HOUSEKEEPING SCHEDULE

Qualification
Area/section
In-charge
RESPONSIBLE Schedule for the of Month of May
ACTIVITIES PERSON Dail Ever Wee Ever Mont Remar
y y kly y hly ks
other 15th
Day Day
1.
2.
3.
4.
5.
6.

Prepared by: Date Prepared:

Trainer
Signature: ____________
 HOUSEKEEPING INSPECTION CHEKLIST

QUALIFICATION
AREA/SECTION
IN-CHARGE RUBILYN B. GARICA
YES NO INSPECTION ITEMS

Remarks

Inspected by Date:

Prepared by: Date:

Trainer
Signature: ____________
 EQUIPMENT MAINTAINANCE SCHEDULE

EQUIPMENT TYPE
EQUIPMENT CODE
LOCATION
Schedule for the Month of _________
ACTIVITIES MANPOWER EVER
EVERY
Y REMAR
DAILY OTHER WEEKLY MONTHLY
15TH KS
DAY
DAY

Trainer:

Prepared by: Date:

RUBILYN B. GARCIA
Trainer
Signature: ____________
 EQUIPMENT MAINTENANCE INSPECTION CHECKLIST

Equipment Type:
Property Code :
Location :
Trainer –In- Charge:
Yes No INSPECTION ITEMS

1. Is the plug of the hand spa machine checked? No

abnormality?
2. Are the wires of the hand spa machine checked? Is it
functional?
3. Is the spa machine checked if there is dust inside?

Remarks:

Inspected by: Date:

Prepared by: Date Prepared:

RUBILYN B. GARCIA
Trainer
Signature: ____________
 BREAKDOWN / REPAIR REPORT

Property ID Number
Property Name
Location
Findings Recommendation

Inspected by: Reported to:

Date: Date:

Assigned to: Received Assignment:

Date: Date:

Subsequent Action Taken: Recommendation:

By technician: Reported to:

Date: Date:

Prepared by: Date:

RUBILYN B. GARCIA
Trainer
Signature: ____________

TAG-OUT INDEX CARD

 LOG SERIAL DATE ISSUED TYPE DESCRIPTION
(Danger/Caution) (SYSTEM
Components,
Test Reference,
etc.)

Prepared by: Date May 10, 2014

RUBILYN B. GARCIA
Trainer
Signature: ____________

WASTE SEGREGATION LIST

Qualification
Area/ Section
In-Charge
GENERAL/ ACCUMULATED WASTE SEGREGATION METHOD
WASTES
Recycle Compose Dispose

Prepared by: Date Prepared:

RUBILYN B. GARCIA
Trainer
Signature: ____________