V5 / V6 / V7 / V8 / V9 / V10 / V11

    Asset Variation
    Ownership

    DO

    Specifications
    Electrical

    INST.M

    OM

    IM

    SM

    CD

    PL / SC

    Service Contractor

    1 / 2 / 3 / 4 / 5 / 6 / 7 / 8 / 9

    PM Frequency
    Standard Components / Accessories
    Description

    Model

    Serial No.

    Manufacturer

    Mechanical
    Capacity
    Staff Name

    Comments

    Dept. Sign / Initials


    Note:
    Asset Condition - C1 : Good ; C2 : Request for Exemption; C3 : Exemption approved; C4 : Request for BER Certification; C5 : BER Certification approved; C6 : Request for Condemn;

    C7 - Condemn approved .

    Asset Status - S1 : Functioning; S2 : Not Functioning; S3 : Not in Use; S4 : Transferred; S5 : Disposed


    Asset Variation - V1: Existing/ No Claim; V2: Stop Service by MOH Engineering Division; V3: Added Installed Facilities (new - buildings, plant, equipment or land); V4: Decommissioned Installed Facility; V5: Transferred to other
    hospitals/healthcare facility; V6: Transferred from other hospitals/healthcare facility; V7: Added (donated by others); V8: Upgraded Installed Facility; V9: Claimed (Project); V10: Asset in initial fee (any new or replacement Hospital);
    V11: Old Hospital Asset moved to new or replacement hospital.
    Ownership field- H : Hospital; L : Loaner; DO : Donation;
    Manuals field - INST.M : Installation Manual; OM : Operation Manual; IM : Instruction Manual; SM Service Manual; CD : Circuit/Schematic Diagram, Site & Floor Plan; PL : Parts List; SC: Softcopy
    PM Frequency: 1- Weekly; 2 - Monthly; 3 - Bi-monthly; 4 - Quarterly; 5 - Semi-annually; 6 - Annually; 7 - Daily; 8 - 2-Yearly; 9 - Bi-Weekly

    Reference No.: AR(700)F1

    Revision No.: 3

    Effective Date : 01/10/2015

    SSET REGISTRATION FORM

    ed Installed Facilities (new - buildings, plant, equipment or land); V4: Decommissioned Installed Facility; V5: Transferred to other
    nated by others); V8: Upgraded Installed Facility; V9: Claimed (Project); V10: Asset in initial fee (any new or replacement Hospital);

    Effective Date : 01/10/2015

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