COMPANY NAME

ADDRESS
Tel. No.
EQUIPMENT HISTORY RECORD
EQUIPMENT NAME: USAGE : LOCATION:

EQUIPMENT SPECIFICATIONS: LIST OF PARTS

Motor:
Location : Third Floor
Current: Voltage: Phase:
Power : Frequency : RPM :

DATE MAINT. MAINTENANCE ACTIVITIES MAINTENANCE DIRECT MAINTENANCE COST

TYPE TIME CHECKED/
T C B E Waiting Repair/check Total Time Direct Spare Parts/ Contact RECORDED BY REMARKS
From / To B B D T (Please enter all relevant data) Time (hrs. up Time Incurred Labor Materials Fees
M M M C ./days) (hrs./days) (hrs./days)

Legend: TBM-Time Base Maintenance CBM- Condition Base Maintenance BDM-Breakdown Maintenance ETC- other activities AIRCON NO. 1-1 PAGE NO. 1
DATE MAINT. MAINTENANCE ACTIVITIES MAINTENANCE DIRECT MAINTENANCE COST
TYPE TIME CHECKED/
T C B E Waiting Repair/check Total Time Direct Spare Parts/ Contact RECORDED BY REMARKS
From / To B B D T (Please enter all relevant data) Time (hrs. up Time Incurred Labor Materials Fees
M M M C ./days) (hrs./days) (hrs./days)

Legend: TBM-Time Base Maintenance CBM- Condition Base Maintenance BDM-Breakdown Maintenance ETC- other activities AIRCON NO. 1-1 PAGE NO. 4